Inspection · 2024-11-01
Licensing Inspector
Nanette Roberts
(757) 404-2322
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site monitoring and self-report inspection was initiated on 11/1/2024 and completed on 11/22/2024. The self-report was received by the licensing office on 7/2/2024 relating to an injury. The on-site inspection began at 9:00am and ended at 12:00pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 55 children present and 8 staff. The inspector reviewed 6 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 12/4/2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 had no of a TB screening documentation and had been employed for two weeks. Staff #4 had no documentation of TB screening and had been employed for over 5 months. The TB screening for Staff #2 was dated two days after coming into contact with children.
Plan of Correction: I spoke with the staff member. She said she went. I sent her again.
Standard 8VAC20-780-240-I
Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member's record, and shall include the staff member name, training topics, delivery method, the entity or individual providing training the date of training. There was no documentation of orientation training for Staff #2 (employed for 37 days) and Staff #3 (employed for 26 days).
Plan of Correction: The Director checked to make sure that this was completed for all staff.
Standard 8VAC20-780-270-A
Repeat Violation
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The trim on a carpet in a four-year-old classroom was pulled away from the carpet, creating a trip hazard. A root in the sand on the playground was exposed. The root is in an area the children run and is a trip hazard. A wood dress up unit approximately 4 ? feet tall was not secured to a wall. The unit was placed in the middle of the room and wobbled when touched creating a fall hazard.
Plan of Correction: The carpet edge was trimmed. The root was cut and removed. The furniture was moved.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances must be in a locked place that prevents access by children. In the two-year-old classroom, the cleaning solution and sanitizing solution were in an unlocked cabinet, out of reach of children.
Plan of Correction: Staff were reminded that the cabinets must be locked.
Standard 8VAC20-780-290-A-3
Repeat Violation
Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. An electrical power bar in the three-year-old classroom and the four-year-old classroom did not have a protective covers.
Plan of Correction: Outlet covers were given to staff and they were reminded of the safety issue.
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care, protection, and guidance. A child received an injury while engaged in unsafe play on the slide while under the supervision of staff. Staff had spoken to the child twice regarding safe play on the slide but did not redirect to a different play area or continue to monitor his play on the slide. Child #1 (age 5 years) ran down the slide, jumped over the playground edging and slipped on wet grass, falling and injuring his arm.
Plan of Correction: Retrain staff on behavior guidance and correct way to handle misbehavior.
Standard 8VAC20-780-350-B-4
Repeat Violation
The required ratio for children ages 3 years old up to school age eligible is one staff per ten children. Staff #6 was observed supervising eleven children (youngest child 3 years old) by herself at 9:00am. Staff #2 returned to the classroom at 9:05am
Plan of Correction: I spoke with staff and retrained them on ratio procedures.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children?s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. The list shall be dated and kept confidential in each room or area where children are present. The allergy list in the four-year-old classroom was not current. The allergy list was dated over 18 months prior and contained names of children no longer in attendance.
Plan of Correction: The allergy list was updated and the new list was give to all staff.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall be kept that include the name, address and telephone number of a person to be notified in in an emergency. The record for Staff #1 did not contain emergency contact information.
Plan of Correction: Staff completed missing information.