Inspection · 2021-09-08
Licensing Inspector
Angela Dudek
(804) 629-8167
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
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interview, and a virtual tour of the program.
A renewal inspection was initiated on 9/8/2021 and concluded on 9/17/2021. The assistant director was contacted by telephone and a virtual inspection was conducted. There were 56 children present, ranging in ages from 18-months to six-years-old, with six staff supervising. The inspector reviewed compliance in the areas of administration, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of three child records and three staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.
Standard 22VAC40-185-140-A
Based on review of three child records, the center did not obtain a physical examination for each child within one month after attendance. Evidence: The record for Child C, with a start date of 6/1/21, did not contain a physical.
Plan of Correction: The parents have an appointment scheduled for October 14th and will bring us a copy of the physical.
Standard 22VAC40-185-160-A
Based on review of documentation and interview with the provider, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening no later than 21 days after employment. Evidence: Staff A, with a start date of 6/1/21, did not have documentation of a negative TB test or screening on record.
Plan of Correction: Documentation of a negative TB screening was obtained and put on record by the staff member on 9/8/21.
Standard 22VAC40-185-240-D-5
Based on interview, the center did not ensure that there is always at least one staff member on duty who has obtained Daily Health Observation (DHO) training within the past three years. Evidence: The provider stated that there are no staff with DHO training at this time.
Plan of Correction: The assistant director completed the training 9/10/2021 and another staff member completed it on 9/14/2021. We will get more staff trained as soon as possible.
Standard 22VAC40-185-90--A
Based on review of three child records and interview with the provider, the center did not ensure that required written agreements between parents and the center were in each child's record by the first day of children's attendance. Evidence: The records for Child A, Child B, and Child C did not contain a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Plan of Correction: We were not aware of this requirement and will add these agreements to our child records immediately.