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The Learning Experience

Inspection · 2022-12-06

Date
2022-12-06
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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
20 Access to minor's records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was initiated on 12/06/2022 and concluded on 12/07/2022. On Tuesday, December 6, 2022, the inspector was on site from 9:10am to approximately 1:40pm. The inspection also focused on the main areas of previous non-compliance. There were a total of 126 children in care in the direct care of 19 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, kitchen, hallways, playgrounds, and bathrooms were inspected. The required postings were reviewed and found to be in compliance. Medication is administered when required and medication and medication authorizations were reviewed. The center is equipped with toys and supplies and items were available to the children. Eight children's records and eight staff records were reviewed. Additional documentation was submitted electronically on 12/07/2022.

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. There were no violations cited in relation to the focused portion of the inspection.

Violations

7
Standard 22.1-289.035-A
Based on a review of eight staff records, the center did not obtain a required repeat background check for one staff member every five years.

Evidence: The most recent central registry finding in the record of Staff #4, employed on 02/17/14, was dated 05/12/22. The previous central registry finding was dated 04/21/17.
Plan of Correction: Corrected. In the future, the center will ensure repeat background checks are requested with ample time to allow for results to be received prior to expiration.
Standard 8VAC20-780-130-E
Based on a review of eight children's records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years.

Evidence: 1) The most recent immunization documentation in the record of Child #2 (19-month-old), date of attendance 05/02/22, is dated 04/18/22. 2) During interview, management confirmed the records did not contain additional immunizations.
Plan of Correction: The parents have been notified. They will have one week to provide the required documentation. In the future, all children under the age of 2 will have updated immunizations on file every 6 months.
Standard 8VAC20-780-160-A
Based on a review of eight staff records and interview, the center did not ensure two staff members had documentation of a negative tuberculosis (TB) screening within the required time frames.

Evidence: 1) The record of Staff #7, employed on 11/21/22, did not contain documentation of a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.
2) The TB screening in the record of Staff #8, employed on 10/31/22, was dated 11/16/21. The documentation shall have been completed within the last 30 calendar days of the date of employment.
3) During interview, management confirmed the documentation was not received within the required time frame.
Plan of Correction: Staff members have been notified that TBs are due no later than 12/12/22. In the future, the center will ensure all TB screenings or testing are completed within the required timeframes.
Standard 8VAC20-780-160-C
Based on a review of eight staff records and interview, the center did not ensure one staff submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing.

Evidence: 1) The most recent TB screening in the record of Staff #4, employed on 02/17/14, was dated 05/29/20. The TB screening expired on 05/29/22. 2) During interview, management confirmed Staff #4 does not have an updated TB screening on file.
Plan of Correction: The staff has been notified that the updated TB is due no later than 12/12/2022. In the future, the center will obtain updated TBs every two years for all staff members.
Standard 8VAC20-780-520-A
Based on a review of medications and interview, the center did not ensure non-prescription drugs and over-the-counter skin products were kept or used beyond the expiration date of the product.

Evidence: 1) An over-the-counter medication for Child #13 was observed at the center on 12/06/2022. The medication expired on 10/2022 and it had not been returned to the child's parent.

2) During interview, management acknowledged the medication was expired, but reported it had not been administered to Child #13.
Plan of Correction: The expired medication will be returned to the family and a new one requested.
Standard 8VAC20-780-60-A-8
Based on a review of record, the center did not ensure that one child with a diagnosed food allergy had a written care plan, 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: The record of Child #9 indicated the child has a diagnosed food allergy. The written allergy care plan in the record did not 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.
Plan of Correction: The parents have been notified and the physicians signature requested. In the future, the center will ensure all written allergy care plans include that piece of information.
Standard 8VAC20-780-70
Based on a review of eight staff records and interview, the center did not ensure that one staff record contained all the required information.

Evidence: 1) The record of Staff #1, employed on 07/25/22, did not contain documentation to demonstrate that the individual possesses the education required by the job position. 2) During interview, Staff #1 was identified as a program leader. Management acknowledged documentation of the staff member's education was not on file.
Plan of Correction: The documentation was requested and will be filed upon receipt.
View original record on Virginia Department of Social Services