Inspection · 2022-06-01
Date
2022-06-01
Complaint Related
No
Licensing Inspector
Shanae Vaughn
(276) 608-4267
(276) 608-4267
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 LICENSE PROCESS
8VAC20-820 HEARING PROCEDURES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced renewal inspection was conducted on June 1, 2022. Upon arrival at 9:45 AM, there were 35 children present
and 8 staff present. The Inspector reviewed 5 children?s records & 4 staff records during today's inspection.
Licensing Inspector also review 2 children medication records.. The inspector reviewed compliance in the areas of
administration, staff training & qualifications, physical plant, staffing and supervision, programming, medication, special care and
emergencies, background checks and nutrition.
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
11Standard 22.1-289.058
Based on observation the center failed to install carbon monoxide
Detectors in each building that serves preschool children.
Evidence: Licensing Inspector asked Director if either building had a carbon monoxide detector and the director stated neither building had them.
Detectors in each building that serves preschool children.
Evidence: Licensing Inspector asked Director if either building had a carbon monoxide detector and the director stated neither building had them.
Plan of Correction: Director had carbon monoxide detectors installed today.
Standard 8VAC20-780-270-A
Based on observation, the center failed to maintain inside play equipment clean, safe and operable.
Evidence: Licensing Inspector observed a child in Class #3 playing with a broken wooden chair. The child had the broken leg off the chair engaging in play with it. This creates a bodily harm hazard for the child and others.
Evidence: Licensing Inspector observed a child in Class #3 playing with a broken wooden chair. The child had the broken leg off the chair engaging in play with it. This creates a bodily harm hazard for the child and others.
Plan of Correction: The chair and the broken leg were removed from classroom immediately.
Standard 8VAC20-780-280-H
Based on observations the center failed to keep hazardous substances in a locked location.
Evidence: License Inspector observed in the infant room, a plastic bag in the window seal located beside an infant crib. Plastic bag was within reach of infant child creating a suffocation hazard.
Evidence: License Inspector observed in the infant room, a plastic bag in the window seal located beside an infant crib. Plastic bag was within reach of infant child creating a suffocation hazard.
Plan of Correction: Director removed bag from window and disposed of.
Standard 8VAC20-780-330-A
Based on observation, the center failed to maintain outdoor playground area to protect children from hazards.
Evidence: Licensing Inspector observed unused playground equipment scattered on back of children?s playground that was not in use or properly installed. Improper installation pose possible bodily harm to children.
Based on observation, the center failed to maintain outdoor playground area to protect children from hazards.
Evidence: Licensing Inspector observed unused playground equipment scattered on back of children?s playground that was not in use or properly installed. Improper installation pose possible bodily harm to children.
Licensing Inspector also observed hazardous construction equipment & materials on the playground.
Licensing Inspector also observed a plastic deflated inflatable toy hung on the back fence area causing a suffocation and entrapment hazard to the children in the care.
Evidence: Licensing Inspector observed unused playground equipment scattered on back of children?s playground that was not in use or properly installed. Improper installation pose possible bodily harm to children.
Based on observation, the center failed to maintain outdoor playground area to protect children from hazards.
Evidence: Licensing Inspector observed unused playground equipment scattered on back of children?s playground that was not in use or properly installed. Improper installation pose possible bodily harm to children.
Licensing Inspector also observed hazardous construction equipment & materials on the playground.
Licensing Inspector also observed a plastic deflated inflatable toy hung on the back fence area causing a suffocation and entrapment hazard to the children in the care.
Plan of Correction: Director removed all unused equipment away from children and out of their reach
Standard 8VAC20-780-440-B
Based on observation the center failed to label children?s crib.
Evidence: License Inspector observed 2 cribs that were not identified for use by a specific child. Infant children were in care during the inspection.
Evidence: License Inspector observed 2 cribs that were not identified for use by a specific child. Infant children were in care during the inspection.
Plan of Correction: Director labeled the children's cribs by the end of day.
Standard 8VAC20-780-510-G
Based on review of medication, the center failed to label prescribed medication with required information.
Evidence: Licensing Inspector reviewed medication records for 2 children. Prescribed emergency Medications for Child #1 was not labeled with the child?s name, dosage amount and the time(s) to be given.
Evidence: Licensing Inspector reviewed medication records for 2 children. Prescribed emergency Medications for Child #1 was not labeled with the child?s name, dosage amount and the time(s) to be given.
Plan of Correction: Director put medication back in labeled box. There was a labeled box on site.
Standard 8VAC20-780-510-P
Based on review of medication records the center failed to return medication that had an expired authorization.
Evidence: Licensing Inspector reviewed medication records for 2 children. The medication authorization for Child #2 had expired. The Center Director advised the Licensing Inspector that Child #2 is no longer enrolled however the medication was still on site and had not been returned to the child?s parent.
Evidence: Licensing Inspector reviewed medication records for 2 children. The medication authorization for Child #2 had expired. The Center Director advised the Licensing Inspector that Child #2 is no longer enrolled however the medication was still on site and had not been returned to the child?s parent.
Plan of Correction: Medication returned to mom that day. Parent was also given new Medication authorization to be completed before the child returns.
Standard 8VAC20-780-520-C
Based on observation, the center failed to label diaper cream with child?s name.
Evidence: In the infant room, Licensing Inspector found 3 tubes of diaper cream that were not labeled with child?s name.
Evidence: In the infant room, Licensing Inspector found 3 tubes of diaper cream that were not labeled with child?s name.
Plan of Correction: Director disposed of the creams immediately.
Standard 8VAC20-780-570-E
Based on observation, the center failed to label infant bottle containing prepared infant formula with the child?s name and date.
Evidence: In the infant room, Licensing Inspector observed an infant bottle containing prepared formula. Bottle was not labeled with the child?s name or date.
Evidence: In the infant room, Licensing Inspector observed an infant bottle containing prepared formula. Bottle was not labeled with the child?s name or date.
Plan of Correction: Bottles were labeled by director while inspectors were still there.
Standard 8VAC20-780-60-A
Based on review of children?s records, the center failed to obtain 2 designated people to call in emergency if parents cannot be reached.
Evidence: Licensing Inspector reviewed 5 children?s records. Record for Child #3 did not include the names, addresses and phone numbers for at least 2 people who are not identified as parents/guardians. Record for Child #3 identifies the child?s parents/ guardians as the emergency contact.
Evidence: Licensing Inspector reviewed 5 children?s records. Record for Child #3 did not include the names, addresses and phone numbers for at least 2 people who are not identified as parents/guardians. Record for Child #3 identifies the child?s parents/ guardians as the emergency contact.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Based on review of children?s records, the center failed to obtain written agreements between the parent and the center.
Evidence; Licensing Inspector reviewed 5 children?s records. Records for Child #1 and Child #2 did not include documentation of the written agreements between parent and center.
Evidence; Licensing Inspector reviewed 5 children?s records. Records for Child #1 and Child #2 did not include documentation of the written agreements between parent and center.
Plan of Correction: Parent signed all agreements for both children that evening upon pickup.