Inspection · 2023-04-19
Date
2023-04-19
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
(703) 537-6241
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted today from 10:30am-12:30pm. There were 58 children directly supervised by 10 staff. The physical plant, 7 staff records, 7 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, playing outside, napping, and reading. There was an assortment of age appropriate materials for the children in care. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at kara.vaughan@doe.virginia.gov or 703-537-6241.
Violations
8Standard 22.1-289.035-A
Based on record review, one staff did not have the results of a national criminal record check within the preceding five years.
Evidence:
The criminal record check for Staff 2 was conducted on 3/23/2018.
Evidence:
The criminal record check for Staff 2 was conducted on 3/23/2018.
Plan of Correction: Fingerprinting process completed on staff 2.
Standard 22.1-289.035-B-4
Based on record review, the center did not have the results of a criminal record check for a state an employee member was a resident of in the preceding five years.
Evidence:
Staff 6's record does not contain the results of a criminal record check for a state she has lived in within the preceding five years.
Evidence:
Staff 6's record does not contain the results of a criminal record check for a state she has lived in within the preceding five years.
Plan of Correction: Fingerprinting scheduled for staff 6 4/26/23@4:15
Standard 8VAC20-780-240-A
Based on record review, two staff hired after 10/13/2021 had not completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
Staff 1 and Staff 2's records do not contain a completion certificate for the Virginia Department of Education-sponsored orientation course. Staff 1 was hired in November 2021. Staff 2 was hired November 2022.
Evidence:
Staff 1 and Staff 2's records do not contain a completion certificate for the Virginia Department of Education-sponsored orientation course. Staff 1 was hired in November 2021. Staff 2 was hired November 2022.
Plan of Correction: Staff 1 and Staff 4 have started the 10-hour orientation course 4/24/23.
Standard 8VAC20-780-240-B
Based on record review, staff did not complete orientation training prior to the staff working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
Staff 1's record does not have a completed orientation form on file.
Evidence:
Staff 1's record does not have a completed orientation form on file.
Plan of Correction: Staff have signed off on new forms and are in their files.
Standard 8VAC20-780-270-A
Based on observation, areas of the center were not maintained in a safe condition.
Evidence:
1. In the two year old classroom, a wooden toy microwave cabinet was observed to have cracked and splintering wood on the back corner in an areas accessible to children.
2. The wooden planks at the base of the playground ramp were observed to be detaching from the ramp and exposing the finishing nails used to hold the planks in place.
3. Two steak knives were observed in an unlocked cabinet in the Young toddler classroom.
Evidence:
1. In the two year old classroom, a wooden toy microwave cabinet was observed to have cracked and splintering wood on the back corner in an areas accessible to children.
2. The wooden planks at the base of the playground ramp were observed to be detaching from the ramp and exposing the finishing nails used to hold the planks in place.
3. Two steak knives were observed in an unlocked cabinet in the Young toddler classroom.
Plan of Correction: Our facility is under the care of the federal government. The ramp has been observed by those that preform maintenance on our facility. They have submitted a work order weeks ago regarding this, however approval on this type of construction takes time within the federal government. Completion date unknown
Repeat: Teachers have been instructed on safety practices and are required to take a refresher course on classroom safe environments. The teachers are required to take this training and complete it no later than 4/28/23.
Repeat: Teachers have been instructed on safety practices and are required to take a refresher course on classroom safe environments. The teachers are required to take this training and complete it no later than 4/28/23.
Standard 8VAC20-780-40-K
Based on record review, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Evidence:
On the date of inspection the director could not produce written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Evidence:
On the date of inspection the director could not produce written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Plan of Correction: Written policies on Shaken Baby Syndrome have been written. These policies are located in each of the infant rooms and in the director?s office. The staff have signed off on these policies indicating they have read the policies regarding SBS. SBS signs have been posted for parent?s reference. Staff completed Shaken Baby Syndrome training the week of April 24, 2023.
Standard 8VAC20-780-570-E
Based on observation, infant bottles were not labeled with the child's name and the date.
Evidence:
A bottle was observed in the refrigerator in the Infant classroom without a label indicating the child's name or the date.
Evidence:
A bottle was observed in the refrigerator in the Infant classroom without a label indicating the child's name or the date.
Plan of Correction: Staff were instructed to please check bottles before parents leave the facility.
A reminder notice was posted to parents outside of each infant classroom listing the parent?s responsibility on labeling the bottles and any food brought in from home- 4/21/23.
A reminder notice was posted to parents outside of each infant classroom listing the parent?s responsibility on labeling the bottles and any food brought in from home- 4/21/23.
Standard 8VAC20-780-60-A
Based on record review, one child's file from the sample reviewed did not contain all required information.
Evidence:
Child 4's record did not contain a written care plan for a diagnosed food allergy, to include instructions from a physician regarding food to which the child is allergic, and steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
Child 4's record did not contain a written care plan for a diagnosed food allergy, to include instructions from a physician regarding food to which the child is allergic, and steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: There was not any written instructions from the child?s doctor. On the child?s completed physical form the doctor signed off that the allergic reaction, is a rash breakout/local reaction. The doctor deemed on this form under response required-none. Doctor signed off on this on 3/21/23.