Inspection · 2022-12-02
Date
2022-12-02
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
(757) 334-4329
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
8VAC20-770 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 renewal inspection was conducted on 12/2/22 from 11:15am until 12:30pm. At the time of the inspection, there were 67 children in care with 14 staff present. A sample of 7 children's records and 9 staff records were reviewed. Children were observed participating in learning activities and free play, eating lunch and resting quietly during nap time. Lunch service, infant feeding, diapering, handwashing and restroom procedures were also observed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, transportation, medication, children's injury reports and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations were documented on the violation notice issued to the program and discussed with the center director during the exit interview.
Violations
6Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure that the results of a central registry finding are received within 30 days of employment.
Evidence:
1. The record for staff 1 (date of hire: 9/14/22) does not contain the results of a central registry finding.
2. The center director confirmed that the record for staff 1 is lacking documentation of a central registry finding.
Evidence:
1. The record for staff 1 (date of hire: 9/14/22) does not contain the results of a central registry finding.
2. The center director confirmed that the record for staff 1 is lacking documentation of a central registry finding.
Plan of Correction: The center responded with the following: The central registry search request for staff 1 was mailed at the time of hire; however, the results were not received and the center did not follow up within 30 days of the request being sent. Center administration contacted OBI and there were errors on the request form, which have been corrected. Once the results are received, they will be forwarded to the licensing inspector and placed in staff 1's record.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.
Evidence:
1. There is a plastic fire department play structure on the playground that is broken and cracked, with a large jagged hole in the plastic approximately 12 inches in diameter. This creates a pinching and snagging hazard.
2. The concrete at the base of the funnel ball pole on the playground is cracked and raised and there is a hole in the concrete approximately 4 inches deep, creating a tripping and falling hazard.
3. The center director confirmed that the items listed above are not currently in a safe and operable condition.
Evidence:
1. There is a plastic fire department play structure on the playground that is broken and cracked, with a large jagged hole in the plastic approximately 12 inches in diameter. This creates a pinching and snagging hazard.
2. The concrete at the base of the funnel ball pole on the playground is cracked and raised and there is a hole in the concrete approximately 4 inches deep, creating a tripping and falling hazard.
3. The center director confirmed that the items listed above are not currently in a safe and operable condition.
Plan of Correction: The center responded with the following: A work order has been placed with maintenance to have the areas on the playground repaired.
Standard 8VAC20-780-330-B
Based on playground observation and measurement, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.
Evidence:
1. The mulch at the base of the slides on the playground measures approximately 2 inch in depth, where 6 inches are required.
2. The center director confirmed that there is not at least 6 inches of resilient surfacing at the base of the playground slides.
Evidence:
1. The mulch at the base of the slides on the playground measures approximately 2 inch in depth, where 6 inches are required.
2. The center director confirmed that there is not at least 6 inches of resilient surfacing at the base of the playground slides.
Plan of Correction: The center responded with the following: The mulch on the playground has been raked and redistributed to ensure there is 6 inches of resilient surfacing at the base of the slides.
Standard 8VAC20-780-550-G
Based on a review of the emergency drill log and interview, the center did not ensure that documentation of emergency practice drills contain all the required elements.
Evidence:
1. The emergency drill log for the center does not include the method used for notification of the drill, any special conditions simulated or the weather conditions.
2. The center director confirmed that the center's emergency drill log does not contain the above required elements.
Evidence:
1. The emergency drill log for the center does not include the method used for notification of the drill, any special conditions simulated or the weather conditions.
2. The center director confirmed that the center's emergency drill log does not contain the above required elements.
Plan of Correction: The center responded with the following: The center's drill log has been updated to include all of the required information.
Standard 8VAC20-780-580-B
Based on observation and interview, the center did not ensure that any vehicle used by the center for transportation of children met all safety standards set by the Department of Motor vehicles.
Evidence:
1. The center's two passenger vans used to transport children have inspection stickers that expired in April 2022 and June 2022.
2. The center director confirmed that both vans used by the center to transport children have expired inspection stickers.
Evidence:
1. The center's two passenger vans used to transport children have inspection stickers that expired in April 2022 and June 2022.
2. The center director confirmed that both vans used by the center to transport children have expired inspection stickers.
Plan of Correction: The center responded with the following: Both vans will be taken for their state inspections as soon as possible.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.
Evidence:
1. The record for staff 2 (date of hire: 10/17/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for staff 3 (date of hire: 9/6/22) does not contain the name, address and telephone number of a person to be contacted in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. The center director confirmed that the records for staff 2 and staff 3 are lacking the above missing information.
Evidence:
1. The record for staff 2 (date of hire: 10/17/22) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for staff 3 (date of hire: 9/6/22) does not contain the name, address and telephone number of a person to be contacted in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. The center director confirmed that the records for staff 2 and staff 3 are lacking the above missing information.
Plan of Correction: The center responded with the following: The emergency contact for staff 3 was obtained during the inspection and placed in staff 3's record. The references for staff 2 and staff 3 have been obtained and placed in their records.