Inspection · 2024-11-01
(757) 404-2575
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 11/1/2024, as a part of the licensure period. The on-site inspection began at 11:05 AM and ended at 1:55 PM. The inspector reviewed compliance in the areas listed above. There were 56 children present and 11 staff. The inspector reviewed 5 children?s records and 5 staff records on site. This inspection included:
- document review,
- tour of the facility,
- interviews, and
- observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/19/2024. A POC submitted after this date will not appear on the public website.
Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to public disclosure.
Violations
11Results of a search of the child abuse and neglect registry or equivalent was not obtained from a state in which staff 5, employed for one year, had resided within five years preceding employ.
We have requested a child abuse form for Staff 5 on 11/1/2024. We are currently waiting on the results.
Area and equipment shall be maintained in a safe condition.
There were wires from an extension cord, a phone charger, a CD player and a lamp dangling from on top of a small refrigerator within reach of the children.
We plan to remove the fridge and wires where they are now to the closet located near the diaper changing area.
When staff are supervising children, they shall always ensure their care, protection and guidance.
Staff 6 was sitting on a chair at one end of the playground with a child on her lap. When asked how many children were in her care, she was unable to answer. Staff 6 was alone on the playground with17 children.
All chairs were removed from the playground and a mass message was sent out to all staff in the facility. The message was to remind staff of the importance of being able to be mobile during outside play.
Staff 6 was alone on the playground with 17 three year old children before staff 7 came out from inside the building with an additional child.
Both staff were written up on 11/6/2024 for this incident that occurred on 11/1/2024. At our next monthly staff meeting, we plan to have training on ratio policies and playground safety. The reason the teacher was not on the playground was because a child had to use the restroom. We have reminded staff that when a child/children need to use the restroom that they need to get in contact with administration or take enough children inside with them.
Child 7 had a pacifier in their mouth. The pacifier was not individually assigned.
Child 7 does have a paci lanyard, but the paci was not attached to the lanyard because child 7 had just woken up from their nap. A mass message was sent out to all staff reminding them of the importance of lanyards on pacis.
There was an over-the-counter medication for child 6 that expired in July 2024.
We plan to create an excel sheet to put in the front of the medication binder by 11/1/2024 to ensure that expiring medication is logged for all MAT trained staff to see.
The authorization for other-the-counter medication to be administered to child 6 expired in September 2024.
There was no length of time authorization was given for an emergency medication for child 6.
We contacted the parents of child 6 on 11/1/2024 for new medication and once they are in attendance again, we will have the new medication on file with the appropriate forms filled out.
There was an over-the-counter medication that expired in September 2024 that was not returned to the parent.
We contacted the parents of child 6 on 11/1/2024 for new medication and once they are in attendance again, we will have the new medication on file with the appropriate forms filled out.
There was only one documented shelter-in-place drill between September 2023 and September 2024.
We conducted a shelter-in-place drill on 11/4/2024. We also received a new form from licensing that will help us to ensure we stay up to date on future drills.
There was no lockdown drill documented between September 2023 and September 2024.
We conducted a lockdown drill on 11/4/2024. We also received a new form from licensing that will help us to ensure we stay up to date on future drills.
Each center shall maintain and keep at the center a separate record for each child which shall contain the business telephone numbers for each parent.
The records provided for child 2, 3, 4 and 5 did not include the business telephone number of the mother. The records provided for child 4 and child 5 did not include the business telephone number for the father.
the record provided for child
We contacted all parents on 11/4/2024 for business numbers . We gave them a deadline of 11/8/2024 to supply us with the numbers of both parents.