Inspection · 2023-06-21
Date
2023-06-21
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
(757) 439-6816
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
An unannounced monitoring inspection was conducted from 9:10am -12:30pm and 4:15pm- There were 198 children present and 20 staff members present. The sample size consisted of 10 children?s records and 10 staff records and their was 8 medication reviewed. Children were leaving for fieldtrips, transition of activities, morning opening cermony and restroom breaks.
Informatiopl gathered during the inspection determined noncompliance(s) with applicable standards or law and violations were documented on
the violation notice issued to the program.
Violations
7Standard 22.1-289.035-B-4
Based on record review, the licensee did not ensure out of state criminal history name check required for non-NFF states were completed with reults prior to the 1st day of employment.
Evidence:
Staff #4 first date of emplyment 05/26/2023. Staff #4 lives outside of VA in past 5 years. Staff $4 record did not contain results of the out state criminal background prior to emplyment.
Evidence:
Staff #4 first date of emplyment 05/26/2023. Staff #4 lives outside of VA in past 5 years. Staff $4 record did not contain results of the out state criminal background prior to emplyment.
Plan of Correction: The out state criminial record check was sent out but the center has not recieved results. The center will send the background results to Licensing inspector when results are recieved.
Standard 8VAC20-780-130-A
Based on record review, the licensee did not ensure the center obtain documentation that each child has recieved immunization prior to first day.
Evidence:
Child #6 did not have a immunization record prior to start date.
Evidence:
Child #6 did not have a immunization record prior to start date.
Plan of Correction: The center requested immunization from the parents. The center recieved the immunization during the inspection.
Standard 8VAC20-780-160-A
Based on record review and staff interview, the licensee did not ensure the tuberculosis documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence :
Staff #5 tuberculosis documentation results were from 4/10/2022. Staff #5 hire date 5/29/2023.
Staff #6 did not have a tuberculosis within the last 30 calendar days of the date of employment . Staff #6 hire date 05/26/2023.
Staff #8 did not have a tuberculosis within the last 30 calendar days of the date of employment. Staff #8 hire date 05/30/2023.
Evidence :
Staff #5 tuberculosis documentation results were from 4/10/2022. Staff #5 hire date 5/29/2023.
Staff #6 did not have a tuberculosis within the last 30 calendar days of the date of employment . Staff #6 hire date 05/26/2023.
Staff #8 did not have a tuberculosis within the last 30 calendar days of the date of employment. Staff #8 hire date 05/30/2023.
Plan of Correction: The center will communicate with staff and have them to complete a TB screening/test.
Standard 8VAC20-780-40-M
Based on observation, the licensee did not ensure the allergy list is dated.
Evidence : Staff #11 confirmed the allergy list was not dated. The allergy listed in the rooms do not have a date.
Evidence : Staff #11 confirmed the allergy list was not dated. The allergy listed in the rooms do not have a date.
Plan of Correction: The center will add a date all allergy list.
Standard 8VAC20-780-430-K
Based on observation and staff interview, the licensee did not ensure provision be place for each child's personal belongings.
Evidence:
The children did not have individual space for personal belongings. The children backpacks were touching each other against the wall in the gym.
Evidence:
The children did not have individual space for personal belongings. The children backpacks were touching each other against the wall in the gym.
Plan of Correction: The center will talk to management about a plan.
Standard 8VAC20-780-510-I
Based on record review, the licensee did not ensure the center adminster prescription medication
with authorization.
Evidence: Medication was given to child #1 on 6/20/2023. The center was unable to provide the medication authorization form.
with authorization.
Evidence: Medication was given to child #1 on 6/20/2023. The center was unable to provide the medication authorization form.
Plan of Correction: The center requested the medication authorization form . The violation was corrected during the inspection.
Standard 8VAC20-780-60-A-8
Based on record review and staff interview, the licensee did not ensure written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
Child #1 had doctor diagnosed allery but there was not documentaiton of the allergy action plan in child's record. Confirmed with staff.
Evidence:
Child #1 had doctor diagnosed allery but there was not documentaiton of the allergy action plan in child's record. Confirmed with staff.
Plan of Correction: The center will obtain a allergy action plan prior to starting the program.