Inspection · 2023-07-12
Date
2023-07-12
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 with the administrative staff from 7:45 am to 10:40 am. Forty-three children were present with 7 staff providing supervision. At the beginning of the inspection the Licensing Inspector was able to observe the children's arrival during morning drop-off. The ages of the children present ranged from 12 months to 6 years. Six children and five staff files were reviewed during this inspection. Medications for 4 children were reviewed. The most recent health inspection is dated 3/1/23. The areas of non compliance are outlined on the violation notice.
Violations
11Standard 8VAC20-780-160-A
Based on a review of staff files and interview with administrative staff, it was determined that staff C ( hired 4/17/23) did not have a tuberculosis screening/test on file upon employment.
Plan of Correction: Staff must have TB test before returning.
Standard 8VAC20-780-240-A
Based on a review of five staff files and interview with administrative staff, it was determined that two staff had not completed the VA DOE sponsored orientation course within 90 calendar days of employment.
Evidence:
Staff A and D had not completed the orientation course within 90 days of employment. Staff A was hired on11/28/22 and staff D was hired on 3/20/23.
Evidence:
Staff A and D had not completed the orientation course within 90 days of employment. Staff A was hired on11/28/22 and staff D was hired on 3/20/23.
Plan of Correction: Staff have been working to complete courses.
Standard 8VAC20-780-240-B
Based on a review of staff files and interview with administrative staff, it was determined that two staff had not completed orientation training within seven days of the date of assuming job responsibilities.
Evidence:
Staff B and C had not been provided orientation training. Staff B was hired on 3/22/23 and staff C was hired on 4/17/23.
Evidence:
Staff B and C had not been provided orientation training. Staff B was hired on 3/22/23 and staff C was hired on 4/17/23.
Plan of Correction: Staff files updated with completed training.
Standard 8VAC20-780-270-A
Based on observation, it was determined that the center was not maintained in a clean, safe and operable condition.
Evidence:
The LI observed a phone cord hanging in reach of the toddlers in the Toddler A room.
The LI observed a phone cord hanging in reach of children in the City Place room.
The LI observed an open door to the storage room next to the Infant A room. In this room was a phone network interface wall panel which had a multitude of wires handing out of the panel.
Evidence:
The LI observed a phone cord hanging in reach of the toddlers in the Toddler A room.
The LI observed a phone cord hanging in reach of children in the City Place room.
The LI observed an open door to the storage room next to the Infant A room. In this room was a phone network interface wall panel which had a multitude of wires handing out of the panel.
Plan of Correction: Center inspected and cleaned to make safe.
Standard 8VAC20-780-280-B
Based on observation, it was determined that hazardous substances were not kept locked to prevent access by children.
Evidence:
The LI observed the following unlocked:
1. Disinfectant deodorizer on a shelf in the Two B room.
2. in the hallway closet next to the Two B room were 40+ containers of disinfectant solution, 6 bottles of liquid starch, 6 containers of floor finish gloss solutions, germicidal agents, multi use cleaner deodorant, pot and pan cleaner. All of these solutions had warnings, cautions, danger and /or harmful labels.
3. In the unlocked cabinet in the unlocked kitchen under the sink were 10 containers of disinfectant deodorizer solutions, multi-purpose sanitizing tablets, furniture polish and liquid starch. These agents came with warnings and cautions.
4. The key was stored in the laundry room lock , inside the laundry room were 2 cans of furniture polish and several cans of germicidal disinfectants.
Evidence:
The LI observed the following unlocked:
1. Disinfectant deodorizer on a shelf in the Two B room.
2. in the hallway closet next to the Two B room were 40+ containers of disinfectant solution, 6 bottles of liquid starch, 6 containers of floor finish gloss solutions, germicidal agents, multi use cleaner deodorant, pot and pan cleaner. All of these solutions had warnings, cautions, danger and /or harmful labels.
3. In the unlocked cabinet in the unlocked kitchen under the sink were 10 containers of disinfectant deodorizer solutions, multi-purpose sanitizing tablets, furniture polish and liquid starch. These agents came with warnings and cautions.
4. The key was stored in the laundry room lock , inside the laundry room were 2 cans of furniture polish and several cans of germicidal disinfectants.
Plan of Correction: Daily class inspections, added locks. Chemicals put in locked cabinets. Kitchen cabinet locked. Doors locked with keys away.
Standard 8VAC20-780-40-M
Based on a review of recordkeeping, it was determined that the center failed to maintain a current written list of all children's allergies.
Evidence:
Child B has an allergy to eggs and milk, however these two allergies were not listed on the written allergy list.
Evidence:
Child B has an allergy to eggs and milk, however these two allergies were not listed on the written allergy list.
Plan of Correction: Allergy list updated.
Standard 8VAC20-780-510-E
Based on a review of the medication authorization and interview with administrative staff, it was determined that one child 's medication authorization had expired for one medication and had not been obtained for a second medication.
Evidence:
The parent and physician authorization for a prescription inhaled corticosteroid medication for child A expired on 6/1/23.
There was no authorization for a prescribed asthma medication for child A.
Evidence:
The parent and physician authorization for a prescription inhaled corticosteroid medication for child A expired on 6/1/23.
There was no authorization for a prescribed asthma medication for child A.
Plan of Correction: All medications/allergy plans are up to date.
Standard 8VAC20-780-550-E
Based on a review of recordkeeping and interview with administrative staff, it was determined that the center had not conducted a minimum of two shelter in place procedure drills annually. The last shelter in place drill conducted was on 6/21/22.
Plan of Correction: Shelter in place conducted.
Standard 8VAC20-780-60-A-8
Based on a review of the allergy care plans and interview with administrative staff , it was determined that one child did not have a written allergy care plan for diagnosed food allergies.
Evidence:
Child B has a diagnosed food allergy to nuts, eggs and milk as outlined on the child's physical. There was no allergy care plan for these allergens.
Evidence:
Child B has a diagnosed food allergy to nuts, eggs and milk as outlined on the child's physical. There was no allergy care plan for these allergens.
Plan of Correction: Allergy plan requested. Child allergy list updated.
Standard 8VAC20-780-70
Based on a review of 5 staff files and interview with administrative staff, it was determined that 3 staff did not have references on file prior to employment.
Evidence:
Staff A, C and D did not have references on file. Staff A was hired on 11/28/22, staff C was hired on 4/17/23 and Staff D was hired on 3/20/23.
Evidence:
Staff A, C and D did not have references on file. Staff A was hired on 11/28/22, staff C was hired on 4/17/23 and Staff D was hired on 3/20/23.
Plan of Correction: Staff files have been updated with references.
Standard 8VAC20-780-80-A
Based on observation and a review of recordkeeping it was determined that a written record of daily attendance that documents the arrival and departure of each child in care as it occurs were not maintained.
Evidence:
The Licensing Inspector (LI) observed 8 children present in the Two B classroom, however only 5 children were listed on the attendance.
Evidence:
The Licensing Inspector (LI) observed 8 children present in the Two B classroom, however only 5 children were listed on the attendance.
Plan of Correction: Staff have been retrained on signing children in upon arrival.