Inspection · 2023-07-28
Date
2023-07-28
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
(757) 439-6816
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.
8VAC20-770 Background Checks
8VAC20-820 THE LICENSE.
22.1 Background Checks Code; carbon monoxide detectors
Inspector Notes
A monitoring inspection was completed on July 28, 2023 from 12:45pm - 3:03pm at the center. There were 52 children present, ranging in ages from infancy to school age, with 8 staff supervising and administrator were available. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of 5 child records and 5 staff 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 program. If you have any questions regarding the inspection please contact inspector, Michele Patchett at 757-439-6816.
Violations
8Standard 22.1-289.035-A
Based on record review and staff interview, the licensee did not ensure all employees
background checks should undergo a new fingerprint check, Central Registry and Sworn
statement every five years.
Evidence : Staff # 2 most recent fingerprint check results were 6/28/2018 and most recent
sworn statement of affirmation 02/19/2018 . Which is more than five years old.
background checks should undergo a new fingerprint check, Central Registry and Sworn
statement every five years.
Evidence : Staff # 2 most recent fingerprint check results were 6/28/2018 and most recent
sworn statement of affirmation 02/19/2018 . Which is more than five years old.
Plan of Correction: New Background check was scheduled immediately .
Standard 8VAC20-780-140-B
Based on record review and staff interview, the licensee did not ensure a child has a physical examination prior to attendabce or within 30days of start date.
Evidence:
Child #2 start date on 09/28/2022, the center did not have a physical examiniation document at the center during the inspection.
Evidence:
Child #2 start date on 09/28/2022, the center did not have a physical examiniation document at the center during the inspection.
Plan of Correction: Parent was contacted to bring in physical . Child can not attend until physical is brought in .
Standard 8VAC20-780-280-B
Repeat Violation:
Based on observation , the licensee did not ensure hazordous substances are kept in a
locked place using a safe locking method that prevents access by children.
Evidence:
During the tour of facility with staff the following hazarodous substances were observed. In the infant room, there was bleach and water spray bottle was not kept in a locked place. In the 3 and 4 year old room,there was a cabinet unlocked with bleach cleaner and disinfectant spray.
Based on observation , the licensee did not ensure hazordous substances are kept in a
locked place using a safe locking method that prevents access by children.
Evidence:
During the tour of facility with staff the following hazarodous substances were observed. In the infant room, there was bleach and water spray bottle was not kept in a locked place. In the 3 and 4 year old room,there was a cabinet unlocked with bleach cleaner and disinfectant spray.
Plan of Correction: Both cabinets were locked immediately. Retrained staff on proper procedures when storing cleaners and keeping cabinets locked.
Standard 8VAC20-780-350-M
Based on observation and staff interview, the licensee did not ensure one staff member does
not supervise more than one room or area during rest time.
Evidence:
During the tour of the facility, in the toddler room and 2 year old room their was one staff
observed supervising the two rooms during rest time. Confirmed with staff during the tour.
not supervise more than one room or area during rest time.
Evidence:
During the tour of the facility, in the toddler room and 2 year old room their was one staff
observed supervising the two rooms during rest time. Confirmed with staff during the tour.
Plan of Correction: Staff was re-trained on proper procedure when taking a bathroom break. An office staff will cover classroom at threat time.
Standard 8VAC20-780-380-A
Based on observation and staff interview, the licensee did not ensure there was a posted
daily schedule.
Evidence:
In the 2 year old classroom, there was not a posted daily schedule. Confirmed by staff.
daily schedule.
Evidence:
In the 2 year old classroom, there was not a posted daily schedule. Confirmed by staff.
Plan of Correction: Daily schedule were reposted . They has been taken down as walls had been repainted.
Standard 8VAC20-780-510-P
Based on observation and staff interview, the
licensee did not ensure when an authorization
for medication expires, the parent would be
notified that the medication needs to be picked up within 14 days or parent must renew the
authization. Medications that are not picked up by the parent within 14 days will be disposed of
by the center.
Evidence:
Child #1's medication authorization form expired on 06/30/2023 . The medication was at the center on the day of inspection and authorization form expired was more than 14 days old.
licensee did not ensure when an authorization
for medication expires, the parent would be
notified that the medication needs to be picked up within 14 days or parent must renew the
authization. Medications that are not picked up by the parent within 14 days will be disposed of
by the center.
Evidence:
Child #1's medication authorization form expired on 06/30/2023 . The medication was at the center on the day of inspection and authorization form expired was more than 14 days old.
Plan of Correction: Medication was given back to the parent the same day.
Standard 8VAC20-780-530-A
Based on observation, the licensee did not ensure at least one staff member in each
classroom or area children present have CPR and First Aid.
Evidence:
Staff # 1 was in alone in the classroom with School age children during nap/rest time and
was not certified in CPR and First Aid. Confirmed with staff during the exit interview.
classroom or area children present have CPR and First Aid.
Evidence:
Staff # 1 was in alone in the classroom with School age children during nap/rest time and
was not certified in CPR and First Aid. Confirmed with staff during the exit interview.
Plan of Correction: Will ensure member is not alone in a classroom until CPR / First aid is completed . Class is already scheduled.
Standard 8VAC20-780-550-P
Based on observation and staff interview, the licensee did not ensure all required information
is documented on written record of children's injuries.
Evidence:
The following information is missing on injury record:
Child #2 injury document was missing date parent was notified and method of notification.
Child #6 injury document was missing date and time of parent notification.
Child #5 injury document was missing date parent was notified, time parent was notified and method of notification.
is documented on written record of children's injuries.
Evidence:
The following information is missing on injury record:
Child #2 injury document was missing date parent was notified and method of notification.
Child #6 injury document was missing date and time of parent notification.
Child #5 injury document was missing date parent was notified, time parent was notified and method of notification.
Plan of Correction: Retrained staff on how to fill out injury report completely .