Inspection · 2022-02-08
Date
2022-02-08
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
(804) 588-2362
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 (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated on 02/08/2022 and concluded on 02/11/2022. The director was contacted by telephone and a virtual inspection was conducted. There were 72 children present with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of four child records and five 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.
Violations
6Standard 22.1-289.035-B-4
Based on a review of five staff records and interview, the center did not obtain a copy of the results of a criminal history record information check or a sex offender registry check from any state in which two staff members had resided in the preceding five years.
Evidence: 1) The record of Staff #2, hired on 01/24/22, indicated the staff had resided outside of Virginia in the last five years. The record did
not contain the results of an out-of-state criminal history record information check or a sex offender registry check from the state the staff member had resided. 2) The record of Staff #4, hired on 01/31/22, indicated the staff had resided outside of Virginia in the last five years. The record did not contain the results of an out-of-state criminal history record information check or a sex offender registry check from the state the staff member had resided. The copy of the the results of a criminal history record information check and a sex offender registry check are required to be obtained prior to hire. 3) During interview, a member of management reported the required out-of-state background checks for Staff #2 and Staff #4 had not been requested.
Evidence: 1) The record of Staff #2, hired on 01/24/22, indicated the staff had resided outside of Virginia in the last five years. The record did
not contain the results of an out-of-state criminal history record information check or a sex offender registry check from the state the staff member had resided. 2) The record of Staff #4, hired on 01/31/22, indicated the staff had resided outside of Virginia in the last five years. The record did not contain the results of an out-of-state criminal history record information check or a sex offender registry check from the state the staff member had resided. The copy of the the results of a criminal history record information check and a sex offender registry check are required to be obtained prior to hire. 3) During interview, a member of management reported the required out-of-state background checks for Staff #2 and Staff #4 had not been requested.
Plan of Correction: Staff #2 is no longer employed by the center. The request for Staff #4 has been submitted and will be filed upon receipt. Moving forward, the out-of-state background checks will be requested prior to hire.
Standard 22.1-289.058
Based on observations and interview, the center did not ensure the center was equipped with at least one carbon monoxide detector.
Evidence: 1) During the virtual inspection, the inspector did not observe a carbon monoxide detector in the building. 2) During interview, a member of management reported the center does not have a carbon monoxide detector. Each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector.
Evidence: 1) During the virtual inspection, the inspector did not observe a carbon monoxide detector in the building. 2) During interview, a member of management reported the center does not have a carbon monoxide detector. Each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector.
Plan of Correction: The center purchased and installed a carbon monoxide detector in the building.
Standard 8VAC20-770-60-C-2
Based on a review of five staff records and interview, the center did not have a central registry finding within 30 days of employment for one staff member.
Evidence: 1) The record for Staff #5, hired on 08/23/2021, did not contain the results of a central registry finding. 2) During interview, a member of management confirmed the central registry finding for Staff #5 was not obtained within 30 days of employment.
Evidence: 1) The record for Staff #5, hired on 08/23/2021, did not contain the results of a central registry finding. 2) During interview, a member of management confirmed the central registry finding for Staff #5 was not obtained within 30 days of employment.
Plan of Correction: The center resubmitted the central registry request for Staff #5 and the results are pending at this time.
Standard 8VAC20-780-160-A-2
Based on a review of records and interview, the center did not ensure that one staff had documentation of a negative tuberculosis screening that was completed within the last 30 calendar days of the date of employment.
Evidence: 1) The tuberculosis screening in the record for Staff #2, hired on 01/24/2022, was dated 04/22/2021. 2) During interview, a member of management reported this was the only screening on file for Staff #2.
Evidence: 1) The tuberculosis screening in the record for Staff #2, hired on 01/24/2022, was dated 04/22/2021. 2) During interview, a member of management reported this was the only screening on file for Staff #2.
Plan of Correction: The staff member completed a new screening and the results are pending.
Standard 8VAC20-780-510-P
Based on a review of records, observation, and interview, the center did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame.
Evidence: 1) A medication authorization, for a prescription medication, was reviewed for Child #5. The center had written authorization from the child's parent to administer the prescription medication, but the written authorization from the child's physician expired on June 7, 2021. The medication was still on site at the time of inspection.
2) During interview, a member of management acknowledged the child's parent was not notified that the authorization was expired and that the medication has not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Evidence: 1) A medication authorization, for a prescription medication, was reviewed for Child #5. The center had written authorization from the child's parent to administer the prescription medication, but the written authorization from the child's physician expired on June 7, 2021. The medication was still on site at the time of inspection.
2) During interview, a member of management acknowledged the child's parent was not notified that the authorization was expired and that the medication has not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Plan of Correction: The new form was requested from the child's physician and the medication returned to the parent.
Standard 8VAC20-780-60-A-8
Based on a review of records and interview, the center did not have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction for three out of three children.
Evidence: 1) The records for Child #5, Child #6, and Child #7, indicated the children had a diagnosed food allergy, but the records did not contain a written allergy care plan. 2) During interview, a member of management confirmed that the center did not have written allergy care plans on file for Child #5, Child #6, or Child #7.
Evidence: 1) The records for Child #5, Child #6, and Child #7, indicated the children had a diagnosed food allergy, but the records did not contain a written allergy care plan. 2) During interview, a member of management confirmed that the center did not have written allergy care plans on file for Child #5, Child #6, or Child #7.
Plan of Correction: The written allergy care plans have been requested for each child.