Inspection · 2024-02-21
Date
2024-02-21
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
(703) 479-4675
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.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
Conducted an unannounced renewal inspection at 10:25am. Observed 59 children + 15 direct-care staff. Ratios and supervision were in compliance. Children were observed in a variety of activities to include reading books, eating snack, singing, and preparing for walks to a nearby park. The curriculum is language immersion based. Staff were actively engaged with the children and activities. The facility was found to be clean and well supplied with toys and equipment for the children. Areas of non-compliance with standards and laws reviewed waere found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov
Note: The licensee should submit the plan of corrections within 5 business days of receipt of this report for the plans to be included in the report and posted on the VDOE website.
Violations
7Standard 22.1-289.011-F
Repeat Violation.
Based on observations made, the most recently issued Violation Notice, dated 11/29/23, was not posted in the school. The Inspection Summary page was posted.
Based on observations made, the most recently issued Violation Notice, dated 11/29/23, was not posted in the school. The Inspection Summary page was posted.
Plan of Correction: Moving forward, we will ensure that all pages containing violations are prominently
posted on the board as required.
posted on the board as required.
Standard 22.1-289.035-B-4
Repeat Violation and Systemic Deficiency.
Based on records reviewed, 1 of 5 staff records reviewed did not include a completed background check by the end of the 30th day of employment. Evidence: Staff #1 began employment on 1/5/24. The out-of-state child abuse and neglect search was not submitted until 2/22/24, and is pending completion.
Based on records reviewed, 1 of 5 staff records reviewed did not include a completed background check by the end of the 30th day of employment. Evidence: Staff #1 began employment on 1/5/24. The out-of-state child abuse and neglect search was not submitted until 2/22/24, and is pending completion.
Plan of Correction: We have already initiated contact with the appropriate authorities and
followed up via email to inquire about the status of the pending out-of state
child abuse and neglect search submitted on behalf of Staff #1 on
2/22/24. We will continue to communicate with the relevant agency to
ensure timely completion of the background check, as it is essential for
compliance and the safety of our staff and children. To prevent similar
occurrences in the future, we will work closely with our Human
Resources department to implement a protocol ensuring that all required
background checks, including out-of-state checks, are promptly
submitted upon employment commencement. This will streamline the
process and prevent delays in compliance.
followed up via email to inquire about the status of the pending out-of state
child abuse and neglect search submitted on behalf of Staff #1 on
2/22/24. We will continue to communicate with the relevant agency to
ensure timely completion of the background check, as it is essential for
compliance and the safety of our staff and children. To prevent similar
occurrences in the future, we will work closely with our Human
Resources department to implement a protocol ensuring that all required
background checks, including out-of-state checks, are promptly
submitted upon employment commencement. This will streamline the
process and prevent delays in compliance.
Standard 8VAC20-780-510-E
Based on documents reviewed, the center's procedures for administering medication did not include required components.
Evidence:
1. The procedures did not include methods to prevent the use of outdated medication.
2. The procedures did not include the administration of non-prescription medications be consistent with the manufacturer's instructions for age, duration and dosage.
3. The procedures did not include duration of the parent's authorization for medication expiring after 10 business days, or to be renewed after 10 business days.
4. The procedures did not include the requirement for a parent and physicians authorization for long-term medication.
Evidence:
1. The procedures did not include methods to prevent the use of outdated medication.
2. The procedures did not include the administration of non-prescription medications be consistent with the manufacturer's instructions for age, duration and dosage.
3. The procedures did not include duration of the parent's authorization for medication expiring after 10 business days, or to be renewed after 10 business days.
4. The procedures did not include the requirement for a parent and physicians authorization for long-term medication.
Plan of Correction: We will update our medication administration procedures to include:
1. Methods to prevent the use of outdated medication.
2. Consistent administration of nonprescription medications according
to manufacturer's instructions.
3. Clear guidelines on the duration of parent authorization, renewable
every 10 business days.
4. Requirement for both parent and physician authorization for long-term
medication.
1. Methods to prevent the use of outdated medication.
2. Consistent administration of nonprescription medications according
to manufacturer's instructions.
3. Clear guidelines on the duration of parent authorization, renewable
every 10 business days.
4. Requirement for both parent and physician authorization for long-term
medication.
Standard 8VAC20-780-510-G
Based on observations made, 1 of 3 medications did not include required labeling on the medication. Evidence: An over-the-counter long-term emergency medication for Child #7 did not include a label with the child's name, name of medication, the dosage amount and when to administer.
Plan of Correction: We have promptly communicated with the family. They have provided us with the
medication along with a physician's prescription matching the child's needs.
Moving forward, we will ensure that all medications brought in by families are
appropriately labeled, matching exactly with the name of the medication, dosage amount, and administration instructions. This measure will uphold safety standards and prevent any potential confusion regarding medication
administration.
medication along with a physician's prescription matching the child's needs.
Moving forward, we will ensure that all medications brought in by families are
appropriately labeled, matching exactly with the name of the medication, dosage amount, and administration instructions. This measure will uphold safety standards and prevent any potential confusion regarding medication
administration.
Standard 8VAC20-780-510-I
Based on records reviewed, the center did not obtain written authorization from a parent/guardian for a medication found to be on-site. Evidence: There was no written authorization for an over-the-counter long-term emergency medication for Child #7.
Plan of Correction: We have requested the family to
refill our authorization form,
ensuring all details for the long term utilization of the over-the counter medication are included and required both parent and physician authorization for long term
medication.
refill our authorization form,
ensuring all details for the long term utilization of the over-the counter medication are included and required both parent and physician authorization for long term
medication.
Standard 8VAC20-780-550-P
Based on records reviewed, 1 of 7 written injury reports did not document required information. Evidence: 1 report did not document the date, time and how the parent was notified.
Plan of Correction: We've communicated with all front desk administrators and teachers to ensure the inclusion of date, time, and method of parent notification in injury reports post-parent signature.
Standard 8VAC20-780-70
Repeat Violation and Systemic Deficiency.
Based on records reviewed, 1 of 5 staff records did not include documentation of at least 2 reference checks. Evidence: The record for Staff #2 documented the completion of 1 reference check.
Based on records reviewed, 1 of 5 staff records did not include documentation of at least 2 reference checks. Evidence: The record for Staff #2 documented the completion of 1 reference check.
Plan of Correction: We have promptly contacted Staff #2 and requested the second reference be provided as soon as possible. Moving forward, we will ensure that all staff records include documentation of at least 2 reference checks as per our policy.