Inspection · 2023-03-08
Date
2023-03-08
Complaint Related
No
Licensing Inspector
Kelly Patterson-Savittiere
(703) 479-4746
(703) 479-4746
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
Conducted an unannounced renewal inspection at 10:20am. Observed 112 children + 21 direct-care staff. Ratios and supervision were in compliance. Children were engaged in a variety of activities to include: reading books, a variety of art projects, sensory activities, playing with blocks and other manipulatives, hand washing, eating snack, and active play in a soccer class. Staff were actively engaged with the children and activities. Snack included: cheese, crackers, and juice. The facility was found to be clean and well supplied toys and equipment for the children. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov
Violations
8Standard 8VAC20-780-160-A
Based on observations made and interview conducted, it was determined that a private contractor present in a classroom had no documentation of a TB test/screening. Evidence: There was no documentation of a TB test/screening for an individual working with Child #7 1:1 in the classroom daily. The individual has been hired privately by the parents of Child #7.
Plan of Correction: The parents and company of the privately hired ABA are providing all the necessary documentation
Standard 8VAC20-780-160-B
Based on records reviewed, it was determined that 1 of 5 staff records did not include an acceptable form of documentation of a TB test/screening. Evidence: Staff #8 - The TB test on-file and dated 9/23/22 was not signed by a physician, physician designee, or health department official. There was no signature from a medical professional on the document.
Plan of Correction: Will obtain the appropriate signature for the TB results
Standard 8VAC20-780-280-B
Based on observations made, it was determined that hazardous substances were not stored in a locked place preventing access by the children.
Evidence:
1. In the 2's room, a total of 8 cleaning products were found to be on an open bathroom shelf and on the floor and accessible to the children.
2. In the 3's room, a total of 4 cleaning products were found accessible in the bathroom and on top of the paper towel dispenser in the classroom.
Evidence:
1. In the 2's room, a total of 8 cleaning products were found to be on an open bathroom shelf and on the floor and accessible to the children.
2. In the 3's room, a total of 4 cleaning products were found accessible in the bathroom and on top of the paper towel dispenser in the classroom.
Plan of Correction: Cleaning supplies have been removed and placed in a locked cabinet 3/8/23
Cleaning supplies were placed in a locked cabinet 3/8/23
Cleaning supplies were placed in a locked cabinet 3/8/23
Standard 8VAC20-780-330-B
Based on observations made, it was determined that fall zones and resilient surfacing surrounding 2 pieces of playground equipment were insufficient.
Evidence:
1. Tall slide: On the climbing ladder side of the equipment roots from a nearby tree were exposed through the wood mulch by several inches and posed as a hazard. The tree roots were within inches of the piece of equipment and were within the 6' fall zone minimum requirement.
2. Tall slide: On the slide side of the equipment a rubber mat that was placed over the wood mulch was not secured to the ground was approximately 24" away from the bottom of the slide exit.
3. Tall slide: The wood mulch surrounding the equipment was less than 6" in depth and had areas of exposed dirt.
4. Yellow trike-go-round: The fall zone on 2 sides of this piece of equipment was less than 6' from the wooden fence. On one side the fall zone was measured to be approximately 24" from the trike to the fence, and on another side it was 30" from the trike to the fence.
Evidence:
1. Tall slide: On the climbing ladder side of the equipment roots from a nearby tree were exposed through the wood mulch by several inches and posed as a hazard. The tree roots were within inches of the piece of equipment and were within the 6' fall zone minimum requirement.
2. Tall slide: On the slide side of the equipment a rubber mat that was placed over the wood mulch was not secured to the ground was approximately 24" away from the bottom of the slide exit.
3. Tall slide: The wood mulch surrounding the equipment was less than 6" in depth and had areas of exposed dirt.
4. Yellow trike-go-round: The fall zone on 2 sides of this piece of equipment was less than 6' from the wooden fence. On one side the fall zone was measured to be approximately 24" from the trike to the fence, and on another side it was 30" from the trike to the fence.
Plan of Correction: Mulch will be added to all fall zones 4/3/23
The rubber mat was moved back in place and anchored down in place 3/9/23
Mulch will be redistributed and added to fall zones 4/3/23
Go-round bikes have been moved to an open area 3/9/23
The rubber mat was moved back in place and anchored down in place 3/9/23
Mulch will be redistributed and added to fall zones 4/3/23
Go-round bikes have been moved to an open area 3/9/23
Standard 8VAC20-780-420-E-3
Based on records reviewed, it was determined that 2 of 8 children's records did not include documentation that at least annually parents had reviewed and confirmed required information in the child's record was up to date.
Evidence:
1. Child #4 - The child's first day of attendance was 6/16/19, and to-date there was no documentation of the annual review by parents.
2. Child #5 - The child's first day of attendance was 8/23/21, and to-date there was no documentation of the annual review by parents.
Evidence:
1. Child #4 - The child's first day of attendance was 6/16/19, and to-date there was no documentation of the annual review by parents.
2. Child #5 - The child's first day of attendance was 8/23/21, and to-date there was no documentation of the annual review by parents.
Plan of Correction: Information sheets will be reviewed by parents and signed annually.
Standard 8VAC20-780-550-F
Based on records reviewed, it was determined that an annual lockdown drill had not been practiced. Evidence: There was no record of a lockdown drill being conducted in 2022.
Plan of Correction: lockdown drills will be conducted annually and documented 3/8/23
Standard 8VAC20-780-550-P
Based on records reviewed, it was determined that 2 of 4 written injury reports did not document required information.
Evidence:
1. Child #6 - The injury report dated 3/7/23 did not include documentation of the date, time, and how the parent was notified of the child's injury. These areas of the report were left blank.
2. Child #7 - The injury report dated 3/1/23 did not include documentation of the date, time, and how the parent was notified of the child's injury. These areas of the report were left blank.
Evidence:
1. Child #6 - The injury report dated 3/7/23 did not include documentation of the date, time, and how the parent was notified of the child's injury. These areas of the report were left blank.
2. Child #7 - The injury report dated 3/1/23 did not include documentation of the date, time, and how the parent was notified of the child's injury. These areas of the report were left blank.
Plan of Correction: Will have parents date + sign at the time of receiving the report
Will have parents sign + date report the day of injury
Will have parents sign + date report the day of injury
Standard 8VAC20-780-60-A-8
Based on records reviewed, it was determined that 3 of 7 records of children with medications on-site did not include a written allergy action care plan from the child's physician. Evidence: The records for Child #1, #2, and #3 did not include a written plan and steps to be taken in the event of a suspected or confirmed allergic reactions.
Plan of Correction: All medications requiring an allergy action plan will be obtained from the parents/physician