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Wee Care Christian Learning Center

Inspection · 2023-05-24

Date
2023-05-24
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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 monitoring inspection was conducted on Wednesday, May 24, 2023 to determine the center's compliance with licensing standards. The inspector was on site from 10:45am to approximately 1:10pm. There were a total of 32 children in care in the direct care of eight staff members. The center's director assisted the inspector throughout the inspection. Upon the inspector's arrival, the children were observed in their designated classrooms and playing outside. The children and staff were later engaged in various activities. The children were observed during transitions, during free-play, and teacher-led activities. The center is equipped with age-appropriate materials and equipment for the children's use. Staff were engaged with the children and offered guidance when needed. The areas where children receive care were inspected and found to be in compliance. The required postings were observed. Medication is administered and three medications were reviewed. Transportation is not provided at this time. During the inspection, five children's records and five staff records were reviewed.

Information gathered during the inspections determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

5
Standard 8VAC20-780-130-E
Based on a review of five 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 immunizations in the record of Child #2 (DOA: 11/08/21), 20-month-old, were dated 01/13/22. 2) During interview, a member of management confirmed there were no additional immunizations on file for Child #2.
Plan of Correction: The updated immunizations will be requested.
Standard 8VAC20-780-160-C
Based on a review of five staff records and interview, the center did not ensure two staff obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years.

Evidence: 1) The most recent TB screening in the record of Staff #1 (DOE: 05/24/21) was dated 05/04/21. A new TB screening should have been obtained no later than 05/04/23.

2) The most recent TB screening in the record of Staff #5 (DOE: 08/23/08) was dated 10/08/22. The previous TB screening was dated 04/01/20. A new TB screening should have been obtained no later than 04/01/22.

3) During interview, a member of management acknowledged the follow-up TB screenings for Staff #1 and Staff #5 were not obtained within the required timeframe.
Plan of Correction: The missing TB will be obtained in the next two weeks.
Standard 8VAC20-780-240-A
Based on a review of five staff records and interview, the center did not ensure one staff complete within 90 calendar days of employment the Virginia Department of Education-sponsored orientation course.

Evidence: 1) The record of Staff #3 (DOE: 01/18/23) did not contain the Virginia Department of Education-sponsored orientation course. 2) During interview, a member of management reported the staff member has not completed the orientation to date.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
Plan of Correction: The staff member will complete the DOE orientation in the next two weeks.
Standard 8VAC20-780-510-P
Based on a review of documentation, medication review, observation, and interviews, the center did not ensure when an authorization for medication expired, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Evidence: 1) A medication authorization for a long-term prescription medication was observed on 05/24/23 for Child #6 with an expiration date of 03/31/23. The medication was observed on site at the time of the inspection. 2) During interview, a member of management acknowledged the authorization has not been renewed and that the medication has not been properly disposed of.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Plan of Correction: An updated authorization will be requested and the medication returned to the parent until it is received.
Standard 8VAC20-780-550-F
Based on interviews and documentation reviewed, the center did not ensure lockdown procedures were practiced at least annually.

Evidence: 1) The center's documentation of emergency drills for 2022 was reviewed. A drill of the lockdown procedures was not documented. 2) During interview, a member of management reported the lockdown procedures were not practiced in 2022.
Plan of Correction: A lockdown drill be practiced annually.
View original record on Virginia Department of Social Services