Inspection · 2023-12-13
Date
2023-12-13
Complaint Related
No
Licensing Inspector
Sharon Allen
(540) 272-2941
(540) 272-2941
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted with the director from 9:40 am to 1:20 pm. There were 116 children present with 21 staff providing supervision. The ages of the children present ranged from 4 months to 5 years.
The Licensing Inspector was able to observe clean up after breakfast, circle time, small and large group activities to include wreath making and a group of 4 year old children rehearsing for their upcoming holiday program. Medications for 9 children were reviewed as well as five staff and six children's files. A sample size of 10 injury/accident reports were reviewed.
The center reported that they are not providing transporation at this time therefore there were no buses/vans to inspect. The areas of non compliance are outlined on the violation notice.
Violations
13Standard 8VAC20-780-160-A
Based on a review of five staff files and interviews with administrative staff, it was determined that there was no tuberculosis test/screening on file for one staff at the time of hire.
Evidence:
Staff # 1 was hired on 7/17/23 and there was no tuberculosis test/screening on file.
Evidence:
Staff # 1 was hired on 7/17/23 and there was no tuberculosis test/screening on file.
Plan of Correction: Staff is scheduled to obtain the tuberculosis test this Friday.
Standard 8VAC20-780-240-C
Based on a review of five staff files and interviews with administrative staff, it was determined that orientation training was either not provided or were missing all of the topic areas and was not sign off by the trainer.
Evidence:
1. Staff # 1 ,#3 and #4 orientation training were missing training topics to include abusive head trauma, coping with distraught children, dealing with violence at a child care facility, and response to emergencies due to exposure to allergies. Staff # 1, #3 and #4's orientation training was not signed off by the trainer.
2. Staff # 2 was not provided orientation training within seven days of the date of assuming job responsibilities, which was on 8/21/23.
Evidence:
1. Staff # 1 ,#3 and #4 orientation training were missing training topics to include abusive head trauma, coping with distraught children, dealing with violence at a child care facility, and response to emergencies due to exposure to allergies. Staff # 1, #3 and #4's orientation training was not signed off by the trainer.
2. Staff # 2 was not provided orientation training within seven days of the date of assuming job responsibilities, which was on 8/21/23.
Plan of Correction: I will conduct orientation training starting in January with all staff.
Standard 8VAC20-780-260-A
Based on interview with administrative staff, the facility could not provide documentation of a fire inspection report, fire inspections are due annually.
Plan of Correction: I will reach out to the Manassas City Fire Marshall today.
Standard 8VAC20-780-260-B
Based on a review of the most recent health inspection report and interview with administrative staff, it was determined that the health inspection had not been conducted annually.
Evidence:
The health inspection report provided by the facility was dated 11/5/19.
Evidence:
The health inspection report provided by the facility was dated 11/5/19.
Plan of Correction: I contacted Virginia Health Dept Environmental Services. They sent me the food establishment permit application today.
Standard 8VAC20-780-280-B
Based on observation, it was determined that hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
The Licensing Inspector observed the laundry room which is located inside the the kitchen unlocked. There were several containers of disinfectant solution and stain remover accessible to children. Neither the kitchen door nor the door to laundry room were locked.
Evidence:
The Licensing Inspector observed the laundry room which is located inside the the kitchen unlocked. There were several containers of disinfectant solution and stain remover accessible to children. Neither the kitchen door nor the door to laundry room were locked.
Plan of Correction: Hazardous substances are locked in the cabinet.
Standard 8VAC20-780-330-B
Based on observation, it was determined that the fall zones underneath and surrounding the outside play equipment was not a resilient surface.
Evidence:
1. At the end of the partially enclosed tan slide on the 3/4 year old playground and at the end of the tan slide on the 2/3 playground the resilient surface ( mulch) had decomposed and turned to soil, soil is not considered a resilient surface.
Evidence:
1. At the end of the partially enclosed tan slide on the 3/4 year old playground and at the end of the tan slide on the 2/3 playground the resilient surface ( mulch) had decomposed and turned to soil, soil is not considered a resilient surface.
Plan of Correction: I submitted a ticket to maintenance for new mulch.
Standard 8VAC20-780-370-5
Based on interviews with the staff, it was determined that they are not documenting the amount of tummy time the infant's receive in the Fascination B and C classrooms, both rooms care for infants.
Plan of Correction: Staff is now documenting tummy time.
Standard 8VAC20-780-40-M
Based on observation, it was determined that the center's posted allergy, sensitivity, and dietary restriction document in the classrooms was not a current list.
Evidence:
The Licensing Inspector observed the allergy/sensitivity/diet restriction list dated 8/28/23 in the classrooms however the administrative staff reported and provided that the most recent list which was dated 10/11/23.
Evidence:
The Licensing Inspector observed the allergy/sensitivity/diet restriction list dated 8/28/23 in the classrooms however the administrative staff reported and provided that the most recent list which was dated 10/11/23.
Plan of Correction: I will update each allergy, sensitivity and dietary restriction in each classroom.
Standard 8VAC20-780-440-J
Based on observation, it was determined that the center and its staff are not maintaining at least 30 inches of space between occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib.
Evidence:
The Licensing Inspector observed 6 to 8 inches of space between an occupied crib and furniture in the Fascination B room.
Evidence:
The Licensing Inspector observed 6 to 8 inches of space between an occupied crib and furniture in the Fascination B room.
Plan of Correction: The furniture has been moved to create 30 inches of space between occupied cribs,
Standard 8VAC20-780-510-E
Based on a review of medication and administrative interviews, it was determined that parental authorization had expired and had not been renewed after 10 work days nor was their a long-term authorization from the children's physician.
Evidence:
1. For child # 1, the parental authorization for an over the counter antihistamine was dated 8/22/23. This medication had not been renewed every 10 days by the parent nor was there long term authorization from the physician.
2. For child # 4, the parental authorization for an anti-seizure medication was dated 8/21/23. This medication had not been renewed every 10 days by the parent nor was there long term authorization from the physician.
3. For child # 5, the parental authorization for an antihistamine was dated 3/20/23. This medication had not been renewed every 10 days by the parent nor was there long term authorization from the physician.
Evidence:
1. For child # 1, the parental authorization for an over the counter antihistamine was dated 8/22/23. This medication had not been renewed every 10 days by the parent nor was there long term authorization from the physician.
2. For child # 4, the parental authorization for an anti-seizure medication was dated 8/21/23. This medication had not been renewed every 10 days by the parent nor was there long term authorization from the physician.
3. For child # 5, the parental authorization for an antihistamine was dated 3/20/23. This medication had not been renewed every 10 days by the parent nor was there long term authorization from the physician.
Plan of Correction: The parent has given us a new parental authorization for 10 days and we will get written authorization from the physician.
Standard 8VAC20-780-510-G
Based on a review of the medication and interviews with administrative staff, it was determined that over the counter children's allergy relief liquid was not labeled with the child's name. Interviews revealed that the center did not know who the medication belonged to.
Plan of Correction: We have disposed of the medication.
Standard 8VAC20-780-60-A-8
Based on a review of recordkeeping and interviews with administrative staff, it was determined that there were no allergy care plans on file from a physician for those children with diagnosed food allergies.
Evidence:
1. There was no allergy care plans on file for child #6 who has an allergy to raw fruit.
2. There was no allergy care plan on file for child #3 who has an allergy to peanuts,
Evidence:
1. There was no allergy care plans on file for child #6 who has an allergy to raw fruit.
2. There was no allergy care plan on file for child #3 who has an allergy to peanuts,
Plan of Correction: We will update the allergy care plan.
Standard 8VAC20-780-70
Repeat Violation:
Based on a review of five staff files and interviews with administrative staff, it was determined that references were not obtained for staff # 2, #3 and # 4 at the time of hire. Staff #2 was hired on 8/21/23, staff # 3 was hired on 8/8/23 and staff #4 was hired on 9/5/23.
Based on a review of five staff files and interviews with administrative staff, it was determined that references were not obtained for staff # 2, #3 and # 4 at the time of hire. Staff #2 was hired on 8/21/23, staff # 3 was hired on 8/8/23 and staff #4 was hired on 9/5/23.
Plan of Correction: I will conduct reference checks.