Inspection · 2021-07-21
Date
2021-07-21
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
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 contacts, documents review, interviews and a virtual tour of the program.
A renewal inspection was conducted on July 21, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 208 children present, ranging in ages from 5 years - 15 years, 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 4 children's records and 4 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
7Standard 22VAC40-185-140-A
Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician prior to enrollment or within 30 days of enrollment.
1. Child 3, enrollment date 06/21/2021, lacked documentation of the required physical exam.
2. Administrative staff confirmed that a documented physical was not on file for child 3.
1. Child 3, enrollment date 06/21/2021, lacked documentation of the required physical exam.
2. Administrative staff confirmed that a documented physical was not on file for child 3.
Plan of Correction: The parent of child 3 will be asked to provide a current physical exam.
Standard 22VAC40-185-350-E-5
Based on observation and interview, the center failed to ensure that the following ratios of staff to children are required wherever children are in care:
*5yrs - 8 yrs old; one staff/18 children.
Evidence:
1. There were a total of 63 children, ages 7 and 8 years of age, with 3 total staff during swimming time in the indoor pool at approximately 12:20 pm. *Four staff were needed.
a. The program director verified that a fourth staff was not in the swimming pool area with the children.
*5yrs - 8 yrs old; one staff/18 children.
Evidence:
1. There were a total of 63 children, ages 7 and 8 years of age, with 3 total staff during swimming time in the indoor pool at approximately 12:20 pm. *Four staff were needed.
a. The program director verified that a fourth staff was not in the swimming pool area with the children.
Plan of Correction: A fourth staff had been in the pool area however, this staff left to attend to another group. Going forward, all staff will be reminded that they can not leave any area unless the correct staff-to-child ratios are maintained.
Administrative staff will monitor all on-going staffing in all areas of the camp.
Administrative staff will monitor all on-going staffing in all areas of the camp.
Standard 22VAC40-185-480-A
Based on observation and interview, the center failed to have emergency procedures and written safety rules for swimming or wading or follow the posted rules of public pools.
Evidence:
1. There were no posted swimming rules in the indoor pool being used for swimming during the inspection.
a. The program director confirmed that no swimming rules were posted in the indoor pool area.
2. The program director stated that there were no written swimming rules.
Evidence:
1. There were no posted swimming rules in the indoor pool being used for swimming during the inspection.
a. The program director confirmed that no swimming rules were posted in the indoor pool area.
2. The program director stated that there were no written swimming rules.
Plan of Correction: Written swimming rules will be provided to all staff and posted in the swimming area.
Children are swim tested prior to swimming.
Children are swim tested prior to swimming.
Standard 22VAC40-185-510-A
Based on record review and interview, the center failed to ensure that medication shall be given only with written authorization from the parent.
Evidence:
1. One medication has been administered daily, since 06/22/2021, without written authorization from the parent.
a. The medication authorization form had been signed by the physician however, the parent had not signed the authorization form.
2. The program director confirmed that written authorization from the parent was not on file.
Evidence:
1. One medication has been administered daily, since 06/22/2021, without written authorization from the parent.
a. The medication authorization form had been signed by the physician however, the parent had not signed the authorization form.
2. The program director confirmed that written authorization from the parent was not on file.
Plan of Correction: The parent will sign the written authorization form today at pick-up.
Standard 22VAC40-185-510-E
Based on medication review, the center failed to ensure that medication shall be labeled with the child's name.
Evidence:
1. Prescription medication for child 1 was not labeled with child 1's name.
a. The written prescription label was not attached to the medication.
2. Over-the-counter medication for child 2 was not labeled with child 2's name.
3. Prescription medication for child 3 was not labeled with child 3's name.
a. The written prescription label was not attached to the medication.
4. The program director confirmed that the prescription labels were not provided for these medications.
Evidence:
1. Prescription medication for child 1 was not labeled with child 1's name.
a. The written prescription label was not attached to the medication.
2. Over-the-counter medication for child 2 was not labeled with child 2's name.
3. Prescription medication for child 3 was not labeled with child 3's name.
a. The written prescription label was not attached to the medication.
4. The program director confirmed that the prescription labels were not provided for these medications.
Plan of Correction: All medications were labeled during the inspection.
Each parent has been asked to provide a current prescription label within one week.
Each parent has been asked to provide a current prescription label within one week.
Standard 22VAC40-185-60-A
Based on record review and interview, the center failed to ensure that each child has a complete enrollment record.
Evidence:
1. The enrollment record for child 4 lacked all of the required elements.
2. Administrative staff stated that the enrollment record for child 3 was submitted as incomplete and had been returned to the parent for completion.
Evidence:
1. The enrollment record for child 4 lacked all of the required elements.
2. Administrative staff stated that the enrollment record for child 3 was submitted as incomplete and had been returned to the parent for completion.
Plan of Correction: The parent will be given a hard copy of the enrollment form to complete at pick up.
Standard 22VAC40-185-90--A
Based on interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent.
Evidence:
Administrative staff stated that a written parent agreement was not on file for child 4.
Evidence:
Administrative staff stated that a written parent agreement was not on file for child 4.
Plan of Correction: The parent failed to complete all of the required forms prior to enrollment. A hard copy of the written agreement will be provided to the parent at pick-up for review and signature.