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Children of America (Winchester), LLC

Inspection · 2024-11-21

Date
2024-11-21
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

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. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on November 21, 2024 and completed on November 21, 2024. The Department issued a Special Order on August 22, 2024 to place the licensee on probation for a period of six months and to contact parents guardians and other responsible persons (families) regarding health and safety violations as a result of high-risk violations. The on-site inspection began at 9:30 a.m. and ended at 4:05 p.m. The inspector reviewed compliance in the areas listed above. There were 80 children present and 22 staff. The inspector reviewed eight children?s records and 11 staff records on-site. This inspection included document review, tour of the facility, interviews and observation.

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 December 5, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-130-E
Repeat Violation
The center shall obtain documentation of additional immunizations every six months for children under the age of two years.
The immunization record update for Child #4, who was one year and nine months old, was more than ten months past due.
The immunization record update for Child #5, who was 1 year and 11 months old, was more than two months late.
Plan of Correction: Information has been given to families for updating.
Standard 8VAC20-780-260-B
Annual approval from the health department shall be provided.
The center?s health inspection was almost two months past due.
Plan of Correction: H.D. was notified and has scheduled a visit.
Standard 8VAC20-780-320-B
Each restroom area for children shall have sinks that are supplied with running warm water.
The restrooms sinks in the Pre-K classroom, the School Age classroom, the Preschool Two classroom and the Two?s classroom did not have warm water.
Plan of Correction: All hot water was turned on during the inspection.
Standard 8VAC20-780-420-E-3
Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually.
The information in the record of Child #2 had not been updated in one year and eight months which was overdue by eight months.
The information in the record of Child #4 had not been updated in more than one year and three months which was overdue by more than three months.
Plan of Correction: Information has been given to families for update.
Standard 8VAC20-780-500-A
Repeat Violation
Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine.
Staff # 1 changed a child?s diaper in the Infant A room and did not wash the child's hands.
Plan of Correction: Training has been issued to staff members.