Inspection · 2023-02-20
Date
2023-02-20
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
(757) 403-3045
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was initiated on February 7, 2023 and concluded on February 14, 2023. There were 38 children present with 7 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
Violations
7Standard 22.1-289.035-B-4
No out of state criminal history name check required for non-NFF states only*** prior to the 1st day of employment, service, and by end of 30th day for new household members and board officers/agents
Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check (CRC) prior to the first day of employment and an out of state child abuse and neglect search (CPS) was request by the 30th day of employment
Evidence: Staff records were reviewed and 2 out of 3 did not have background checks as required, as they did not obtain the out of state CRC and the CPS check.
1.Staff #1?s first date of employment was 12-15-22 and they had not obtained an out of state criminal records checks for South Dakota where they had lived within the last five years.
2.Staff #3, first date of employment was 5-9-2022 and they had not obtained a CPS for Florida or Connecticut where they had lived within the last five years.
Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check (CRC) prior to the first day of employment and an out of state child abuse and neglect search (CPS) was request by the 30th day of employment
Evidence: Staff records were reviewed and 2 out of 3 did not have background checks as required, as they did not obtain the out of state CRC and the CPS check.
1.Staff #1?s first date of employment was 12-15-22 and they had not obtained an out of state criminal records checks for South Dakota where they had lived within the last five years.
2.Staff #3, first date of employment was 5-9-2022 and they had not obtained a CPS for Florida or Connecticut where they had lived within the last five years.
Plan of Correction: The director will submit requests for FL and CT CPS checks as well as SD Criminal History Record.
Standard 8VAC20-780-160-A
Based on review of 5 staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe.
1)Staff #1?s date of hire was 12-15-22 and their TB screenings/ test conducted was dated 1-2-23.
2)Staff #2?s date of hire was 6-21-2021 and their TB screenings/ test conducted was dated 11-4-21.
3)Staff #3?s date of hire was 5-9-2022 and their TB screenings/ test conducted was dated 10-21-21.
4)Staff #4?s date of hire was 5-19-2021 and their TB screenings/ test conducted was dated 5-14-21.
Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe.
1)Staff #1?s date of hire was 12-15-22 and their TB screenings/ test conducted was dated 1-2-23.
2)Staff #2?s date of hire was 6-21-2021 and their TB screenings/ test conducted was dated 11-4-21.
3)Staff #3?s date of hire was 5-9-2022 and their TB screenings/ test conducted was dated 10-21-21.
4)Staff #4?s date of hire was 5-19-2021 and their TB screenings/ test conducted was dated 5-14-21.
Plan of Correction: The director will ensure that all new hires have a TB screening completed within 30 days prior to employment but no later than 1st day of employment.
Standard 8VAC20-780-270-A
Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.
Evidence: On the playground there was a plastic picnic table with attached plastic benches. The benches were cracked, chipped and the plastic edges created pinching points along the sides of the bench seats.
Evidence: On the playground there was a plastic picnic table with attached plastic benches. The benches were cracked, chipped and the plastic edges created pinching points along the sides of the bench seats.
Plan of Correction: The director disposed of the table with cracked benches.
Standard 8VAC20-780-500-A
Based on observation and staff interviews, the licensee did not ensure children?s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.
Evidence: Staff # 5 was observed conducting a diaper change for child # 6 and the child?s hands were not washed after diaper change.
Evidence: Staff # 5 was observed conducting a diaper change for child # 6 and the child?s hands were not washed after diaper change.
Plan of Correction: The Director conducted supplemental training with this staff member regarding diapering and hand washing.
Standard 8VAC20-780-530-A
First aid training and cardiopulmonary resuscitation (CPR). & First Aid
Based on review of 5 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care
Evidence: In the three?s classroom, Staff #4 was the only staff supervising 6 children during the inspection. Staff #4 does not have CPR or first aid certification; their certification expired December 2022.
Based on review of 5 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) and First Aid as appropriate to the age of the children in care
Evidence: In the three?s classroom, Staff #4 was the only staff supervising 6 children during the inspection. Staff #4 does not have CPR or first aid certification; their certification expired December 2022.
Plan of Correction: The director scheduled CPR recertification for this staff member (to be completed 2/20/2023).
Standard 8VAC20-780-540-E
Based on observation and staff interviews, the licensee did not ensure, to obtain all the required nonmedical emergency supplies.
Evidence: Center Director confirmed there was not a working, battery-operated radio.
Evidence: Center Director confirmed there was not a working, battery-operated radio.
Plan of Correction: The director purchased a battery-operated radio day of inspection.
Standard 8VAC20-780-570-E
Based on observation and staff interviews, the licensee did not ensure prepared infant formula shall be dated and labeled with the child?s name.
Evidence: In the infant room in the refrigerator there were 3 bottles that were not labeled with a date and 1 bottle on a shelf that was not labeled with a name or date. Staff #5 confirmed they belonged to an infants in care.
Evidence: In the infant room in the refrigerator there were 3 bottles that were not labeled with a date and 1 bottle on a shelf that was not labeled with a name or date. Staff #5 confirmed they belonged to an infants in care.
Plan of Correction: The director ensured that all bottles were labeled with correct name & date the day of inspection & reviewed proper procedures with staff.