Inspection · 2024-11-18
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
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 renewal inspection was initiated on 11/18/2024 and completed on 11/18/2024. The on-site inspection began at 10:30am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 63 children present and 15 staff. The inspector reviewed 5 children?s records and 5 staff records on-site on 11/18/2024. This inspection included document review, a tour of the facility, interviews, observations, and measurements. 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 11/27/2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-130-A
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 #1, enrolled for two months, did not have documentation of an immunization record on file.
Plan of Correction: Immunization record was added to file. Assistant Principal will complete bi weekly audits of student files to ensure compliance.
Standard 8VAC20-780-140-A
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. Child #1, enrolled for two months, and child #3, enrolled for a year, did not have documentation of a physical examination on file.
Plan of Correction: Physicals were added to files. Added a monthly file audit to calendar to ensure all physicals remain up to date.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There was a bottle of bleach water solution, an all purpose cleaner, and a spray adhesive with a warning label, ?Keep out of reach of children? and ?flammable? in an unlocked cabinet above the sink in the PreK room.
Plan of Correction: New lock was added to the cabinet to ensure it remains locked. Spray adhesive was disposed of.
Standard 8VAC20-780-500-A
(Repeat Violation) Children?s hands shall be washed with soap and water before and after eating meals or snacks. Staff shall wash their hands with soap and running water before and after helping a child use the toilet and/or a diaper change.
Staff in the infant B classroom did not wash infant?s hands before or after they were fed bottles/sippee cups. Staff in the beginner A classroom did not wash their hands before/after/in between helping four children use the restroom.
Plan of Correction: Reviewed handwashing procedures with all staff, ensured they understand the correct procedures and expectations. Added sign offs to files.
Standard 8VAC20-780-500-B
A nonabsorbent surface for diapering/changing shall be used. For children younger than 3 years, this surface shall be a changing table. The children in the beginner A classroom have their diapers/pullups changed standing up in the bathroom. Children in this class are all under 3 years of age.
Plan of Correction: Went over correct diapering procedures with staff. Reviewed with them that any child with a wet pull up must be changed on changing table.
Standard 8VAC20-780-510-E
(Repeat Violation) Prescription medication may be administered if the parent has completed a written authorization from the child?s physician and parent. The record for child #6 did not contain written authorization from the child's parent and physician for medication that was observed on site.
Plan of Correction: Parent returned form signed by parent and physician. We will complete a monthly audit of all medications and medication paperwork to ensure compliance.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #7 was onsite, but the medication authorization had expired 11 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: Completed a 10-day medication form to get compliant until Dr. faxes new completed authorization form.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for Child #1, enrolled for 2 months, was missing the addresses for two emergency contacts. The record for Child #2, enrolled for 4 months, was missing proof of age and identity.
Plan of Correction: Addresses were added, proof of age and identity added. Assistant Principal will complete bi weekly audits of student files to ensure compliance.