Inspection · 2023-10-03
Date
2023-10-03
Complaint Related
No
Licensing Inspector
Stephanie Reed
(540) 272-6558
(540) 272-6558
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
Inspector Notes
An unannounced code compliance inspection was initiated on 10/03/2023 and concluded on 10/03/2023 from 10:05 AM to 11:30 AM. There were 41 children present, ranging in ages from 2 to 5, with 12 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures, and medication. A total of five children?s records and five staff?s 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 facility.
Violations
4Standard 22.1-289.031-B-5
(Repeat violation) Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards.
Evidence:
1. In the 2's room an outlet above the counter by the sink did not have a cover and in the PreK classroom an outlet did not have a cover.
2. The director stated the center procedure is for all outlets to have covers.
3. In the 2's room a container of disinfectant wipes was on a shelf beside the sink and disinfectant spray was on the counter beside the sink.
4. The hall closet was not locked. There was all purpose cleaner on the floor.
5. The director stated the procedure for hazardous substances is for them to be in a locked location or out of reach of children.
Evidence:
1. In the 2's room an outlet above the counter by the sink did not have a cover and in the PreK classroom an outlet did not have a cover.
2. The director stated the center procedure is for all outlets to have covers.
3. In the 2's room a container of disinfectant wipes was on a shelf beside the sink and disinfectant spray was on the counter beside the sink.
4. The hall closet was not locked. There was all purpose cleaner on the floor.
5. The director stated the procedure for hazardous substances is for them to be in a locked location or out of reach of children.
Plan of Correction: All hazardous substances were moved to a high shelf or locked location. Staff were reminded of this procedure.
Standard 22.1-289.035-A
(Repeat violation) Based on record review and interview, the center failed to have staff complete sworn statements every 5 years.
Evidence:
1. Staff 2's sworn statement was dated 8/31/16.
2. Staff 4's sworn statement was dated 9/9/15.
3. Staff 5's sworn statement was dated 9/4/15.
Evidence:
1. Staff 2's sworn statement was dated 8/31/16.
2. Staff 4's sworn statement was dated 9/9/15.
3. Staff 5's sworn statement was dated 9/4/15.
Plan of Correction: The three staff completed an updated sworn statement by 10/11/23. In the future staff will be required to complete updated sworn statements every five years.
Standard 22.1-289.035-B-2
(Repeat violation) Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letter prior to the first day of employment.
Evidence:
Per the director, staff 3 was rehired 8/9/23 after leaving the center on 10/28/22. The fingerprint background check was not completed upon staff 3's return.
Evidence:
Per the director, staff 3 was rehired 8/9/23 after leaving the center on 10/28/22. The fingerprint background check was not completed upon staff 3's return.
Plan of Correction: Staff 3 will be required to obtain fingerprint background checks by 10/13/23. In the future all returning staff will be required to redo fingerprints.
Standard 8VAC20-770-40-D-2
Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment.
Evidence:
1. Staff 3 was rehired 8/9/23 after leaving employment 10/28/22. The sworn statement was dated 8/20/21 and the central registry was dated 10/6/21.
2. Per the director, staff 3's sworn disclosure and central registry background check was not redone when she returned.
Evidence:
1. Staff 3 was rehired 8/9/23 after leaving employment 10/28/22. The sworn statement was dated 8/20/21 and the central registry was dated 10/6/21.
2. Per the director, staff 3's sworn disclosure and central registry background check was not redone when she returned.
Plan of Correction: Staff 3 will complete the paperwork for central registry by 10/13/23 and complete a sworn statement. In the future returning staff will be required to redo sworn statements and central registry background checks.