Inspection · 2022-07-11
Date
2022-07-11
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
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.
8VAC20-770 Background Checks (8VAC20-770)
22 Checks Code, Carbon Monoxide.1 Background
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 07/11/2022 from 9:35 am - 1:30 pm. At the time of entrance there were 344 school age children in care with 32 teaching staff. Children were observed during morning program time and lunch. Records were reviewed for five children and five staff.
Violations were found in the areas of administration, staff qualifications, supervision, programs and special services. These violations are listed on the violation notice and were reviewed with the program director at the conclusion of the inspection.
Violations
8Standard 8VAC20-770-60-C-2
Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service.
Evidence:
1. Staff 1, hire date 06/07/2022, lacks a central registry check finding.
2. Administrative staff confirmed that a central registry check was not on file for staff 1.
Evidence:
1. Staff 1, hire date 06/07/2022, lacks a central registry check finding.
2. Administrative staff confirmed that a central registry check was not on file for staff 1.
Plan of Correction: A central registry check will be obtained for staff 1.
Standard 8VAC20-780-280-G
Based on observation, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.
Evidence:
1. Two bottles of spray disinfectant were not labeled to indicate contents.
a. These bottles were stored in a locked container and were identified as the disinfecant used to sanitize tables by administrative staff.
Evidence:
1. Two bottles of spray disinfectant were not labeled to indicate contents.
a. These bottles were stored in a locked container and were identified as the disinfecant used to sanitize tables by administrative staff.
Plan of Correction: Bottles were labeled during the inspection.
Staff will check bottles of disinfectant daily to ensure correct labeling.
Staff will check bottles of disinfectant daily to ensure correct labeling.
Standard 8VAC20-780-340-D
Based on observation and record review, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
Evidence:
1. Staff 1 lacks the 6 months of full time programmatic experience required to meet program leader qualification 8VAC20-210-A.4 based on written documentation in the employment file.
a. Staff 1 was observed functioning as a program leader with a group of children during the inspection.
b. Staff 1's job title is indicated as a counselor in the employment file.
2. Administrative staff confirmed that staff 1 lacked the required 6 months of programmatic experience working with a group of children.
Evidence:
1. Staff 1 lacks the 6 months of full time programmatic experience required to meet program leader qualification 8VAC20-210-A.4 based on written documentation in the employment file.
a. Staff 1 was observed functioning as a program leader with a group of children during the inspection.
b. Staff 1's job title is indicated as a counselor in the employment file.
2. Administrative staff confirmed that staff 1 lacked the required 6 months of programmatic experience working with a group of children.
Plan of Correction: Administrative staff will carefully screen all staff records to ensure counselors meet all of the elements of program leader qualifications.
Each group of children will have a qualified program leader going forward.
Each group of children will have a qualified program leader going forward.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence:
1. Child 2, age eight, was observed leaving his group at approximately 9:40 am, without knowledge of the staff responsible for his care.
a. Child 2 walked away from the group and entered the building utilized for classroom space. Child 2 walked through the classroom and exited from a second door.
b. No staff were in this building.
c. Child 2 then walked across the breezeway and entered the building used for office space.
d. Child 2 told the inspector he was going to get a drink of water.
2. The counselor, responsible for child 2's supervision, remained with the larger group which was engaged in the morning welcome.
a. This counselor stated he was not aware that child 2 had left his group.
Evidence:
1. Child 2, age eight, was observed leaving his group at approximately 9:40 am, without knowledge of the staff responsible for his care.
a. Child 2 walked away from the group and entered the building utilized for classroom space. Child 2 walked through the classroom and exited from a second door.
b. No staff were in this building.
c. Child 2 then walked across the breezeway and entered the building used for office space.
d. Child 2 told the inspector he was going to get a drink of water.
2. The counselor, responsible for child 2's supervision, remained with the larger group which was engaged in the morning welcome.
a. This counselor stated he was not aware that child 2 had left his group.
Plan of Correction: Staff will be reminded and retrained on supervision of children to include knowing where all children are within each group at all times.
Standard 8VAC20-780-460-A
Based on observation, the center failed to ensure that at no time shall there be fewer than two staff members supervising the swimming activity.
Evidence:
1. A group of nine SA children were observed swimming and diving into the deep end of the pool with no staff supervision for approximately five minutes.
a. During this time children were observed diving multiple times into areas where groups of children were present in the water.
b. One child was observed pushing another child into the water where a group of children were present.
c. One child was observed running on the pool deck - which the lift guard did address.
2. The staff person responsible for this group stated she had left the group in order to use the restroom.
Evidence:
1. A group of nine SA children were observed swimming and diving into the deep end of the pool with no staff supervision for approximately five minutes.
a. During this time children were observed diving multiple times into areas where groups of children were present in the water.
b. One child was observed pushing another child into the water where a group of children were present.
c. One child was observed running on the pool deck - which the lift guard did address.
2. The staff person responsible for this group stated she had left the group in order to use the restroom.
Plan of Correction: Going forward, all staff will request for another counselor to supervise each group of children in the swimming pool - if they have to leave the area for any reason.
Standard 8VAC20-780-480-A
Based on observation, the center failed to have emergency procedures and written safety rules for swimming or wading that are posted in the swimming area.
Evidence:
1. No swimming safety rules or procedures were posted in the swimming pool area utilized by children in the licensed program.
a. Administrative staff confirmed that safety rules were not posted.
Evidence:
1. No swimming safety rules or procedures were posted in the swimming pool area utilized by children in the licensed program.
a. Administrative staff confirmed that safety rules were not posted.
Plan of Correction: Swimming rules and procedures will be posted.
Standard 8VAC20-780-560-G
Based on observation, the center failed to ensure that children's lunch containers shall be clearly dated and labeled in a way that identifies the owner.
Evidence:
1. 8 of 12 lunch containers reviewed were not dated.
2. 7 of 12 lunch containers reviewed lacked any type of name label.
Evidence:
1. 8 of 12 lunch containers reviewed were not dated.
2. 7 of 12 lunch containers reviewed lacked any type of name label.
Plan of Correction: Staff will check each lunch container, at arrival, to ensure proper labeling and dating.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that children's records contain all of the required elements.
Evidence:
1. A sample of five children's records reviewed lacked documentation of the first day of attendance.
2. Two emergency contacts were not indicated in the enrollment record for child 1.
Evidence:
1. A sample of five children's records reviewed lacked documentation of the first day of attendance.
2. Two emergency contacts were not indicated in the enrollment record for child 1.
Plan of Correction: The first date of attendance will be added to enrollment information.
Two emergency contacts will be obtained for child 1.
Two emergency contacts will be obtained for child 1.