Inspection · 2023-04-26
Date
2023-04-26
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
(757) 404-5261
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
A renewal monitoring inspection was initiated and concluded on April 26, 2023. There were 28 children present, with 6 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, 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.
Please contact the Licensing Inspector, Christine Mahan at 757-404-0568 with any questions.
Violations
10Standard 8VAC20-770-60-C-2
Based on a record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.
Evidence: Staff #2?s date of hire 3-23-2023 does not have documentation of a CPS check conducted. Center Director confirmed the CPS check was mailed on 4- 21-2023. Staff #2 was observed working on the day of the day of the inspection.
Evidence: Staff #2?s date of hire 3-23-2023 does not have documentation of a CPS check conducted. Center Director confirmed the CPS check was mailed on 4- 21-2023. Staff #2 was observed working on the day of the day of the inspection.
Plan of Correction: Staff #2 CPS clearance letter came in mail 5-1-23
Standard 8VAC20-780-150-B
Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department.
Evidence: The immunization documents in the records for child #3 did not include a physician or designated individual?s signature. Child #3 first date of attendance was 4-12-23.
Evidence: The immunization documents in the records for child #3 did not include a physician or designated individual?s signature. Child #3 first date of attendance was 4-12-23.
Plan of Correction: Child & parent did provide updated immunization record.
Standard 8VAC20-780-240-C
Based on record review and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: The record for Staff #2 (hire date 3-23-23), Staff #4 (hire date 2-9-23) and Staff #5 (hire date 3-29-23) did not include information the staff had obtained training in prevention of abusive head trauma and safe sleeping practices.
Evidence: The record for Staff #2 (hire date 3-23-23), Staff #4 (hire date 2-9-23) and Staff #5 (hire date 3-29-23) did not include information the staff had obtained training in prevention of abusive head trauma and safe sleeping practices.
Plan of Correction: Staff have received head trauma and safe sleep practices training.
Standard 8VAC20-780-260-B
Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department.
Evidence: Center Director confirmed the most recent copy of the health inspection available for review was date 4-19-22.
Evidence: Center Director confirmed the most recent copy of the health inspection available for review was date 4-19-22.
Plan of Correction: Contact to health department reminded they were due to inspect center by 4-30-23 and told them licensing was requesting was told they were short staffed, will be here next week.
Standard 8VAC20-780-280-B
Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: The following items were observed stored in an unlocked manner and were accessible to children. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
1. In the infant room, an unlocked cabinet, there were 2 containers of disinfectant, 1 container of all purpose cleaner and 2 containers of disinfectant wipes.
2. In the toddler room underneath changing table there was a container of Damp Rid
Evidence: The following items were observed stored in an unlocked manner and were accessible to children. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
1. In the infant room, an unlocked cabinet, there were 2 containers of disinfectant, 1 container of all purpose cleaner and 2 containers of disinfectant wipes.
2. In the toddler room underneath changing table there was a container of Damp Rid
Plan of Correction: 1-Retrained staff on locking cabinets
2- Staff in infant room written up for cabinet bein unlocked.
3-Damprid thrown out
2- Staff in infant room written up for cabinet bein unlocked.
3-Damprid thrown out
Standard 8VAC20-780-340-D
Based on record review, observation and staff interviews, the licensee did not ensure that there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.
Evidence: Staff # 4, the designated program lead staff in the Pre-K room was observed as the only staff supervising 10 children. Staff #4 does not have documentation that indicates they meet the qualifications of a program lead or program director.
Evidence: Staff # 4, the designated program lead staff in the Pre-K room was observed as the only staff supervising 10 children. Staff #4 does not have documentation that indicates they meet the qualifications of a program lead or program director.
Plan of Correction: Staff #4 will be with program lead until her last day of work on 5-1-23.
Standard 8VAC20-780-40-M
Based on observation and staff interview, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present.
Evidence: Center Director, confirmed that there was not a allergy list available for staff to view for child #5 that has a physician documented pineapple and lactose food sensitivity
Evidence: Center Director, confirmed that there was not a allergy list available for staff to view for child #5 that has a physician documented pineapple and lactose food sensitivity
Plan of Correction: Parent provided work info and secondary emergency contact info. Assistant director also verified information was completed 2 adults reviewed files.
Standard 8VAC20-780-540-E
Based on equipment review and staff interview the licensee did not ensure the nonmedical emergency supplies were required.
Evidence: Center Director confirmed they did not have a working battery-operated radio.
Evidence: Center Director confirmed they did not have a working battery-operated radio.
Plan of Correction: Radio purchased
Standard 8VAC20-780-570-E
Based on observation and staff interviews, the licensee did not ensure prepared infant formula shall be refrigerated, dated and labeled with the child's name.
Evidence: In the infant room there were two bottles observed, one was without a name and date and the other was without a date. Both bottle's were observed on the counter near the sink and were confirmed to be formula.
Evidence: In the infant room there were two bottles observed, one was without a name and date and the other was without a date. Both bottle's were observed on the counter near the sink and were confirmed to be formula.
Plan of Correction: Labels provided for bottles and both date and name will be on bottle's daily.
Standard 8VAC20-780-60-A
Based on record review and staff interview the center did not maintain a record for each child enrolled which contained all of the required information.
Evidence: Center Director confirmed the following items were missing;
1.The record for child #3 did not contain work phone numbers or location for both for parents listed.
2.The record for child #4 did not contain work location for both for parents listed.
3. The record for child #3 did not include a second emergency contact name or phone number.
Evidence: Center Director confirmed the following items were missing;
1.The record for child #3 did not contain work phone numbers or location for both for parents listed.
2.The record for child #4 did not contain work location for both for parents listed.
3. The record for child #3 did not include a second emergency contact name or phone number.
Plan of Correction: Parent provided work info and secondary emergency contact info.