Inspection · 2024-09-03
Date
2024-09-03
Complaint Related
No
Licensing Inspector
Nicole Scott
(804) 588-2372
(804) 588-2372
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 9/3/2024 and completed on 9/25/2024, as part of the licensure period. The on-site inspection began at 10:40am ended at 3:50pm. The inspector reviewed compliance in the areas listed above. There were 79 children present and 14 staff. The inspector reviewed 7 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, and interviews.
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 10/2/2024. A POC submitted after this date will not appear on the public website.
Violations
15Standard 22.1-289.035-B-3
Staff hired after 7/1/2024 must be supervised at all times by an individual with qualifying results of all required background checks until all background check results are returned for the newly hired staff person.
The results from the Virginia central registry search for Staff 4 were requested prior to employment but the results have not been returned to the center. Staff 4 was observed during the inspection alone with 9 children ages 2 to 3 years old. Staff 4 has been employed for 6 weeks and stated they are alone with the children daily.
The results from the Virginia central registry search for Staff 4 were requested prior to employment but the results have not been returned to the center. Staff 4 was observed during the inspection alone with 9 children ages 2 to 3 years old. Staff 4 has been employed for 6 weeks and stated they are alone with the children daily.
Plan of Correction: Staff #4 had the copy back July 20th however did not give to us
Standard 8VAC20-780-130-A
Systemic Violation
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Child 5, who had been attending for 2 days, did not have documentation of an immunization record on file.
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Child 5, who had been attending for 2 days, did not have documentation of an immunization record on file.
Plan of Correction: The CD will ensure that all children have immunizations on file before first day of attendance
Standard 8VAC20-780-130-E
Systemic Violation
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
Child 1(age 3), who had been attending for 2 years, did not have documentation of updated immunizations on file
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
Child 1(age 3), who had been attending for 2 years, did not have documentation of updated immunizations on file
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Systemic violation
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.
There was no physical examination in the record for Child 1 who had been enrolled for 2 years.
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.
There was no physical examination in the record for Child 1 who had been enrolled for 2 years.
Plan of Correction: The CD will ensure that all children have physical within 30 days of first day of attendance
Standard 8VAC20-780-150-B
Systemic Violation
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.
The immunization record for Child 3 was not signed and dated.
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.
The immunization record for Child 3 was not signed and dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-210-A
The center shall ensure that each grouping of children has a qualified program lead.
Staff 4 was observed working as a program leader on the day of the inspection. Staff 4 did not have documentation of the educational requirements for a program leader position.
Staff 4 was observed working as a program leader on the day of the inspection. Staff 4 did not have documentation of the educational requirements for a program leader position.
Plan of Correction: The staff member had all lead trainings except first aid/cpr has since completed
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.
Staff 1, who had been employed 94 days, had not yet completed the required course.
Staff 1, who had been employed 94 days, had not yet completed the required course.
Plan of Correction: The CD will ensure that all staff have the VDOE online trainings within 90 days.
Standard 8VAC20-780-340-F
Children under 10 years of age shall always be within actual sight and sound supervision of
staff.
On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for
approximately 10 minutes.
staff.
On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for
approximately 10 minutes.
Plan of Correction: HoneyTree does not admit the allegations included in the ?description of violation? but nevertheless has reviewed policy with the appropriate staff member and confirmed staff reorientation.
Standard 8VAC20-780-40-E
Systemic Violation
Centers shall be in compliance with the center's own policies and procedures required
by these standards.
The center?s policy is that children shall remain under supervision of staff at all times. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.
Centers shall be in compliance with the center's own policies and procedures required
by these standards.
The center?s policy is that children shall remain under supervision of staff at all times. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.
Plan of Correction: HoneyTree does not admit the allegations included in the ?description of violation? but nevertheless has reviewed policy with the appropriate staff member and confirmed staff reorientation.
Standard 8VAC20-780-430-I
If personal articles are used, they shall be individually assigned.
In classroom 4, there were children?s pacifiers not labeled or assigned to show ownership.
In classroom 4, there were children?s pacifiers not labeled or assigned to show ownership.
Plan of Correction: The CD will ensure that all personal items are labeled.
Standard 8VAC20-780-440-E
There shall be at least 12 inches of space between occupied rest mats.
18 children were resting on rest mats in classroom 4. Multiple children on rest mats were directly touching other children?s rest mats.
18 children were resting on rest mats in classroom 4. Multiple children on rest mats were directly touching other children?s rest mats.
Plan of Correction: This was fixed the day the inspector was still there
Standard 8VAC20-780-500-A
Repeat Violation, Systemic Violation
Children?s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks.
Preschool age children were not observed washing hands or using a disposable wipe after eating lunch.
Children?s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks.
Preschool age children were not observed washing hands or using a disposable wipe after eating lunch.
Plan of Correction: The PD will send out a training on handwashing before and after eating for Pre-School
Standard 8VAC20-780-500-B
Repeat Violation, Systemic Violation
Children?s hands shall be washed with soap and running water after toileting.
Preschool children were observed using the restroom after lunch. No handwashing was observed after toileting.
Children?s hands shall be washed with soap and running water after toileting.
Preschool children were observed using the restroom after lunch. No handwashing was observed after toileting.
Plan of Correction: The PD will send out a training on handwashing after restrooms
Standard 8VAC20-780-520-B
Systemic violation
Sunscreen shall be inaccessible to children under five years of age.
In classrooms 4 and 6, there was sunscreen located in children?s cubbies. The ages of the children were 2 to 3 years old. The cubbies were accessible to the children.
Sunscreen shall be inaccessible to children under five years of age.
In classrooms 4 and 6, there was sunscreen located in children?s cubbies. The ages of the children were 2 to 3 years old. The cubbies were accessible to the children.
Plan of Correction: The PD will ensure that sunscreen is out of reach of the children
Standard 8VAC20-780-60-A
Repeat Violation, Systemic Violation
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
Child 4, enrolled for seven weeks, was missing proof of identity.
Child 5, enrolled for 2 days, was missing proof of identity.
Child 7, enrolled for 3 months, was missing proof of identity.
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
Child 4, enrolled for seven weeks, was missing proof of identity.
Child 5, enrolled for 2 days, was missing proof of identity.
Child 7, enrolled for 3 months, was missing proof of identity.
Plan of Correction: The CD will ensure that proof of identity will be in the file before first day of attendance