Inspection · 2022-07-29
Date
2022-07-29
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
(757) 409-4668
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
Inspector Notes
A monitoring inspection was initiated on July 29, 2022. There were children present, ranging in ages from infants to School age children.The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of 5 children's records and 6 staff records were reviewed. The information gathered during the inspection determined areas of non-compliance. Areas of non-complaince are identified on the violation notice.
Violations
7Standard 22.1-289.035-B-4
Based on record review and discussion with staff, the center did not ensure to obtain a copy of a criminial history record check information, child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years.
Evidence: The record for Staff # 6 contained documentation that he has resided outside of the state of Virginia within the preceding five years. Staff #6 hire date 02/04/2022 . There was not documentation to show a out of state criminal check and sex offender from the state in which the staff #6 had resided in prior to hire date. There was not documentaiton of a out of state search for child abuse and negelct registry was submitted or completed.
Evidence: The record for Staff # 6 contained documentation that he has resided outside of the state of Virginia within the preceding five years. Staff #6 hire date 02/04/2022 . There was not documentation to show a out of state criminal check and sex offender from the state in which the staff #6 had resided in prior to hire date. There was not documentaiton of a out of state search for child abuse and negelct registry was submitted or completed.
Plan of Correction: As a result of the Violation Notice dated August 3, 2022 regarding a missing background check,
WISC has instituted measures to prevent this occurrence from happening in the future. These measures include:
1. All Employee files and Children?s files must be up to date and current per the guidelines required by the Virginia Department of Social Services and Division of Licensing Programs.
2. A thorough review of all files was conducted to insure all files contained the proper
documents and that those documents were up to date to include Background Checks.
3. For any files that were incomplete, parents and employees were notified and instructed on which documents were missing.
a. A deadline of 9/16/2022 was established to turn the required documents in so that
filed could be deemed complete and up to date.
4. A monthly review of files will be conducted to insure that no files are incomplete.
5. All new employees and children must have all the required documents before beginning in the WISC Program.
WISC has instituted measures to prevent this occurrence from happening in the future. These measures include:
1. All Employee files and Children?s files must be up to date and current per the guidelines required by the Virginia Department of Social Services and Division of Licensing Programs.
2. A thorough review of all files was conducted to insure all files contained the proper
documents and that those documents were up to date to include Background Checks.
3. For any files that were incomplete, parents and employees were notified and instructed on which documents were missing.
a. A deadline of 9/16/2022 was established to turn the required documents in so that
filed could be deemed complete and up to date.
4. A monthly review of files will be conducted to insure that no files are incomplete.
5. All new employees and children must have all the required documents before beginning in the WISC Program.
Standard 8VAC20-780-245-L
Based on staff interview and during record review, the licensee did not ensure there was one staff on duty who has obtained daily health obsevation with in the last three years.
Evidence: Staff #1 was unable to locate a staff certification of daily health observation during the inspection.
Evidence: Staff #1 was unable to locate a staff certification of daily health observation during the inspection.
Plan of Correction: As a result of the Violation Notice dated August 3, 2022 regarding at least one employee with Daily Health Observation, WISC has instituted measures to include:
1. CPR classes were immediately made available to staff between August 8 ? August 17.
2. In addition, a MAT course has been scheduled for Saturday, August 20 with ultiple staff members signed up to take the course.
3. WISC Kids Club will contacting licensing inspector on recommendation for daily health observation training and will schedule training to be completed for several staff before September 16th, 2022.
4. Review and stay current with renewals of MAT, CPR, and Daily Health bservation training for individuals who require recertification.
1. CPR classes were immediately made available to staff between August 8 ? August 17.
2. In addition, a MAT course has been scheduled for Saturday, August 20 with ultiple staff members signed up to take the course.
3. WISC Kids Club will contacting licensing inspector on recommendation for daily health observation training and will schedule training to be completed for several staff before September 16th, 2022.
4. Review and stay current with renewals of MAT, CPR, and Daily Health bservation training for individuals who require recertification.
Standard 8VAC20-780-260-A
Based on record review and staff interview, the licensee did not ensure there was annual fire inspection completed.
Evidence: The most recent fire inspection document provided to licensee was 11/23/2020. Center was unable to provide a more recent inspection. The center will schedule a fire inspeciton. Confirmed by staff.
Evidence: The most recent fire inspection document provided to licensee was 11/23/2020. Center was unable to provide a more recent inspection. The center will schedule a fire inspeciton. Confirmed by staff.
Plan of Correction: As a result of the Violation Notice dated August 3, 2022 regarding the Fire Inspection, WISC has instituted measures to include:
1. Based on the Fire inspectors report on infractions were documented by WISC Management.
2. Immediately following the Fire inspectors visit and report steps were taken to address each of those infractions.
3. At this time all of the infractions have been addressed and we are awaiting a follow up inspection from the Fire Marshall.
4. WISC will conduct a monthly assessment of all necessary Fire Safety equipment to make sure they are current and up to date.
5. WISC will stay current with Fire inspections to be done annually.
1. Based on the Fire inspectors report on infractions were documented by WISC Management.
2. Immediately following the Fire inspectors visit and report steps were taken to address each of those infractions.
3. At this time all of the infractions have been addressed and we are awaiting a follow up inspection from the Fire Marshall.
4. WISC will conduct a monthly assessment of all necessary Fire Safety equipment to make sure they are current and up to date.
5. WISC will stay current with Fire inspections to be done annually.
Standard 8VAC20-780-270-A
Based on observation, the licensee did not ensure areas of the center , inside and/or outside was maintained in a clean, safe and operable condition.
Evidence:
In the boys bathroom there was one faucet not operating and there was some tiles behind a toilet missing causing a visible hole.
Evidence:
In the boys bathroom there was one faucet not operating and there was some tiles behind a toilet missing causing a visible hole.
Plan of Correction: 1. Maintenance professionals and staff were brought in to repair faucet and tiling.
2. Maintenance staff inspected all areas accessible to children to ensure that all areas were clean, safe and in an operable condition.
3. Maintenance staff will continue to inspect areas on a monthly basis to ensure compliance is maintained.
2. Maintenance staff inspected all areas accessible to children to ensure that all areas were clean, safe and in an operable condition.
3. Maintenance staff will continue to inspect areas on a monthly basis to ensure compliance is maintained.
Standard 8VAC20-780-280-B
Based on observation, the licensee did not ensure hazordous substances shall be kept in a locaked place using a safe locking method.
Evidence:
In the school Age summer camp program there was sunscreen and hand sanitizer hanging off a child's back pack.
In the Red room, there was hand sanitizer and disinfectant in a unlock cabinet.
In the Blue room, there was insect spray that was not in a locked cabinet.
Evidence:
In the school Age summer camp program there was sunscreen and hand sanitizer hanging off a child's back pack.
In the Red room, there was hand sanitizer and disinfectant in a unlock cabinet.
In the Blue room, there was insect spray that was not in a locked cabinet.
Plan of Correction: 1. All hazardous substances will be kept in a storage location that will be locked and/or out of reach from children.
2. Program lead staff and directors will monitor the storage and accessibility of hazardous substances on a daily basis.
2. Program lead staff and directors will monitor the storage and accessibility of hazardous substances on a daily basis.
Standard 8VAC20-780-560-G
Based on observation and staff interview, the licensee did not ensure all food brought from home is labeled with date and child's name.
Evidence : In the summer camp program, there was multiple children lunch boxes that did not have children's names and dates. Confirmed with staff.
Evidence : In the summer camp program, there was multiple children lunch boxes that did not have children's names and dates. Confirmed with staff.
Plan of Correction: 1. WISC Kids Club will notify parents regarding the need to label all belongings especially lunch boxes with a visible name tag.
2. Staff will monitor children?s belonging for labeling when checking them in to ensure that they are labeled and if not will add a label to the child?s belonging with their ame.
3. Staff will continue to monitor the labeling of each child?s belongings on a daily basis and communicate with parents as needed.
2. Staff will monitor children?s belonging for labeling when checking them in to ensure that they are labeled and if not will add a label to the child?s belonging with their ame.
3. Staff will continue to monitor the labeling of each child?s belongings on a daily basis and communicate with parents as needed.
Standard 8VAC20-780-560-M
Based on observation and staff interview, the licensee did not ensure that no child is allowed to drink or eat while walking around .
Evidence:
Children were observed eating and drinking while standing and walking around in the school age/ summer camp program.
Evidence:
Children were observed eating and drinking while standing and walking around in the school age/ summer camp program.
Plan of Correction: 1.Staff will ensure that all children will be using appropriate seating when consuming food either by sitting on a chair, flooring, or bleachers/benches.
2. Program lead staff and directors will monitor compliance of food consumption while
seated by routinely checking rooms especially during meal and snack times.
2. Program lead staff and directors will monitor compliance of food consumption while
seated by routinely checking rooms especially during meal and snack times.