Inspection · 2023-10-30
Date
2023-10-30
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
(757) 409-4668
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 minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was started in the center on October 30, 2023 from 8:55 AM until 11:20 AM and concluded on October 30, 2023. At the time of entrance, 41 children were in care with 5 staff members present. The sample size consisted of 5 children?s records and 5 staff records. Children were observed during circle time, working on letters and during an art project.
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 (757) 404-0568 with any questions.
Violations
11Standard 22.1-289.035-A
Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check (CRC) and search of the central registry check.
Evidence: The following staff did not obtain updated CRC?s;
1.Staff #1?s most recent CRC was dated 8-6-2018.
2.Staff #4?s most recent CRC was dated 8-23-2018
3. Staff f#5 most recent CRC was dated 8-2-2018
Evidence: The following staff did not obtain updated CRC?s;
1.Staff #1?s most recent CRC was dated 8-6-2018.
2.Staff #4?s most recent CRC was dated 8-23-2018
3. Staff f#5 most recent CRC was dated 8-2-2018
Plan of Correction: The Director has had all new staff complete new CRC.
Standard 22.1-289.035-B-4
Repeat
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 (DOH) and an out of state child abuse and neglect search (CPS) was request by the 30th day of employment
Evidence: Staff #3?s record did not include an out of state CPS check for North Carolina where they had lived within the last five years. Staff #1 's DOH was 8-31-2021.
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 (DOH) and an out of state child abuse and neglect search (CPS) was request by the 30th day of employment
Evidence: Staff #3?s record did not include an out of state CPS check for North Carolina where they had lived within the last five years. Staff #1 's DOH was 8-31-2021.
Plan of Correction: The Director has seen that the North Carolina CPS check has been submitted and now received.
Standard 8VAC20-770-60-C-2
Based on 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 # 1?s (hire date 8-30-2021) did not have documentation of CPS results.
Evidence: Staff # 1?s (hire date 8-30-2021) did not have documentation of CPS results.
Plan of Correction: The Director has obtained CPS results and put on file.
Standard 8VAC20-780-160-C
Repeat
Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.
Evidence: Staff #1's and Staff #3's records did not include updated TB screening; the most recent screening for Staff #1 was dated 10-21-21 and Staff #3?s was dated 8-22-21.
Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.
Evidence: Staff #1's and Staff #3's records did not include updated TB screening; the most recent screening for Staff #1 was dated 10-21-21 and Staff #3?s was dated 8-22-21.
Plan of Correction: The Director will have staff 1 & 3 do a TB test to be current.
Standard 8VAC20-780-240-A
Based on a record review and staff interviews, the licensee did not ensure staff have completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment.
Evidence: Staff #2?s record did not include documentation of completing the VDOE orientation. Program Director verified Staff #2 was hired in September 2022.
Evidence: Staff #2?s record did not include documentation of completing the VDOE orientation. Program Director verified Staff #2 was hired in September 2022.
Plan of Correction: Orientation has been completed. Documented in file.
Standard 8VAC20-780-240-B
Based on a record review and staff interviews, the licensee did not ensure staff have completed orientation training 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 #3 (hire date 8-30-21) did not include documentation of completing the required orientation to include all required topics
Evidence: The record for Staff #3 (hire date 8-30-21) did not include documentation of completing the required orientation to include all required topics
Plan of Correction: Orientation has been completed. Documentation in file.
Standard 8VAC20-780-280-B
Based on observation and staff interviews, the licensee did not ensure hazardous substances 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 hazardous chemicals were observed stored in unlocked places, and were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
1.In room #1508, disinfectant spray and disinfectant wipes were on shelf behind the entrance door and disinfectant wipes were next to the sink
2.In room #1500 there were disinfectant wipes, spray and furniture polish in unlocked closet
Evidence: The following hazardous chemicals were observed stored in unlocked places, and were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
1.In room #1508, disinfectant spray and disinfectant wipes were on shelf behind the entrance door and disinfectant wipes were next to the sink
2.In room #1500 there were disinfectant wipes, spray and furniture polish in unlocked closet
Plan of Correction: The Director has made sure that all substances have been locked.
Standard 8VAC20-780-510-L
Repeat
Based on observation and staff interviews, the licensee did not ensure, medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: In room #1502 there were 2 medications (EpiPen's) observed stored in a nylon container and were not in a locked container that prevented access by children.
Based on observation and staff interviews, the licensee did not ensure, medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: In room #1502 there were 2 medications (EpiPen's) observed stored in a nylon container and were not in a locked container that prevented access by children.
Plan of Correction: Mediations are now locked and the Director has checked this.
Standard 8VAC20-780-60-A
Based on record review and staff interviews, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence: Child # 3 has a diagnosed food allergy (peanuts) and there was not a written care plan, to include instructions from a physician
Evidence: Child # 3 has a diagnosed food allergy (peanuts) and there was not a written care plan, to include instructions from a physician
Plan of Correction: The Director has spoken to School Nurse who has contacted parents to obtain.
Standard 8VAC20-780-70
Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation.
Evidence:
1.There were no references available for review for Staff #2 and Staff #3.
2. There was not documentation to demonstrate that Staff #3 possesses the education and certification, required by the job position. Staff #3 is a designated teacher (program lead) for Pre-K 3, room #1508.
Evidence:
1.There were no references available for review for Staff #2 and Staff #3.
2. There was not documentation to demonstrate that Staff #3 possesses the education and certification, required by the job position. Staff #3 is a designated teacher (program lead) for Pre-K 3, room #1508.
Plan of Correction: The director has obtained references for staff 2 & 3 .Documentation for teacher now in staff 3 file.
Standard 8VAC20-780-80-A
Based on documentation review and staff interviews, the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: There was not an attendance sheet for the Pre-k 3 year old, room #1508.
Evidence: There was not an attendance sheet for the Pre-k 3 year old, room #1508.
Plan of Correction: The Director located the attendance sheet.