Inspection · 2022-05-05
Date
2022-05-05
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
(757) 404-2322
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 5/5/22 from 10:15am - 12:30pm. During the inspection there were 46 children ages two months old through five years old in care with 9 staff. Children were observed participating in various activities in the classrooms, eating lunch, and during rest period. Records were reviewed for five children and five staff. Medication, emergency procedures, emergency supplies and transportation procedures were also reviewed during the inspection. 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
5Standard 8VAC20-780-130-A
Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record for child #4, present during the inspection, did not contain documentation of an immunization record.
2. Staff #5 (Program Director) reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.
Evidence:
1. The record for child #4, present during the inspection, did not contain documentation of an immunization record.
2. Staff #5 (Program Director) reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.
Plan of Correction: The facility responded: The parents of child #4 will be asked to provide a current immunization record.
Standard 8VAC20-780-160-A
Based on a review of five staff records, it was determined that the facility 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 shall have been completed in the last 30 calendar days.
Evidence:
1. The record for staff #2(date of hire 4/6/22) contained documentation of a negative tuberculosis screening that was dated 4/24/22.
2. Staff #5 (Program Director) reviewed the record for staff #2, and confirmed that the documentation of a negative tuberculosis screening had been completed after employment began.
Evidence:
1. The record for staff #2(date of hire 4/6/22) contained documentation of a negative tuberculosis screening that was dated 4/24/22.
2. Staff #5 (Program Director) reviewed the record for staff #2, and confirmed that the documentation of a negative tuberculosis screening had been completed after employment began.
Plan of Correction: The facility responded: All new staff will complete a TB screening prior to employment.
Standard 8VAC20-780-350-B-4
Based on observation and interviews, it was determined that the licensee did not ensure that for children, three years of age up to school age eligible, a ratio of one staff member for every ten children is maintained at all times children are in care.
Evidence:
1. The Licensing Inspector entered the Pre-K classroom and observed staff #1 alone with 12 children present.
2. When staff #1 was asked the age of the children present, staff #1 stated that the children were 4 and 5 years old.
3. An additional staff arrived at the facility and entered into the classroom during the inspection.
4. Staff #5 (Program Director) confirmed the Pre-K classroom did not maintain the required staff-to child ratio.
Evidence:
1. The Licensing Inspector entered the Pre-K classroom and observed staff #1 alone with 12 children present.
2. When staff #1 was asked the age of the children present, staff #1 stated that the children were 4 and 5 years old.
3. An additional staff arrived at the facility and entered into the classroom during the inspection.
4. Staff #5 (Program Director) confirmed the Pre-K classroom did not maintain the required staff-to child ratio.
Plan of Correction: The facility responded: We corrected it during the inspection. A staff called out sick today and that caused the classroom to no follow the required staff-to-child ratio.
Standard 8VAC20-780-510-I
Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container.
Evidence:
1. The written authorization for the medication (Ventolin inhaler) for child #1 was not signed by the parent.
2. Staff #5 (Program Director) confirmed that there was medication at the facility that did not have written authorization from the parent in order for it to be administered.
Evidence:
1. The written authorization for the medication (Ventolin inhaler) for child #1 was not signed by the parent.
2. Staff #5 (Program Director) confirmed that there was medication at the facility that did not have written authorization from the parent in order for it to be administered.
Plan of Correction: The facility responded: The parents of child #1 will be asked to sign the medication authorization form or the medication will be sent home. Going forward all medication will not be accepted unless it has a medication authorization that is signed by the parent.
Standard 8VAC20-780-550-F
Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a lockdown practice evacuation drill is completed annually.
Evidence:
1. The emergency drill log did not have written documentation to demonstrate that a lockdown practice drill was completed during 2021.
2. Staff #5 (Program Director) confirmed that only one shelter-in-place practice drill was completed during 2021.
Evidence:
1. The emergency drill log did not have written documentation to demonstrate that a lockdown practice drill was completed during 2021.
2. Staff #5 (Program Director) confirmed that only one shelter-in-place practice drill was completed during 2021.
Plan of Correction: The facility responded: We will ensure that we complete an annual lockdown practice drill.