Inspection · 2024-06-13
Date
2024-06-13
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 June 13, 2024 from 9:00 AM until 12:15 PM and concluded on June 18, 2024. At the time of entrance, 81 children were in care with 10 staff members. The sample size consisted of 8 children?s records, 8 staff records and a review of the background checks for 2 other person related to the renewal inspection. Children were observed eating snack, playing outside and working in groups on sidewalk chalk.
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.
The playground is not currently being used due to construction.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations
15Standard 22.1-289-036-B-4
Based on record review and staff interviews, the licensee did not ensure, all staff had requested an out of state Child Abuse and Neglect Search by the end of 30th day of employment.
Evidence: The record for Staff #9 did not include the results of a Child Abuse and Neglect Search for Florida, where they had lived within the last 5 years. Center director noted Staff #9 began working approximately in early September 2023.
Evidence: The record for Staff #9 did not include the results of a Child Abuse and Neglect Search for Florida, where they had lived within the last 5 years. Center director noted Staff #9 began working approximately in early September 2023.
Plan of Correction: The Director has contacted Florida to obtain the results
Standard 8VAC20-770-40-D-1-a
Based on record review and staff interviews, the licensee did not ensure, all new persons designated as applicant, licensee, registrant, or agent shall submit a sworn statement or affirmation and criminal history record check whenever an applicant, licensee, or registrant changes before the end of 30 days after the change.
Evidence: The record for Staff #9 did not include documentation of a sworn statement or a CRC conducted before the end of the 30th day. Sworn statement was dated 6-11-2024 and CRC was dated 6-17-2024. Center director noted that Staff #9 began working in September 2023.
Evidence: The record for Staff #9 did not include documentation of a sworn statement or a CRC conducted before the end of the 30th day. Sworn statement was dated 6-11-2024 and CRC was dated 6-17-2024. Center director noted that Staff #9 began working in September 2023.
Plan of Correction: Documentation is now in Staff #9 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: The record for Staff #2 did not include an updated TB screening as the most recent one was dated 6-1-2022.
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: The record for Staff #2 did not include an updated TB screening as the most recent one was dated 6-1-2022.
Plan of Correction: The Director has spoken to staff #2 and they will renew TB test
Standard 8VAC20-780-240-A
Repeat
Based on a record review and staff interviews, the licensee did not ensure staff completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment.
Evidence: Center Director confirmed the following staff listed below did not have documentation of completing the VDOE orientation. Center Director also confirmed their date of hire (DOH).
1.Staff #2 DOH 6-8-2022
2.Staff #5 began working in June 2023
3.Staff#7 began working June 2023
4.Staff #8 began working September 2023
Based on a record review and staff interviews, the licensee did not ensure staff completed the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment.
Evidence: Center Director confirmed the following staff listed below did not have documentation of completing the VDOE orientation. Center Director also confirmed their date of hire (DOH).
1.Staff #2 DOH 6-8-2022
2.Staff #5 began working in June 2023
3.Staff#7 began working June 2023
4.Staff #8 began working September 2023
Plan of Correction: The Director has spoken to all staff and the have started the training.
Standard 8VAC20-780-245-A
Repeat
Based on a review of 8 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training.
Evidence: The record for Staff #1 date of hire 9-1-2008 and Staff #2 date of hire 6-8-2022 did not include 16 hours of annual training
Based on a review of 8 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training.
Evidence: The record for Staff #1 date of hire 9-1-2008 and Staff #2 date of hire 6-8-2022 did not include 16 hours of annual training
Plan of Correction: The Director has started staff with training each day
Standard 8VAC20-780-340-D
Based on record review, observation and staff interviews, the licensee did not ensure 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: There were not qualified staff (program lead or program director qualified) for the 1st to 5th grade group. There were 45 children with 7 adults designated as program leads, however there was not documentation available to support qualifications.
Evidence: There were not qualified staff (program lead or program director qualified) for the 1st to 5th grade group. There were 45 children with 7 adults designated as program leads, however there was not documentation available to support qualifications.
Plan of Correction: The Director is obtaining staff transcripts and proper documentation for lead staff
Standard 8VAC20-780-40-J
Based on center documentation review and staff interview the licensee did not ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.
Evidence: Center Director confirmed they did not have an updated injury prevention plan.
Evidence: Center Director confirmed they did not have an updated injury prevention plan.
Plan of Correction: The Director has spoken to nurse and a plan has been obtained.
Standard 8VAC20-780-40-M
Based on observation and staff interviews, 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: There was not a current written list of all children's allergies, sensitivities, and dietary restrictions. Child #1 has a diagnosed allergy to eggs and peanuts and Child #2 has an allergy to shrimp and Child #3 has a parent preference for no pork.
Evidence: There was not a current written list of all children's allergies, sensitivities, and dietary restrictions. Child #1 has a diagnosed allergy to eggs and peanuts and Child #2 has an allergy to shrimp and Child #3 has a parent preference for no pork.
Plan of Correction: The Director is making an allergy list
Standard 8VAC20-780-510-G
Based on observations and staff interviews, the licensee did not ensure medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.
Evidence: Center Director confirmed medication (Epi-Pen) belonged to Child #1 and it was not labeled with the child's name, the dosage amount, and the time or times to be given.
Evidence: Center Director confirmed medication (Epi-Pen) belonged to Child #1 and it was not labeled with the child's name, the dosage amount, and the time or times to be given.
Plan of Correction: The Director has obtained the doctor and form for the Epi-Pen and it has been labeled
Standard 8VAC20-780-530-A-1
Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care
Evidence: There was not a staff member observed supervising the 15 children in the 5 year old group that had obtained a current certification in CPR.
Evidence: There was not a staff member observed supervising the 15 children in the 5 year old group that had obtained a current certification in CPR.
Plan of Correction: The Staff member in the 5 year group has been changed . The staff is updating CPR cert.
Standard 8VAC20-780-530-A-2
Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present that had obtained a current certification in first aid.
Evidence: There was not a staff member observed supervising the 15 children I the 5 year old group that had obtained a current certification in first aid.
Evidence: There was not a staff member observed supervising the 15 children I the 5 year old group that had obtained a current certification in first aid.
Plan of Correction: The staff member in the 5 year group has been changed and will update CPR
Standard 8VAC20-780-560-G
Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Evidence: Ten lunch boxes were observed and they were not dated and 3 were not labeled with a child?s name (identifiable information).
Evidence: Ten lunch boxes were observed and they were not dated and 3 were not labeled with a child?s name (identifiable information).
Plan of Correction: The Director has instructed staff to labile all lunch bags.
Standard 8VAC20-780-70
Repeat
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, Staff #3 and Staff #4.
2.There were no documents to demonstrate that Staff #2, Staff #4, Staff #5 and Staff #8 possess the education and certification, required by the job position.
3.There were no documents to demonstrate that Staff #6 and #7 possess the experience, education, and certification, required by the job position.
4.Staff #2 is designated as the Program Lead for ages 3-4.
5.Staff #4, Staff#5, Staff #6, Staff #7, and Staff #8 were designated as a Program Leads for the 1st to 5th grade children.
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, Staff #3 and Staff #4.
2.There were no documents to demonstrate that Staff #2, Staff #4, Staff #5 and Staff #8 possess the education and certification, required by the job position.
3.There were no documents to demonstrate that Staff #6 and #7 possess the experience, education, and certification, required by the job position.
4.Staff #2 is designated as the Program Lead for ages 3-4.
5.Staff #4, Staff#5, Staff #6, Staff #7, and Staff #8 were designated as a Program Leads for the 1st to 5th grade children.
Plan of Correction: Documentation is being obtained by the Director for all of the staff to show education and lead ability
Standard 8VAC20-780-80-A
Repeat
Based on record review and staff interviews, the licensee did not ensure each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information.
Evidence:
1. The record for Child #1 did not include a 2nd emergency contact name, address and phone number.
2. The record for Child #2 did not include a 2nd emergency contact name, address and phone number, proof of identity, parents employment location/ employment phone number and the child?s physicians name and phone number.
Based on record review and staff interviews, the licensee did not ensure each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information.
Evidence:
1. The record for Child #1 did not include a 2nd emergency contact name, address and phone number.
2. The record for Child #2 did not include a 2nd emergency contact name, address and phone number, proof of identity, parents employment location/ employment phone number and the child?s physicians name and phone number.
Plan of Correction: The Director has obtained another emergency contact for Child #1 and Child #2
Standard 8VAC20-780-90-A
Based on record review and staff interviews, the licensee did not ensure to obtain written agreement between the parent and the center in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent.
Evidence: The following agreements were not signed by the parent for Child #1 and Child #2.
1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds.
2. A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center.
3. A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Evidence: The following agreements were not signed by the parent for Child #1 and Child #2.
1. An authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds.
2. A statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center.
3. A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Plan of Correction: The Director is adding a page to the camp registration online to reflect this.