Inspection · 2018-06-04
Date
2018-06-04
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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.
Yes
Areas Reviewed
8VAC20-770 Background Checks
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers
Inspector Notes
An unannounced subsidy inspection was conducted on 7/19/2023 from 9:30am to 11:10am. A monitoring inspection was conducted on the same date as the SHSI inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements not covered in the religious exempt child day center regulations were reviewed during the subsidy inspection. At the time of the inspection there were 24 children in care with two staff members and two volunteers. Children were observed participating in various activities including computer time and musical chairs. Records were reviewed for three staff and 5 children. The vehicle used for transporting children on field trips was observed as well as field trip procedures. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the program, and were discussed during the exit interview.
Violations
12Standard 8VAC20-790-540-B
Based on a review of children's records, it was determined that the vendor did not ensure that a complete record containing all the required information for each child enrolled was maintained and kept at the center.
Evidence:
1. The record for Child #1 did not contain the immunization record.
2. The record for Child #5 did not include a permission to transport signed by the parent. The center provides transportation and takes children on weekly field trips.
Evidence:
1. The record for Child #1 did not contain the immunization record.
2. The record for Child #5 did not include a permission to transport signed by the parent. The center provides transportation and takes children on weekly field trips.
Plan of Correction: Children's records including immunizations and permission to transport were updated.were updated.
Standard 8VAC20-790-550-2-b
Based on a review of staff records, it was determined that the vendor did not ensure that staff records include the satisfactory result of child abuse and neglect registry from any other state in which the individual has resided in the preceding 5 years.
Evidence:
The record for Staff #2, working during the time of the inspection, did not contain documentation of a child abuse and neglect registry check from out of state. The staff member confirmed she had resided in another state in the proceeding 5 years.
Evidence:
The record for Staff #2, working during the time of the inspection, did not contain documentation of a child abuse and neglect registry check from out of state. The staff member confirmed she had resided in another state in the proceeding 5 years.
Plan of Correction: The out of state background process has begun.
Standard 8VAC20-790-550-2-c
Based on a review of records the center did not ensure that staff records include results of a sex offender registry check from any state in which the person has resided in the preceding 5 years.
Evidence:
The record for Staff #2 did not include a sex offender registry check from out of state. Staff #2 stated she had lived in Colorado in 2021.
Evidence:
The record for Staff #2 did not include a sex offender registry check from out of state. Staff #2 stated she had lived in Colorado in 2021.
Plan of Correction: The process for the out of state background checks have begun.
Standard 8VAC20-790-550-2-f
Based on review of records the vendor did not ensure that background checks were conducted every five years.
Evidence:
1. The fingerprint based criminal history background check for staff #2 was completed 6/4/2018. This was more than five years ago.
2. The Virginia Child Protective Services Central Registry check was completed 6/6/2018. This was more than five years ago.
Evidence:
1. The fingerprint based criminal history background check for staff #2 was completed 6/4/2018. This was more than five years ago.
2. The Virginia Child Protective Services Central Registry check was completed 6/6/2018. This was more than five years ago.
Plan of Correction: Renewal background check process has begun.
Standard 8VAC20-790-550-3
Based on a review of records the center did not ensure that staff records include Tuberculosis (TB) screening results.
Evidence:
The records for Staff #1, #2, #3 did not include TB screening results. Staff #2 said she had not had a TB screening.
Evidence:
The records for Staff #1, #2, #3 did not include TB screening results. Staff #2 said she had not had a TB screening.
Plan of Correction: TB screenings have been completed.
Standard 8VAC20-790-600-C
Based on records review the vendor did not ensure that staff complete orientation training prior to the staff member working alone with children and within seven days of the date of assuming job responsibilities.
Evidence:
The employee record for Staff #1 did not have documentation of orientation training.
Evidence:
The employee record for Staff #1 did not have documentation of orientation training.
Plan of Correction: Orientation has been completed.
Standard 8VAC20-790-630-A
Based on observation the vendor did not ensure that the areas and equipment of the center are maintained is a safe and operable condition.
Evidence:
1.There were dangling electrical cords in the classrooms rooms used by the school age program.
2. There were electrical cords running along the floor in entrances to classrooms posing a trip hazard.
3. There was a rusted paper towel dispenser in bathroom #1.
4. There were two rusted toilet paper holder brackets in bathroom #2.
5. A large basketball hoop was laying across the hallway in the computer lab. The basketball hoop was blocking the egress to the emergency exit door.
Evidence:
1.There were dangling electrical cords in the classrooms rooms used by the school age program.
2. There were electrical cords running along the floor in entrances to classrooms posing a trip hazard.
3. There was a rusted paper towel dispenser in bathroom #1.
4. There were two rusted toilet paper holder brackets in bathroom #2.
5. A large basketball hoop was laying across the hallway in the computer lab. The basketball hoop was blocking the egress to the emergency exit door.
Plan of Correction: Cords have been re-arranged. The paper towel dispenser has been ordered and is being installed on 8/7/2023. The basketball hoop was moved so it is not blocking an entrance/exit door.
Standard 8VAC20-790-640-A
Based on observation it was determined the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
There was a unlocked cabinet in the hallway that contained Clorox bleach, Round Up, and insecticide. Children have access to this cabinet . The cabinet is in the hallway with the three bathrooms used by children.
Evidence:
There was a unlocked cabinet in the hallway that contained Clorox bleach, Round Up, and insecticide. Children have access to this cabinet . The cabinet is in the hallway with the three bathrooms used by children.
Plan of Correction: A lock has been placed on the cabinet.
Standard 8VAC20-790-770-D
Based on observation and interview it was determined that the vendor did not ensure medication was kept in a locked place using a safe locking method that prevents access by children.
Evidence:
Ibuprofen and acetaminophen were stored in an unlocked first aid kit in the center.
Evidence:
Ibuprofen and acetaminophen were stored in an unlocked first aid kit in the center.
Plan of Correction: The medication has been locked up.
Standard 8VAC20-790-780-C-2
The vendor did not ensure that the center had all of the required nonmedical emergency supplies.
Evidence:
The battery operated radio did not work.
Evidence:
The battery operated radio did not work.
Plan of Correction: Batteries have been put in the radio. It is working now.
Standard 8VAC20-790-800-B
Based on a review of records and interviews it was determined that the vendor did not maintain a record of the dates of emergency response practice drills for one year.
Evidence:
Records confirm that 6 monthly practice drills were completed from January through June of 2023. There were no practice drills documented for 2022. The Director confirmed drills were conducted in 2022 and were not documented on the drill log.
Evidence:
Records confirm that 6 monthly practice drills were completed from January through June of 2023. There were no practice drills documented for 2022. The Director confirmed drills were conducted in 2022 and were not documented on the drill log.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-830-C-4
Based on observation, record review and interview the center failed to ensure that the vehicle used to transport children met all of the Department of Motor Vehicles Safety requirements.
Evidence:
1.The van used to transport children did not have a safety inspection. The Director confirmed that the van did not have a safety inspection.
2.The passenger side of the van had two doors, the door handle on the left was broken. The door could not be opened. Staff #2 confirmed that the door handle did not work.
Evidence:
1.The van used to transport children did not have a safety inspection. The Director confirmed that the van did not have a safety inspection.
2.The passenger side of the van had two doors, the door handle on the left was broken. The door could not be opened. Staff #2 confirmed that the door handle did not work.
Plan of Correction: The safety inspection has bee completed. An appointment has been scheduled for the door handle repair.