Inspection · 2024-06-13
Date
2024-06-13
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced renewal inspection was initiated on 06/13/2024 at 10:08 am and completed on 06/13/2024 at 12:20 pm.
At the time of the tour 34 children were present with 5 teaching staff. The children in care ranged in age from 2 years - 4 years. Children were observed engaged in morning activities to include free play, music & movement, story time and lunch.
Records were reviewed for 6 children and 6 staff.
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
6Standard 8VAC20-780-160-C
Based on record review and interview, the center failed to ensure that at least every two years from the date of the first initial screening staff members shall obtain and submit the results of a follow-up tuberculosis screening.
Evidence:
1. The most recent TB screening for staff 1 was completed on 11/03/2020.
2. Staff 1 confirmed that an updated TB screening had not been completed.
Evidence:
1. The most recent TB screening for staff 1 was completed on 11/03/2020.
2. Staff 1 confirmed that an updated TB screening had not been completed.
Plan of Correction: The TB screening for staff 1 was updated on 06/17/2024.
Standard 8VAC20-780-260-A
Based on record review and interview, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence:
1. The most recent inspection from the Chesapeake Fire Marshall was conducted on 02/28/2023.
2. The PD confirmed that an updated inspection had not been requested.
Evidence:
1. The most recent inspection from the Chesapeake Fire Marshall was conducted on 02/28/2023.
2. The PD confirmed that an updated inspection had not been requested.
Plan of Correction: An annual fire inspection was conducted on 06/25/2024.
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure that areas of the center shall be maintained in a safe condition.
Evidence:
1. The half Dutch-door at the entrance to the two-year old classroom was loose and did not maintain a secure closure of the two door halves, resulting in the top half swinging open several times during the inspection.
a. Unsecured Dutch type doors are a pinch point hazard for children's hands and fingers.
Evidence:
1. The half Dutch-door at the entrance to the two-year old classroom was loose and did not maintain a secure closure of the two door halves, resulting in the top half swinging open several times during the inspection.
a. Unsecured Dutch type doors are a pinch point hazard for children's hands and fingers.
Plan of Correction: The Dutch door has been secured.
Standard 8VAC20-780-280-B
Based on observation, the provider failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. A container of hand sanitizer was observed placed on a book/toy storage unit in the two-year old and four-year old classrooms.
a. The label on the hand sanitizer indicated the contents were hazardous.
2. These containers were within easy reach of the children in care in both classrooms.
Evidence:
1. A container of hand sanitizer was observed placed on a book/toy storage unit in the two-year old and four-year old classrooms.
a. The label on the hand sanitizer indicated the contents were hazardous.
2. These containers were within easy reach of the children in care in both classrooms.
Plan of Correction: All hazardous chemicals were locked up during the inspection.
Standard 8VAC20-780-40-E
Based on observation and staff interview, the center failed to ensure that the operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards.
Evidence:
The licensee failed to ensure administrative oversight as demonstrated by the following:
1. The inspector observed 4 children with an unidentified staff person on the outdoor play area at 10:08 am when the inspector arrived.
a. The inspector did not see this staff person during the entrance tour, at approximately 10:10 am, and asked the five staff present the whereabout of this individual and the four children.
b. All staff present, staff 2, 3, 5, 6 and 7, stated that they did not know who this individual was nor did they know where both the staff and 4 children were that had been observed on the outdoor play area.
c. After multiple inquiries as to who this individual was, staff 3 stated it may have been staff 4. Staff 3 additionally stated she was not sure however, and had no idea who the four children were that had been outside nor did she know where they were at present.
2. Staff 2, the designated person in charge of the facility, stated she was not aware of the names of the staff and four children the inspector had observed on the outdoor play area at approximately 10:08 am.
a. Staff 2 stated she did not know that any children or staff had been outside as she was not able to leave her classroom as she was needed to maintained the staff-to-child ratio of her group.
3. When the program director arrived at approximately 10:20 am it was learned that staff 4 had been outside with the children who were now in the two-year old classroom.
a. The program director stated that staff 4 had an an emergency and had departed the facility prior to the inspector entering the building.
a. The program director stated that the four children had been placed in the two-year old class prior to staff 4 leaving the facility.
Evidence:
The licensee failed to ensure administrative oversight as demonstrated by the following:
1. The inspector observed 4 children with an unidentified staff person on the outdoor play area at 10:08 am when the inspector arrived.
a. The inspector did not see this staff person during the entrance tour, at approximately 10:10 am, and asked the five staff present the whereabout of this individual and the four children.
b. All staff present, staff 2, 3, 5, 6 and 7, stated that they did not know who this individual was nor did they know where both the staff and 4 children were that had been observed on the outdoor play area.
c. After multiple inquiries as to who this individual was, staff 3 stated it may have been staff 4. Staff 3 additionally stated she was not sure however, and had no idea who the four children were that had been outside nor did she know where they were at present.
2. Staff 2, the designated person in charge of the facility, stated she was not aware of the names of the staff and four children the inspector had observed on the outdoor play area at approximately 10:08 am.
a. Staff 2 stated she did not know that any children or staff had been outside as she was not able to leave her classroom as she was needed to maintained the staff-to-child ratio of her group.
3. When the program director arrived at approximately 10:20 am it was learned that staff 4 had been outside with the children who were now in the two-year old classroom.
a. The program director stated that staff 4 had an an emergency and had departed the facility prior to the inspector entering the building.
a. The program director stated that the four children had been placed in the two-year old class prior to staff 4 leaving the facility.
Plan of Correction: Procedures will be put in place to ensure that the designated person in charge is aware of the whereabouts of all staff and children.
Standard 8VAC20-780-40-M
Based on observation, the center failed to ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions shall be kept confidential in each room or area where children are present.
Evidence:
The allergy list in the two-year old classroom was not kept confidential as it was posted on a bulletin board within clear view of anyone in the classroom.
Evidence:
The allergy list in the two-year old classroom was not kept confidential as it was posted on a bulletin board within clear view of anyone in the classroom.
Plan of Correction: Allergy list will be moved to an area that is confidential.