Inspection · 2022-06-29
Date
2022-06-29
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
(703) 397-3827
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on 06/29/2022between the hours of approximately 9:00 am and 11:15 am. There were 102 children present, ranging in ages from 4 years to 12 years, with 10 staff supervising. Children and staff were observed during a morning meeting, having free play, transitioning to the pool and having free play.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed.
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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.
Violations
12Standard 22.1-289.035-A
Based on record review and interview, it was determined that the center did not ensure that a new Sworn Statement was obtained every five years for one staff person.
Evidence:
1) The most recent Sworn Statement available in the record for Staff #3 was dated 05/31/2017. A new Central Registry search request was due on 07/06/2018.
Evidence:
1) The most recent Sworn Statement available in the record for Staff #3 was dated 05/31/2017. A new Central Registry search request was due on 07/06/2018.
Plan of Correction: Review folders annually for accuracy.
Standard 22.1-289.035-B-2
Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff person.
Evidence:
1) The record for Staff #2 (start date 06/01/2022) had a fingerprint-based criminal history check determination letter dated 06/14/2022.
Evidence:
1) The record for Staff #2 (start date 06/01/2022) had a fingerprint-based criminal history check determination letter dated 06/14/2022.
Plan of Correction: Ensure results are in before processing hire.
Standard 8VAC20-780-160-A-1
Based on record review, documentation of a tuberculosis (Tb) screening for one staff person was not submitted at the time of employment and prior to coming into contact with children.
Evidence:
1) The record for Staff #2 (start date 06/01/2022) did not contain the results of a tuberculosis screening.
Evidence:
1) The record for Staff #2 (start date 06/01/2022) did not contain the results of a tuberculosis screening.
Plan of Correction: Obtain proof of Tb screening for team member.
Standard 8VAC20-780-240-I
Based on record review, documentation of staff's orientation training did not contain all required information.
Evidence:
1) The orientation training documentation in the records for Staff #1, Staff #2 and Staff #5 did not contain the date when the orientation training was completed.
Evidence:
1) The orientation training documentation in the records for Staff #1, Staff #2 and Staff #5 did not contain the date when the orientation training was completed.
Plan of Correction: Have all counselors sign form at time of training.
Standard 8VAC20-780-260-A
Based on documentation review, evidence of an annual fire department inspection report was not available to review.
Evidence:
1) On the date of inspection, the most recent fire inspection report available was dated 09/29/2020.
Evidence:
1) On the date of inspection, the most recent fire inspection report available was dated 09/29/2020.
Plan of Correction: Obtain proof of inspection from the marshal.
Standard 8VAC20-780-520-B
Based on observation and interview with the program director, use of sunscreen did not meet all requirements.
Evidence:
1) Sunscreen does not need to be kept locked but shall be inaccessible to children under five years of age: On the date of inspection, various plastic bins with sunscreen inside were observed on the floor of the gym, along one of the walls. The program director stated that the youngest child enrolled was 4 years-old.
2) Sunscreen shall be in the original container and labeled with the child's name: At least 5 sunscreen bottles were not labeled with the child's name.
Evidence:
1) Sunscreen does not need to be kept locked but shall be inaccessible to children under five years of age: On the date of inspection, various plastic bins with sunscreen inside were observed on the floor of the gym, along one of the walls. The program director stated that the youngest child enrolled was 4 years-old.
2) Sunscreen shall be in the original container and labeled with the child's name: At least 5 sunscreen bottles were not labeled with the child's name.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based on documentation review, emergency evacuation procedures were not practiced monthly.
Evidence:
1) On the date of inspection, the 2021 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of July 2021 and August 2021.
Evidence:
1) On the date of inspection, the 2021 emergency drills log provided for review, did not have evacuation (fire) drills documented for the months of July 2021 and August 2021.
Plan of Correction: Complete and make sure are documented.
Standard 8VAC20-780-550-I
Based on observation, required emergency numbers were not posted in a visible place at each telephone.
Evidence:
1) On the date of inspection, emergency numbers were not posted.
Evidence:
1) On the date of inspection, emergency numbers were not posted.
Plan of Correction: Post numbers by phone.
Standard 8VAC20-780-550-P
Based on documentation review, written record of children's serious and minor injuries did not contain all required information.
Evidence:
1) A selection of children's injury reports for the month of June 2022, did not contain one or more of the following: staff and parent signatures or two staff signatures, date and time when parents were notified, and/or documentation on how parent was notified.
Evidence:
1) A selection of children's injury reports for the month of June 2022, did not contain one or more of the following: staff and parent signatures or two staff signatures, date and time when parents were notified, and/or documentation on how parent was notified.
Plan of Correction: Review process of forms with all staff.
Standard 8VAC20-780-560-G
Based on observation, food brought from home was not clearly dated and labeled in a way that identifies the owner
Evidence:
1) At least 6lunchboxes and food containers were not dated and labeled with the child's name.
Evidence:
1) At least 6lunchboxes and food containers were not dated and labeled with the child's name.
Plan of Correction: Remind children not to remove tape with name and dates.
Standard 8VAC20-780-60-A-8
Based on record review, 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 was not available for one child.
Evidence:
1) The physical evaluation form in the record for Child #1 listed a food allergy but a written care plan was not available in the record for Child #1.
Evidence:
1) The physical evaluation form in the record for Child #1 listed a food allergy but a written care plan was not available in the record for Child #1.
Plan of Correction: Review with parent at first day of drop off.
Standard 8VAC20-780-70
Based on record review, staff records did not contain all required information.
Evidence:
1) The record for Staff #5 did not contain the address of a person to be notified in an emergency.
2) Documentation that two or more references as to character and reputation as well as competency shall be checked before employment: The dates for references in the record for Staff #2 (start date 06/01/2022) were dated 06/09/2022 and 06/16/2022.
Evidence:
1) The record for Staff #5 did not contain the address of a person to be notified in an emergency.
2) Documentation that two or more references as to character and reputation as well as competency shall be checked before employment: The dates for references in the record for Staff #2 (start date 06/01/2022) were dated 06/09/2022 and 06/16/2022.
Plan of Correction: Double check all paperwork for accuracy.