Inspection · 2022-07-12
Date
2022-07-12
Complaint Related
No
Licensing Inspector
Sharon Allen
(540) 272-2941
(540) 272-2941
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.
8VAC20-790 Subsidy Regulations.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted today from 12:10 pm to 3:15 pm with the director, who was present with 83 children and 11 staff. The inspector reviewed standards pertaining to staff qualifications and training, administrative , physical plant, staffing and supervision, programming, special care provisions and emergencies and special services.
Three children had medications on site and a sample of 8 injury/accident reports were reviewed. For lunch, the children were provided fish sticks, corn, pineapple and milk. Four staff and five children's files were reviewed today. The areas of non compliance are outlined on the violation notice.
Violations
11Standard 8VAC20-770-60-B
Based on a review of 4 staff files and an interview with the director, it was determined that there were no sworn disclosure statement s on file prior to employment.
Evidence:
There were no sworn disclosure statements on file for Staff B ( hired 6/12/22), staff C ( hired 7/11/22) and Staff D ( hired on 11/8/21).
Evidence:
There were no sworn disclosure statements on file for Staff B ( hired 6/12/22), staff C ( hired 7/11/22) and Staff D ( hired on 11/8/21).
Plan of Correction: We will locate the Sworn Disclosure statement and put in the file.
Standard 8VAC20-780-160-A
Based on a review of four staff files and an interview with the director, it was determined that there was no tuberculosis test/screening/x-ray on file at the time of employment.
Evidence:
Staff A was hired on 6/14/22, staff B was hired on 6/13/22 and staff D was hired on 11/8/21. None of the staff had documentation of a negative tuberculosis screening.
Evidence:
Staff A was hired on 6/14/22, staff B was hired on 6/13/22 and staff D was hired on 11/8/21. None of the staff had documentation of a negative tuberculosis screening.
Plan of Correction: We will obtain the tuberculosis test/screening.
Standard 8VAC20-780-240-B
Based on a review of four staff files and interview with the director, it was determined that staff had not completed orientation training prior to working alone with children or within seven days of the date of assuming job responsibilities.
Evidence:
There was no documentation on file of orientation for staff A, B or D.
Evidence:
There was no documentation on file of orientation for staff A, B or D.
Plan of Correction: We will provide the orientation training.
Standard 8VAC20-780-260-B
Based on interview and a review of the health inspection report, it was determined that the health inspection had not been obtained annually. The most recent health inspection is dated 9/30/20.
Plan of Correction: We will reach out to the health department about the need for an inspection.
Standard 8VAC20-780-280-B
Based on observation, it was determined that hazardous substances were not kept locked in order to prevent access by children.
Evidence:
The Licensing Inspector observed the following:
1. Disinfectant cleaning solution in a cabinet above the sink in the Preschool IA ( 2s) room;
2. Disinfectant deodorant in the kitchen on the counter;
3. Two containers of disinfectant spay on a shelf accessible to children and hand sanitizers in a cubby accessible to children in the Pre-K A ( 4/5) classroom ;
4. Sanitizing tablets above the sink as well and disinfectant deodorant on top of the paper towel dispenser above the sink in the Two A ( 2/3 year old ) classroom;
5. 20 containers of disinfectant deodorizer, 12 containers of floor finish gloss cleaner, high power stripper remover, cleaning detergent, bleach, 4 containers of commercial paint, chemical detergent and hydrogen peroxide in a closet with the door open next to the Two A classroom;
6. Sanitizing tablets above the sink, disinfectant deodorant, air freshener spray above the sink in the Preschool IIA ( 2/3 year old) classroom; and
7. Disinfectant deodorant on counter near the sink in the school age A classroom.
Evidence:
The Licensing Inspector observed the following:
1. Disinfectant cleaning solution in a cabinet above the sink in the Preschool IA ( 2s) room;
2. Disinfectant deodorant in the kitchen on the counter;
3. Two containers of disinfectant spay on a shelf accessible to children and hand sanitizers in a cubby accessible to children in the Pre-K A ( 4/5) classroom ;
4. Sanitizing tablets above the sink as well and disinfectant deodorant on top of the paper towel dispenser above the sink in the Two A ( 2/3 year old ) classroom;
5. 20 containers of disinfectant deodorizer, 12 containers of floor finish gloss cleaner, high power stripper remover, cleaning detergent, bleach, 4 containers of commercial paint, chemical detergent and hydrogen peroxide in a closet with the door open next to the Two A classroom;
6. Sanitizing tablets above the sink, disinfectant deodorant, air freshener spray above the sink in the Preschool IIA ( 2/3 year old) classroom; and
7. Disinfectant deodorant on counter near the sink in the school age A classroom.
Plan of Correction: We will lock all hazardous substances and we will retrain all staff on the need to keep hazardous substances locked.
Standard 8VAC20-780-280-G
Based on observation and interview, it was determined that hazardous substances were kept in a substitute container but did not clearly indicate their contents.
Evidence:
1. In the Preschool IA classroom there was a blue solution cleaning agent in a spray bottle above the sink, the spray bottle did not list the contents;
2. In the Two's A classroom were spray bottles of pink and blue cleaning solutions, the spray bottles did not list the contents. It was later determined that the pink bottle was a soap solution and the blue bottle was a disinfectant solution.
Evidence:
1. In the Preschool IA classroom there was a blue solution cleaning agent in a spray bottle above the sink, the spray bottle did not list the contents;
2. In the Two's A classroom were spray bottles of pink and blue cleaning solutions, the spray bottles did not list the contents. It was later determined that the pink bottle was a soap solution and the blue bottle was a disinfectant solution.
Plan of Correction: We will label the contents of the spray bottles.
Standard 8VAC20-780-40-M
Based on observation and interviews, it was determined that the center did not maintain a current written list of all children with allergies, sensitivities and dietary restrictions accessible to the staff.
Evidence:
Child A had an allergy to milk however the allergy list did not include this child's allergy.
Evidence:
Child A had an allergy to milk however the allergy list did not include this child's allergy.
Plan of Correction: We will update the allergy list.
Standard 8VAC20-780-510-B
Based on a review of the center's medication and interview with the director, it was determined that the center had not obtained parental authorization for a prescription medication.
Evidence:
There was no parental authorization on file for the Child C's Albuterol Sulfate.
Evidence:
There was no parental authorization on file for the Child C's Albuterol Sulfate.
Plan of Correction: We will obtain the parent written authorization.
Standard 8VAC20-780-60-A-8
Based on a review of five children's files and an interview with the director, it was determined that there was no written care plan for child B, who has a allergy to dairy, eggs, fish and grain.
Plan of Correction: We will obtain the allergy care plan.
Standard 8VAC20-780-70
Based on a review of four staff files and an interview with the director, it was determined that staff A, B and D did not have references on file at the time of employment.
Plan of Correction: We will obtain the references.
Standard 8VAC20-780-80-A
Based on observation and interview, it was determined that there was no written record of daily attendance documenting arrival and departure of each child as it occurs.
Evidence:
The Licensing Inspector observed 3 infants present in the Infant B classroom, however there were only 2 children signed in on the attendance.
Evidence:
The Licensing Inspector observed 3 infants present in the Infant B classroom, however there were only 2 children signed in on the attendance.
Plan of Correction: We will talk with staff about the need to keep up to date and accurate attendance.