Inspection · 2024-02-05
Date
2024-02-05
Complaint Related
No
Licensing Inspector
Lynn Powers
(804) 840-8260
(804) 840-8260
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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced renewal inspection was conducted on February 5, 2024 from approximately 3:05 pm to 4:10 pm. One staff was initially present with twenty-three school age children. A second staff arrived during inspection. Children were observed during arrival to program, eating a snack and doing homework. Five child and two staff records were reviewed. Violations found are noted on the violation notice.
Violations
4Standard 8VAC20-780-160-C
Based on review, facility did not ensure 2 of 2 staff records have documentation of an updated TB test or screening every two years.
Evidence: The following was found during staff record review:
1. The record for staff #1 had a most recent TB test dated 10/29/2021.
2. The record for staff #2 had a most recent TB test dated 11/19/2020.
Evidence: The following was found during staff record review:
1. The record for staff #1 had a most recent TB test dated 10/29/2021.
2. The record for staff #2 had a most recent TB test dated 11/19/2020.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-C
Based on observation, facility did not ensure during stated hours of operation there is always a staff member and another immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.
Evidence: Staff #1 was observed with twenty-three school age children from 3:25 pm to 4:05 pm. Staff #2 arrived at 4:05 pm.
Evidence: Staff #1 was observed with twenty-three school age children from 3:25 pm to 4:05 pm. Staff #2 arrived at 4:05 pm.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-5
Based on observation, facility did not ensure there is at least one staff present for every eighteen children ages school age up to nine years old.
Evidence: Staff #1 was present with twenty-three school age children from 3:25 pm to 4:05 pm. There were no other staff present. Children ranged in age from five years through nine years.
Evidence: Staff #1 was present with twenty-three school age children from 3:25 pm to 4:05 pm. There were no other staff present. Children ranged in age from five years through nine years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Repeat Violation
Based on review and interview, facility did not ensure 3 of 5 child records have documentation of required information.
Evidence: The following was found during record review:
1. The record for child #2 (start date 8/21/2023) did not have emergency contact addresses.
2. The record for child #3 (start date 8/23/2023) did not have mother's employment phone number.
3. The record for child #5 (start date 9/12/2022) did not have father's employment information.
4. Missing information was verified by site director.
Based on review and interview, facility did not ensure 3 of 5 child records have documentation of required information.
Evidence: The following was found during record review:
1. The record for child #2 (start date 8/21/2023) did not have emergency contact addresses.
2. The record for child #3 (start date 8/23/2023) did not have mother's employment phone number.
3. The record for child #5 (start date 9/12/2022) did not have father's employment information.
4. Missing information was verified by site director.
Plan of Correction: Not available online. Contact Inspector for more information.