Inspection · 2024-08-06
Date
2024-08-06
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 08/06/2024 and completed on 08/9/2024. The on-site inspection began at 8:15 am and ended at 10:15 am. The inspector reviewed compliance in the areas listed above. There were 41 children present and 4 staff. The inspector reviewed 7children?s records on-site and 4 staff records remotley on 08/09/2024. 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.
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
August 22, 2024. A POC submitted after this date will not appear on the public website.
Violations
11Standard 22.1-289.011-F
Based on observation, the licensee did not ensure the violation posted in a conspicous place on the licensed premises.
Evidence:
During the inspection there was not a violation noticed posted on licensed premises. Confirmed by the director.
Evidence:
During the inspection there was not a violation noticed posted on licensed premises. Confirmed by the director.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-3
Based on record review, the licensee did not ensure central registry results were recieved with in 30days of hire.
Evidence: During the inspection the center did not have central registry results for Staff #3 hire date 05/30/2024 .
Evidence: During the inspection the center did not have central registry results for Staff #3 hire date 05/30/2024 .
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
Repeat Violation
Based on record review, the licensee did not ensure the centerobtained documentaiton theat each child has recieved the immunization before child attends.
Evidence:
Child #4, Child #5, Child 36
Based on record review, the licensee did not ensure the centerobtained documentaiton theat each child has recieved the immunization before child attends.
Evidence:
Child #4, Child #5, Child 36
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Repeat Violation
Based on record review, the licensee did not ensure each child had physical before the child's attendance; or within 30 days after the first day of attendance.
Evidence:
The center did not have physical examinations to be reviewed at the facility during the inspection for child #1, child #3, child #4, child #5, child #6 and child #7.
Based on record review, the licensee did not ensure each child had physical before the child's attendance; or within 30 days after the first day of attendance.
Evidence:
The center did not have physical examinations to be reviewed at the facility during the inspection for child #1, child #3, child #4, child #5, child #6 and child #7.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review, the licensee did not ensure staff obtain documentation of the tuberculosis screening be submitted at the time of employment and prior to coming into contact with children. The documentation should have been completed within the last 30 calendar days of the date of employment.
Evidence:
Staff #4 record obtained a TB test on 5/19/2024. Hire date obtain from the center is 5/24/2024.
Evidence:
Staff #4 record obtained a TB test on 5/19/2024. Hire date obtain from the center is 5/24/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-J-1
Based on record review and staff interview, the licensee did not ensure whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member or independent contractor who has satisfactorily completed a training program for this purpose approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, nurse practitioner, physician assistant, doctor of medicine or osteopathic medicine, or pharmacist pursuant to ? 54.1-3408 of the Code of Virginia; or administration shall be performed by a staff member or independent contractor who is licensed by the Commonwealth of Virginia to administer medications.
Evidence:
There was emergency medication at the center but there was not a staff member that was MAT certified.
Evidence:
There was emergency medication at the center but there was not a staff member that was MAT certified.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
Based on review of medication, the licensee did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Evidence: Child #3 had multiple emergency medication her most recent authorization expired 7/27/2023. The medication was still being stored and was not returned with in 14 days from authorization form expired.
Evidence: Child #3 had multiple emergency medication her most recent authorization expired 7/27/2023. The medication was still being stored and was not returned with in 14 days from authorization form expired.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-540-E
Based on staff interview and observation, the licensee did not ensure the center had one working, battery-operated radio in each building used by children and one working, battery-operated flashlight.
Evidence:
Director confirmed he was unable locate the battery operated flashlight and radio.
Evidence:
Director confirmed he was unable locate the battery operated flashlight and radio.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-G
Based on record review, the licensee did not ensure documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.
Evidence:
The center did not have documentation of evacuation drills for February , April , June and July.
Evidence:
The center did not have documentation of evacuation drills for February , April , June and July.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on staff record review and staff interview, the licensee did not ensure all staff records contained all required documentaiton.
Evidence:
Staff #1, Staff #2, Staff #3 and Staff #4 record did not have name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.
Staff#1's record did not have documentation of two references before employment.
Evidence:
Staff #1, Staff #2, Staff #3 and Staff #4 record did not have name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center.
Staff#1's record did not have documentation of two references before employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Based on record review, the licensee did not ensure all written agreements between the parent and the center are in each child's record by the first day of the child's attendance.
Evidence:
During the inspection the center did not have documentation available at the facility to show the written agreements in child's record were signed by parents for child #1, child #4, child #5, child#6 and child #7. Confirmed by the director.
Evidence:
During the inspection the center did not have documentation available at the facility to show the written agreements in child's record were signed by parents for child #1, child #4, child #5, child#6 and child #7. Confirmed by the director.
Plan of Correction: Not available online. Contact Inspector for more information.