Inspection · 2024-03-20
Date
2024-03-20
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
(757) 439-6816
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.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced renewal monitoring inspection was started in the center on March 20, 2024 from 8:50 AM until1:40 PM and concluded on March 27, 2024. At the time of entrance 80 children were in care with 19 staff members. The sample size consisted of 8 children?s records, 8 staff records and the background checks for one other person. Children were observed during diaper changes, story time, dancing, handwashing, preparing for and having snack.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations
9Standard 8VAC20-780-150-B
Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department
Evidence: The immunization and physical for Child #7 did not include a physicians or designated individual?s signature.
Evidence: The immunization and physical for Child #7 did not include a physicians or designated individual?s signature.
Plan of Correction: Child #7 we have the signed immunizations on 3/22/23, will have signed physical by 4/9/24 in Orde to continue attending
Standard 8VAC20-780-160-A
Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment.
Evidence: Staff #5?s TB screening was dated 2-12-2023 and first day of employment was 1-16-2024.
Evidence: Staff #5?s TB screening was dated 2-12-2023 and first day of employment was 1-16-2024.
Plan of Correction: Staff member was not w/ children until 2/12 but in the future will not hire w/o TB.
Standard 8VAC20-780-270-A
Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence: The following equipment was observed and determined to inadequately meet safety standards.
1.In room B106, there was peeling wallpaper accessible to children
2.In room D104 there is a sink countertop that is not attached to the sink cabinet. The countertop moves when touched and could be a tipping hazard. The countertop is also is a pinch point as there is space between the countertop and where it should be attached to the cabinet.
3 The playground composite piece has a platform with steps and there is a plastic mat on the platform; the plastic mat is peeling away from the platform and is a tripping hazard.
4.On the playground there is a plastic caterpillar that has broken sharp edges/ points.
5.On the toddler playground there water drain/ grate in the ground with a hole that was a tripping hazard.
Evidence: The following equipment was observed and determined to inadequately meet safety standards.
1.In room B106, there was peeling wallpaper accessible to children
2.In room D104 there is a sink countertop that is not attached to the sink cabinet. The countertop moves when touched and could be a tipping hazard. The countertop is also is a pinch point as there is space between the countertop and where it should be attached to the cabinet.
3 The playground composite piece has a platform with steps and there is a plastic mat on the platform; the plastic mat is peeling away from the platform and is a tripping hazard.
4.On the playground there is a plastic caterpillar that has broken sharp edges/ points.
5.On the toddler playground there water drain/ grate in the ground with a hole that was a tripping hazard.
Plan of Correction: 1. B106 to be sanded/repainted in affected areas
2.Counter in D104 caulked down and stable
3.Plastic mat secured to platform.
4.Caterpillar removed from playground
5.Drain covered w/ mesh piece.
2.Counter in D104 caulked down and stable
3.Plastic mat secured to platform.
4.Caterpillar removed from playground
5.Drain covered w/ mesh piece.
Standard 8VAC20-780-280-B
Repeat Violation
Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: In the pantry across from the room #106, (pre-k 3), there was an unlocked closet and, on the floor, there were containers of detergent /cleaner. The containers were observed stored in an unlocked manner and were accessible to children. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: In the pantry across from the room #106, (pre-k 3), there was an unlocked closet and, on the floor, there were containers of detergent /cleaner. The containers were observed stored in an unlocked manner and were accessible to children. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction: Containers of detergent/ cleaner moved to locking closet in lobby
Standard 8VAC20-780-330-B
Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.
Evidence: On the playground the following inadequate resilient surfacing and fall zones were observed.
1. The large composite piece with a slide that did not have measurable resilient surfacing at the base of the slide chute as there was a visible tree root and no resilient surfacing covering the root.
2. There was a grey climbing tower and there is only only 4 `8? of fall zone and a minimum of 6 feet is required.
Evidence: On the playground the following inadequate resilient surfacing and fall zones were observed.
1. The large composite piece with a slide that did not have measurable resilient surfacing at the base of the slide chute as there was a visible tree root and no resilient surfacing covering the root.
2. There was a grey climbing tower and there is only only 4 `8? of fall zone and a minimum of 6 feet is required.
Plan of Correction: 1.Area under the slide has been covered w/ mulch
2.Grey climbing tower closed off w/ caution tape
2.Grey climbing tower closed off w/ caution tape
Standard 8VAC20-780-40-M
Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.
Evidence: Child #3, has a diagnosed food allergy (nuts) and was observed in room C108 and there was not an allergy list available for review in the room.
Evidence: Child #3, has a diagnosed food allergy (nuts) and was observed in room C108 and there was not an allergy list available for review in the room.
Plan of Correction: Allergy list posted in C108
Standard 8VAC20-780-500-B
Based on observation and staff interviews, the licensee did not ensure diapering requirements were followed.
Evidence: In room C109 The diaper pad had a tear and was no longer nonabsorbent
Evidence: In room C109 The diaper pad had a tear and was no longer nonabsorbent
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Based on staff interviews and review of documentation, the licensee did not ensure to practice a minimum of twice a year a shelter in place procedure.
Evidence: Center Director confirmed they did not have documentation of two shelter in place drills in 2023
Evidence: Center Director confirmed they did not have documentation of two shelter in place drills in 2023
Plan of Correction: 2 + SIP drills will be practiced by 4/10/24
Standard 8VAC20-780-60-A
Based on review of children?s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.
Evidence: The following information is missing from 5 out of 8 of the records reviewed.
1.Child #2 did not have the home address for the 2 required emergency contacts listed.
2. Child #4 did not have the home zip code for 1 of the required emergency contacts listed, information related to any programs/schools the child concurrently attends or information related to persons who are authorized pick up the child from the center
3.Child #6 and Child #8 did not have the parent?s employment phone number or information related to persons who are authorized pick up the children from the center.
Evidence: The following information is missing from 5 out of 8 of the records reviewed.
1.Child #2 did not have the home address for the 2 required emergency contacts listed.
2. Child #4 did not have the home zip code for 1 of the required emergency contacts listed, information related to any programs/schools the child concurrently attends or information related to persons who are authorized pick up the child from the center
3.Child #6 and Child #8 did not have the parent?s employment phone number or information related to persons who are authorized pick up the children from the center.
Plan of Correction: Child #2, #4,#6 and #8 files are completed w/ missing info.