Inspection · 2024-09-30
Date
2024-09-30
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
(804) 588-2368
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
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site renewal inspection was initiated on 09/30/2024 and completed on 10/15/2024. The on-site inspection began at 11:36 a.m. and ended at 4:04 p.m. on 09/30/2024 and began at 10:50 a.m. and ended at 2:30 p.m. on 10/15/2024. The inspector reviewed compliance in the areas listed above. There were 24 children present and 8 staff. The inspector reviewed 5 children?s records and 7 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.
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.
Pease complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/25/2024. A POC submitted after this date will not appear on the public website.
Violations
15Standard 22.1-289.058
A child day program that serves preschool-age children shall be equipped with at least one carbon monoxide detector. There was no carbon monoxide detector located within the child day care center.
Plan of Correction: Carbon monoxide detector has been purchased and placed.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. The central registry search for S2 were dated 59 days after their first day of employment. S7 did not have central registry search results and has been employed for over 3 months.
Plan of Correction: All staff will have central registry results in their employee file.
Standard 8VAC20-780-150-B
Immunization records and physicals are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record and physical for C2 was not signed.
Plan of Correction: Immunization records and physicals will be signed by a physician.
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. S2 employed for over 3 months had no documentation of a negative TB screening. S5 TB was dated five months prior to date of employment and has been employed for 5 months. S6 employed for 2 months had no documentation of a negative TB screening. S7 employed for over 3 months had no documentation of a negative TB screening.
Plan of Correction: All staff members will have required TB testing prior to working with children.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S2 and S7 employed for over 3 months had no documentation of completion of the required training.
Plan of Correction: Staff will complete required training within 90 days of hire.
Standard 8VAC20-780-240-B
Staff shall complete orientation training required by 8VAC20-780-C prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. S2 working with children for 2 months did not contain documentation of the orientation training and S7 working with children for 3 months did not contain documentation of the orientation training.
Plan of Correction: Staff members will complete required orientation prior to working alone with children.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.
1. The freezer in the Infant II room had a sticky substance spilled in the compartment.
2. The diaper changing pad in the Two?s Room had holes in the plastic cover.
3. The little playground has multiple bowed boards on the walkway creating a tripping hazard and boards had exposed nails on the underside.
4. The little playground chain link fence was not surely attached to the fence posts.
5. There were multiple items of trash on the big playground.
6. The storage garage in the big playground was not secured and there were cans of paint accessible to children.
7. The mulch retaining wall in the big playground was loose in several areas creating a tripping hazard.
1. The freezer in the Infant II room had a sticky substance spilled in the compartment.
2. The diaper changing pad in the Two?s Room had holes in the plastic cover.
3. The little playground has multiple bowed boards on the walkway creating a tripping hazard and boards had exposed nails on the underside.
4. The little playground chain link fence was not surely attached to the fence posts.
5. There were multiple items of trash on the big playground.
6. The storage garage in the big playground was not secured and there were cans of paint accessible to children.
7. The mulch retaining wall in the big playground was loose in several areas creating a tripping hazard.
Plan of Correction: 1. All freezers are clean and free of spills.
2. Diaper pad has been replaced.
3-6 In conjunction with our facilities coordinator, playground is closed while it is being repaired.
2. Diaper pad has been replaced.
3-6 In conjunction with our facilities coordinator, playground is closed while it is being repaired.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In the 2s? Room and 3K/4K Rooms sanitizing wipes and disinfectant spray were accessible to children with the warning label ?Keep out of Reach of Children?.
Plan of Correction: All cleaning supplies will remain out of reach of children.
Standard 8VAC20-780-350-B-2
The required ratio for children ages 16 to 24 month is one staff per five children. Two staff were observed supervising 15 children on the young child playground when the licensing inspector arrived at 10:50 a.m. 10/15/2024. Staff reported that it was a combined classroom of the toddler room (age 16 months up to 24 months) and the 2-K Room.
Plan of Correction: Staff retraining on 10/29/2024. All staff are required to adhere to ratio requirements.
Standard 8VAC20-780-440-G
Cribs shall be used for children under 12 months of age for sleeping. An infant was observed sleeping in a swing in the Infant II room.
Plan of Correction: All infants will sleep in cribs.
Standard 8VAC20-780-510-L
Medication shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of acetaminophen was observed in the Infant II room that was not in a locked place.
Plan of Correction: Medication will be kept locked.
Standard 8VAC20-780-540-E
A working, battery-operated radio shall be available in the building. A radio was not available for use within the center.
Plan of Correction: A battery operated radio has been purchased and placed.
Standard 8VAC20-780-560-G
Unused portions of food shall be discarded by the end of the day or returned to the parent. Multiple infant bottles in the Infant II refrigerator were dated for the previous day.
When food is brought from home the food containers must be was clearly labeled in a way that identifies the owner and dated. Licensing inspector observed multiple lunch
boxes and thermos bottles in several classrooms that were not labeled with the children?s names and dated.
When food is brought from home the food containers must be was clearly labeled in a way that identifies the owner and dated. Licensing inspector observed multiple lunch
boxes and thermos bottles in several classrooms that were not labeled with the children?s names and dated.
Plan of Correction: Unused portions of food will be sent home daily. All food containers will be appropriately labeled.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for C3, enrolled for 30 months, was missing the following required component: proof of identify and age. The record contained a Social Security card that does not provide proof of identity and age.
Plan of Correction: The parent of enrolled child has been contacted and will supply a birth certificate.
Standard 8VAC20-780-70
Each center shall keep a record for staff that contains all of the required information. The records for S2, S4, S6, and S7 did not contain information about any health problems that may interfere with fulfilling the job responsibilities.
Plan of Correction: Center will acquire additional information regarding health problems.