Inspection · 2023-12-19
Date
2023-12-19
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
(757) 404-5261
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.
Yes
Areas Reviewed
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
8VAC20-770 Background Checks
22.1 Background Checks Code; carbon monoxide detectors
Inspector Notes
A subsidy inspection was initiated on 12/19/2023 and concluded remotley on 12/21/2023. A RECDC inspection was conducted on the same date as the SHSI inspection.Children were observed sleeping transitioning into classrooms, eating snack and freely playing. There were 29 children 6 staff present during the inspection. Additional staff were present to assist.
Information gathered during the inspection determined non-compliance(s) with applicable requirements and violations were documented on the violation notice issued to the program.
Violation notice was amended due to clerical errors.
Violations
14Standard 22.1-289.035-A
Based on record review, the licensee did not ensure every staff undergo a background check every five years.
Evidence:
Staff #1 most recent fingerprint background was 6/01/2018.
Staff #5 most recent sworn statement was 08/17/2017 and Fingerprint 05/29/2018.
Staff #1 and Staff #5 background checks were more than 5 years old.
Evidence:
Staff #1 most recent fingerprint background was 6/01/2018.
Staff #5 most recent sworn statement was 08/17/2017 and Fingerprint 05/29/2018.
Staff #1 and Staff #5 background checks were more than 5 years old.
Plan of Correction: Scheduled background checks for 1/10/2024.
Standard 8VAC20-770-40-D-2
Based on record review and staff interview, the vendor did not ensure with in 30 days central registry results were completed.
Evidence: Staff #4 hire date 9/14/2023 . There was no central registry results.
Evidence: Staff #4 hire date 9/14/2023 . There was no central registry results.
Plan of Correction: Central Registry reports were sent off
Standard 8VAC20-790-520-F
Based on observation and staff interview, the vendor did not ensure a current written list of all children's allergies, sensitivities and dietary restrictions were in each room or area where children are present.
Evidence:
In the Infant room , there was not a allergy list accessible in the room.
Evidence:
In the Infant room , there was not a allergy list accessible in the room.
Plan of Correction: Updated allergy list were placed in each class and kitchen.
Standard 8VAC20-790-560-A
Based on record review and staff interview, the vendor did not ensure staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment .
Evidence:
Staff #3 hire date 5/27/2023 and Staff #4 hire date 09/14/2023 . Staff #3 and Staff #4 record did not have documentation of negative TB test results. Confirmed by Staff #1.
Evidence:
Staff #3 hire date 5/27/2023 and Staff #4 hire date 09/14/2023 . Staff #3 and Staff #4 record did not have documentation of negative TB test results. Confirmed by Staff #1.
Plan of Correction: Staff were informed to schedule appt. for TB.
Standard 8VAC20-790-560-B
Based on record review and staff interview, the vendor did not ensure at least every two years from the date of initial screen a updated TB test screening is completed.
Evidence: Staff #5 most recent tuburculosis test was 5/20/2019 which is more than two years old.
Evidence: Staff #5 most recent tuburculosis test was 5/20/2019 which is more than two years old.
Plan of Correction: Staff has scheduled for appt.
Standard 8VAC20-790-580-A
Based on record review , the vendor did not ensure to obtain documentation that each child has recieved the immunization before the child can attend the center.
Evidence:
Child #5 record did not have documentation of immunization.
Evidence:
Child #5 record did not have documentation of immunization.
Plan of Correction: Records are on file dated 3/30/2021. A clearer copy has been requested.
Standard 8VAC20-790-600-B
Based on staff interview and record review, the licensee did not ensure with in 90 days of employment all staff who work directly with children complete Virginia Preservice training for Child care staff.
Evidence:
Staff #3 (employment date 05/27/2023) did no have documentation of completion of Virginia Preservice Training within the first 90 days of employment.
Evidence:
Staff #3 (employment date 05/27/2023) did no have documentation of completion of Virginia Preservice Training within the first 90 days of employment.
Plan of Correction: Documents found and copies enclosed.
Standard 8VAC20-790-600-D-1
REPEAT
Based on record review and staff interview, the vendor did not ensure CPR is completed within 90 days of employment.
Evidence:
During the inspection on 12/19/2023, Staff #2 and Staff #3 does not have CPR . Staff #2 employment date was 05/15/2023 and Staff #3 employment date was 05/27/2023.
Based on record review and staff interview, the vendor did not ensure CPR is completed within 90 days of employment.
Evidence:
During the inspection on 12/19/2023, Staff #2 and Staff #3 does not have CPR . Staff #2 employment date was 05/15/2023 and Staff #3 employment date was 05/27/2023.
Plan of Correction: CPR training has been schedule for any staff with expired training.
Standard 8VAC20-790-600-D-2
REPEAT
Based on record review and staff interview, the vendor did not ensure first aid is completed within 90 days of employment.
Evidence:
During the inspection on 12/19/2023, Staff #2 and Staff #3 does not have First Aid . Staff #2 employment date was 05/15/2023 and Staff #3 employment date was 05/27/2023.
Based on record review and staff interview, the vendor did not ensure first aid is completed within 90 days of employment.
Evidence:
During the inspection on 12/19/2023, Staff #2 and Staff #3 does not have First Aid . Staff #2 employment date was 05/15/2023 and Staff #3 employment date was 05/27/2023.
Plan of Correction: First Aid training is also scheduled for all staff with expired training.
Standard 8VAC20-790-630-A
REPEAT
Based on observation, the vendor did not ensure areas of the center, inside and outside was maintained in a clean, safe and operable condition.
Evidence:
The bathroom downstairs, the bottom of the door there was splintering and paint peeling.
Based on observation, the vendor did not ensure areas of the center, inside and outside was maintained in a clean, safe and operable condition.
Evidence:
The bathroom downstairs, the bottom of the door there was splintering and paint peeling.
Plan of Correction: Not clear as to what this refers to but will correct with clarity. Metal plate installed .
Standard 8VAC20-790-630-C-2
Based on observation, the vendor did not ensure electrical outlets have protective covers.
Evidence:
In the multipurpse room, there was a power strip with two outlets not covered.
In the infant classroom, there was one outlet next to the blue , red and yellow slide with no outlet cover.
In the Super star classroom , there was two outlets not covered.
Evidence:
In the multipurpse room, there was a power strip with two outlets not covered.
In the infant classroom, there was one outlet next to the blue , red and yellow slide with no outlet cover.
In the Super star classroom , there was two outlets not covered.
Plan of Correction: Outlet covers were replaced in the classroom that was not being used super stars.
Standard 8VAC20-790-640-A
Based on observation, the vendor did not ensure hazordous substances are kept in a locked place using a safe lock.
Evidence:
In the building, there was multiple bottles of hand santizer that were not kept in a locked place using a safe lock method.
In the the infant room, there was sanitizing wipes and cans of aersol disinfectant sprays on shelfs.
In the 2 year olds, there was disinfectant wipes and cans of aersol disinfectant on shelfs.
School Age room , there was bleach and water spray on shelf.
The laundry room is accessible to children , there was toilet cleaner and fabric spray.
All the hazordous substances listed were not in a locked place. The hazordous substances had at least two labels either labeled keep out of reach children, warning, caution and flamable.
Evidence:
In the building, there was multiple bottles of hand santizer that were not kept in a locked place using a safe lock method.
In the the infant room, there was sanitizing wipes and cans of aersol disinfectant sprays on shelfs.
In the 2 year olds, there was disinfectant wipes and cans of aersol disinfectant on shelfs.
School Age room , there was bleach and water spray on shelf.
The laundry room is accessible to children , there was toilet cleaner and fabric spray.
All the hazordous substances listed were not in a locked place. The hazordous substances had at least two labels either labeled keep out of reach children, warning, caution and flamable.
Plan of Correction: Locked boxes provided for each classroom that doesn't have a locked cabinet. Teachers with lockable cabintes were informed to plasce all such items in their cabinets. Doors with lock was installed.
Standard 8VAC20-790-760-B-3-c
Based on observation, the vendor did not ensure a nonabsorbent surface for diapering or changing shall be used.
Evidence:
In the infant room, there was a tear on the diapering surface.
Evidence:
In the infant room, there was a tear on the diapering surface.
Plan of Correction: New changing table was given the same day.
Standard 8VAC20-790-820-B
Based on observation, the vednor did not ensure When a child is placed in an infant seat, high chair, or feeding table, the protective belt shall be fastened securely.
Evidence:
In the infant room, a child was put in a high chair and was eating. there was not a protective belt fastened. The protective belt was not attached to the high chair. Confirmed by staff #1 that the strap was missing. The strap was found during the inspection and replaced.
Evidence:
In the infant room, a child was put in a high chair and was eating. there was not a protective belt fastened. The protective belt was not attached to the high chair. Confirmed by staff #1 that the strap was missing. The strap was found during the inspection and replaced.
Plan of Correction: Straps were installed the same day.