Inspection · 2024-05-17
Licensing Inspector
Cindy Horne
(804) 297-4469
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced renewal inspection was conducted from 1:00 - 3:30pm with the center director. There were 52 children, ranging from four months to five years of age, present with eight staff supervising. Infant care was observed, and older children were observed napping. Five child records and four staff records were reviewed, along with the emergency drill log, written daily attendance, written allergy list, required posted information, annual fire and health inspections and six emergency medications and authorization forms. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Standard 8VAC20-780-140-A
Based on record review, the facility failed to obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 10/30/2023) did not have documentation of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-L
Based on staff interview, the facility failed to inform all staff who work with children of (all) children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state the children in the classroom with allergies, sensitivities and/or dietary restrictions.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
(Repeat Violation) Based on observation, the facility failed to ensure that children's hands were washed as required. Evidence: In the infant classroom, an infant was observed drinking a bottle and their hands were not washed afterwards. In the toddler classroom, a child was observed having a diaper change and their hands were not washed afterwards.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-E
Based on review of documentation, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child?s physician and parent. Evidence: the records for child #4 and child #5 did not contain complete written authorization from the child's parent and physician for long term emergency medication that was observed on site.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
Based on record review, it was determined that not all records contained all required information. Evidence: the record for child #5, with a diagnosed food allergy, did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance, for each group of children, that documents the arrival and departure of each child as it occurs. Evidence:
1) In the infant room, 7 children were observed, and 3 were listed in attendance;
2) In the toddler room, 9 children were observed, and 10 were listed in attendance;
Plan of Correction: Not available online. Contact Inspector for more information.