Inspection · 2023-11-16
Date
2023-11-16
Complaint Related
No
Licensing Inspector
Diana DeSilva
(571) 596-3656
(571) 596-3656
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
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced renewal inspection was conducted on 11/16/2023 between the hours of 11:25am-2:00pm. 13 children were observed directly supervised by 3 staff. The physical plant, 3 staff records, 3 children?s records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed playing outside and during naptime. Handwashing procedures were also observed. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.
Violations
11Standard 22.1-289.035-A
Based on record review, the child day center did not obtain fingerprint-based criminal history record checks every 5 years as required for 2 of 3 staff.
Evidence:
1. The most recent fingerprint-based criminal history record check in the record for Staff #1 was dated 09/26/2018.
2. The most recent fingerprint-based criminal history record check in the record for Staff #2 was dated 07/23/2018.
Evidence:
1. The most recent fingerprint-based criminal history record check in the record for Staff #1 was dated 09/26/2018.
2. The most recent fingerprint-based criminal history record check in the record for Staff #2 was dated 07/23/2018.
Plan of Correction: The center will provide documentation that the background checks were scheduled within 10 business days.
Standard 8VAC20-780-270-A
Repeat Violation
Based on observation, areas of the center inside were not maintained in a clean, safe and operable condition.
Evidence:
A vent cover, with visible peeling paint, was observed leaning against the wall in the bathroom used by children.
Based on observation, areas of the center inside were not maintained in a clean, safe and operable condition.
Evidence:
A vent cover, with visible peeling paint, was observed leaning against the wall in the bathroom used by children.
Plan of Correction: The vent cover will be replaced.
Standard 8VAC20-780-280-B
Repeat violation
Based on observation, hazardous substances were not kept in a locked place that prevents access by children.
Evidence:
1. Cleaning spray, air freshener, and hand sanitizer were observed on a shelf in the classroom area upon entering the center , accessible to children.
Based on observation, hazardous substances were not kept in a locked place that prevents access by children.
Evidence:
1. Cleaning spray, air freshener, and hand sanitizer were observed on a shelf in the classroom area upon entering the center , accessible to children.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-780-40-J
Based on record review, injury prevention procedures were not updated at least annually and based on documentation of injuries and a review of the activities and services.
Evidence:
1. The injury prevention procedures documentation did not contain a date of completion or review.
2. The injury prevention procedures were not based on documentation of injuries and a review of activities and services provided by the center. The injury prevention procedures provided were not developed by the center.
Evidence:
1. The injury prevention procedures documentation did not contain a date of completion or review.
2. The injury prevention procedures were not based on documentation of injuries and a review of activities and services provided by the center. The injury prevention procedures provided were not developed by the center.
Plan of Correction: A plan will be created that is specific to injuries occurring in the center and activities provided.
Standard 8VAC20-780-40-M
Based on observation, the current written list of children's allergies, sensitivities, and dietary restrictions was not kept confidential.
Evidence:
1. The children's allergy list was posted on the parent board. Confidential information was not covered.
Evidence:
1. The children's allergy list was posted on the parent board. Confidential information was not covered.
Plan of Correction: The allergy list was removed from the bulletin board during inspection.
Standard 8VAC20-780-450-C
Based on observation, crib sheets were not clean.
Evidence:
1. A crib sheet in a crib occupied by a sleeping child was visibly soiled.
Evidence:
1. A crib sheet in a crib occupied by a sleeping child was visibly soiled.
Plan of Correction: The center will ensure all crib sheets are clean.
Standard 8VAC20-780-500-B
Based on observation, a diapering surface was not used only for diapering or cleaning children,
Evidence:
1. A blanket, remote and container of wipes were observed on the diapering surface in the classroom.
Evidence:
1. A blanket, remote and container of wipes were observed on the diapering surface in the classroom.
Plan of Correction: Items were removed from the diapering surface during inspection.
Standard 8VAC20-780-550-P
Based on record review, 1 written record of injury did not contain all required information.
Evidence:
1. The injury report in the record for Child #3 dated 10/23/23 did not contain the date and time parents were notified.
2. The injury report in the record for Child #3 dated 10/23/23 did not contain a second staff signature or parent signature.
Evidence:
1. The injury report in the record for Child #3 dated 10/23/23 did not contain the date and time parents were notified.
2. The injury report in the record for Child #3 dated 10/23/23 did not contain a second staff signature or parent signature.
Plan of Correction: All required information will be completed on injury reports.
Standard 8VAC20-780-560-G
Repeat Violation
Based on the observation, food brought from home was not dated.
Evidence: 4 of 4 lunch boxes were identified with names but not dated.
Based on the observation, food brought from home was not dated.
Evidence: 4 of 4 lunch boxes were identified with names but not dated.
Plan of Correction: The parents have been asked to put dates on the lunchboxes. Staff will make sure the lunchboxes are dated when parents bring them in.
Standard 8VAC20-780-60-A
Based on record review, 2 of 3 children's records reviewed did not contain all required information.
Evidence:
1. The records for Child #1 and Child #2 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
2. The record for Child #1 did not indicate the date the proof of the child's identity was viewed and the person viewing the information.
Evidence:
1. The records for Child #1 and Child #2 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
2. The record for Child #1 did not indicate the date the proof of the child's identity was viewed and the person viewing the information.
Plan of Correction: The center will reach out to the parents to obtain the information. Documentation of Proof of identification was corrected during inspection.
Standard 8VAC20-780-80-A
Based on review of attendance records and staff interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. The daily record of attendance was not complete for the Pre-K class.
2. Staff reported the attendance had not yet been completed for the current day.
Evidence:
1. The daily record of attendance was not complete for the Pre-K class.
2. Staff reported the attendance had not yet been completed for the current day.
Plan of Correction: Corrected during inspection.