Inspection · 2024-02-26
Date
2024-02-26
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
(804) 629-7519
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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 monitoring inspection was conducted on February 26, 2024, from 1:20pm to approximately 3:20pm. There were 36 children, and seven staff members present. The Inspector reviewed five children?s records and four staff records. The Inspector observed the interaction of staff and children throughout the inspection. Children were observed during nap, handwashing, diapering, snack time, infant feeding and the arrival of after school children into the center. First aid kits and emergency preparedness documents were observed. Transportation vans were observed. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program. The violations were discussed with the director at the exit interview.
Violations
5Standard 22.1-289.035-B-4
Based on record review and interview, it was determined that the center did not ensure that they obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Evidence:
1. Staff #3 (date of hire 2/01/2024) disclosed and signed on their Sworn Statement dated 1/25/2024, that they lived outside of Virginia the past five years. There was no out-of-state background check completed for Staff #3.
2. Staff #5 (date of hire 8/22/2023) disclosed and signed on their Sworn Statement dated 08/22/2023, that they lived outside of Virginia the past five years. There was no out-of-state background check completed for Staff #5.
3. Staff #1, Director, confirmed that both Staff #3 and Staff #5 did not have the required out-of-state background checks completed.
Evidence:
1. Staff #3 (date of hire 2/01/2024) disclosed and signed on their Sworn Statement dated 1/25/2024, that they lived outside of Virginia the past five years. There was no out-of-state background check completed for Staff #3.
2. Staff #5 (date of hire 8/22/2023) disclosed and signed on their Sworn Statement dated 08/22/2023, that they lived outside of Virginia the past five years. There was no out-of-state background check completed for Staff #5.
3. Staff #1, Director, confirmed that both Staff #3 and Staff #5 did not have the required out-of-state background checks completed.
Plan of Correction: The center responded with the following: The center will obtain the out-of-state background checks for both Staff #3 and Staff #5, send the information to the licensing inspector, and place results in their record. Moving forward the center will double child the sworn statements to see if the staff lived out of state and complete the background checks prior to hire
Standard 8VAC20-780-160-A
Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 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:
1. Staff #2 (date of hire 2/02/24) and Staff #3 (date of hire 2/01/2024) do not have documentation of a negative tuberculosis screening in their records.
2. Staff #4 (date of hire 9/11/2023) has a tuberculosis screening dated 7/08/2022, which is outside of the required date of 30 calendar days of the date of employment.
3. Staff #1 confirmed that Staff #2 and Staff #3 do not have a negative tuberculosis screening in their records. Staff #1 confirmed that Staff #4 has a tuberculosis screening that is outside of the required last 30 days of date of employment.
Evidence:
1. Staff #2 (date of hire 2/02/24) and Staff #3 (date of hire 2/01/2024) do not have documentation of a negative tuberculosis screening in their records.
2. Staff #4 (date of hire 9/11/2023) has a tuberculosis screening dated 7/08/2022, which is outside of the required date of 30 calendar days of the date of employment.
3. Staff #1 confirmed that Staff #2 and Staff #3 do not have a negative tuberculosis screening in their records. Staff #1 confirmed that Staff #4 has a tuberculosis screening that is outside of the required last 30 days of date of employment.
Plan of Correction: The center responded with the following: Staff #2, Staff #3, and Staff #4 will have a tuberculosis screening completed by the end of the week. The results of a negative test will be placed in their record.
Standard 8VAC20-780-270-A
Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Repeat violation.
Evidence:
1. In the children?s bathroom, the two toilets have one-inch rusted screws protruding out from the sides of the commodes. This poses as an injury hazard to the children in care.
2. The children?s outdoor playground has the following areas of concern:
a. The plastic toddler car has broken handlebars which pose as an injury hazard to the children in care.
b. The steering wheel of the play structure is cracked and broken with sharp plastic pieces exposed for children to hold. This poses as an injury hazard to children in care.
c. The exterior walls of the two sheds have peeling paint.
Evidence:
1. In the children?s bathroom, the two toilets have one-inch rusted screws protruding out from the sides of the commodes. This poses as an injury hazard to the children in care.
2. The children?s outdoor playground has the following areas of concern:
a. The plastic toddler car has broken handlebars which pose as an injury hazard to the children in care.
b. The steering wheel of the play structure is cracked and broken with sharp plastic pieces exposed for children to hold. This poses as an injury hazard to children in care.
c. The exterior walls of the two sheds have peeling paint.
Plan of Correction: The center responded with the following: The toddler car was thrown away during the time of the inspection. A work order will be placed to remove the steering wheel from the play structure and also repaint the two sheds.
Standard 8VAC20-780-440-G
Based on observation and interview, it was determined that the center did not ensure that cribs be used for children under 12 months of age.
Evidence:
1. In observing the infants napping, there were five children observed to be from the age range of 13 months to 17 months that were sleeping in cribs.
2. Staff #1, Director, and infant staff confirmed that there were five children above the age of 12 months, that were sleeping in cribs.
Evidence:
1. In observing the infants napping, there were five children observed to be from the age range of 13 months to 17 months that were sleeping in cribs.
2. Staff #1, Director, and infant staff confirmed that there were five children above the age of 12 months, that were sleeping in cribs.
Plan of Correction: The center responded with the following: Starting tomorrow, the five children will sleep on cots. Moving forward, children ages 12 months will sleep in cots or mats.
Standard 8VAC20-780-550-D
Based on record review and interview, it was determined that the center did not ensure that they implement monthly practice evacuation drill.
Evidence:
1. In reviewing the evacuation drill log, the last documented practice evacuation drill was completed on December 15, 2023.
2. Staff #1 confirmed there was no practice evacuation drill conducted in January 2024.
Evidence:
1. In reviewing the evacuation drill log, the last documented practice evacuation drill was completed on December 15, 2023.
2. Staff #1 confirmed there was no practice evacuation drill conducted in January 2024.
Plan of Correction: The center responded with the following: The center will ensure that monthly practice drills will be completed monthly.