Inspection · 2024-09-16
Date
2024-09-16
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
(540) 309-2494
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
Inspector Notes
An unannounced, on-site renewal inspection was initiated on 09/16/2024 and completed on 09/16/2024. The on-site inspection began at 10:40 AM and ended at 4:00 PM. The inspector reviewed compliance in the areas listed above. There were 133 children present and 33 staff. The inspector reviewed 10 children?s records and 10 staff records on-site. This inspection included document review, tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 09/30/2024. A POC submitted after this date will not appear on the public website.
Violations
10Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Child #10 did not have documentation that an immunization record had been obtained before the child attended the center.
Child #10 did not have documentation that an immunization record had been obtained before the child attended the center.
Plan of Correction: The child?s enrollment date was 10/02/2023, however his start date was on 10/04/2023, which is evident in attendance records. A completed and signed physical and immunization record was received by the center on 10/03/2024 prior to the first date of attendance.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.
One immunization record for Child #5 was not signed and dated.
Two immunization records for Child #2 was not signed and dated.
One immunization record for Child #5 was not signed and dated.
Two immunization records for Child #2 was not signed and dated.
Plan of Correction: A physician?s signature was obtained on the child?s printed health record.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. If a key is use, the key shall not be accessible to children.
1. In the Infant D room, the cabinet under the changing table was unlocked. There was one bottle labeled ?Multiquat Sanitizer?.
2. In the Toddler C room, the closet door had the key in the door. There was cleaning supplies in the closet.
3. In the Two?s A room, the closet door had the key in the door. There was cleaning supplies in the closet.
4. In the Two?s B room, the closet door had the key in the door. There was cleaning supplies in the closet.
5. In the Two?s C, the cabinet in the bathroom was unlocked. There was cleaning supplies in the cabinet.
1. In the Infant D room, the cabinet under the changing table was unlocked. There was one bottle labeled ?Multiquat Sanitizer?.
2. In the Toddler C room, the closet door had the key in the door. There was cleaning supplies in the closet.
3. In the Two?s A room, the closet door had the key in the door. There was cleaning supplies in the closet.
4. In the Two?s B room, the closet door had the key in the door. There was cleaning supplies in the closet.
5. In the Two?s C, the cabinet in the bathroom was unlocked. There was cleaning supplies in the cabinet.
Plan of Correction: All cleaning products, in all classrooms, were immediately moved from closets to locked cabinets out of children?s reach.
Standard 8VAC20-780-290-A-3
Electrical outlets shall have protective covers.
1. In the Two A restroom, one outlet did not have a protective cover.
2. In the Kindergarten Prep A restroom, one outlet did not have a protective cover.
3. In the Preschool A restroom, one outlet did not have a protective cover.
1. In the Two A restroom, one outlet did not have a protective cover.
2. In the Kindergarten Prep A restroom, one outlet did not have a protective cover.
3. In the Preschool A restroom, one outlet did not have a protective cover.
Plan of Correction: Protective covers were immediately placed in the child restrooms that had a cover missing out of an abundance of caution. However, an electrician has verified that the observed electrical outlets were ground fault protected and are safe for children. All outlets in the center are being adjusted to having the self-closing covers.
Standard 8VAC20-780-350-B-3
The required ratio for children ages 16 to 24 months is one staff per five children.
Staff #11 was observed supervising seven children alone (youngest child was 23 months old).
Staff #11 was observed supervising seven children alone (youngest child was 23 months old).
Plan of Correction: One 23 month old had transitioned to our Twos program. The center director, parents, and teachers have all signed a developmental acknowledgement form indicating all are in agreement that the child is developmentally ready for this program and the Twos ratio.
Standard 8VAC20-780-500-A
Staff shall wash hands with soap and running water before and after a diaper change.
Staff #12 was observed changing four diapers. Staff #12 did not wash hands before or after changing each diaper.
Staff #12 was observed changing four diapers. Staff #12 did not wash hands before or after changing each diaper.
Plan of Correction: The staff member was immediately retrained on hand-washing policies and procedures.
Standard 8VAC20-780-500-B
There shall be sight and sound supervision for all children when a child is being diapered. Staff shall ensure immediate safety of a child during diapering.
1. In the Toddler D room, four children were observed in the classroom while Staff #3 was changing a diaper in the diapering area which was not in the classroom. The children were not in sight of the staff member while changing the diaper. The children in the classroom ranged in age from 17 to 22 months.
2. In the Toddler C room, Staff # 12 was observed changing four diapers. Each time, Staff #12 stepped away and out of reach from the child on the changing table to throw away the diaper in the trash can. The children in the classroom ranged in age from 16 months to 23 months.
1. In the Toddler D room, four children were observed in the classroom while Staff #3 was changing a diaper in the diapering area which was not in the classroom. The children were not in sight of the staff member while changing the diaper. The children in the classroom ranged in age from 17 to 22 months.
2. In the Toddler C room, Staff # 12 was observed changing four diapers. Each time, Staff #12 stepped away and out of reach from the child on the changing table to throw away the diaper in the trash can. The children in the classroom ranged in age from 16 months to 23 months.
Plan of Correction: In our Toddler B classroom, we have ordered a portable diaper changing table to be located in the classroom in the event there is only one teacher present. Staff members present were immediately coached and retrained on safety and supervision during diaper changing.
Standard 8VAC20-780-510-F
REPEAT VIOLATION
The medication authorization shall be available to staff during the entire time it is effective.
In the Preschool A classroom, there was emergency medication for Child #8. There was no medication authorization form available to the staff.
The medication authorization shall be available to staff during the entire time it is effective.
In the Preschool A classroom, there was emergency medication for Child #8. There was no medication authorization form available to the staff.
Plan of Correction: The completed medication authorization form that was in the office was immediately placed with the emergency medication in the classroom.
Standard 8VAC20-780-520-C
If diaper ointment or cream is use, the following requirements shall be met: These products do not need to be kept locked but shall be inaccessible to children.
In the Infant D classroom, the cabinet under the changing table was unlocked and contained six containers of diaper cream. There were mobile children in the classroom and the diaper cream was accessible to the children.
In the Infant D classroom, the cabinet under the changing table was unlocked and contained six containers of diaper cream. There were mobile children in the classroom and the diaper cream was accessible to the children.
Plan of Correction: All diaper ointments or creams have been moved to higher-level cabinets out of children?s reach.
Standard 8VAC20-780-70
Documentation to demonstrate that the individual possesses the education and experience required by the job position shall be kept on file for each staff person.
Staff #3, who was the program leader and the only staff in the Toddler D room, did not have documentation of program director qualifications on file.
Staff #7, who was the program director and the only staff in the Two C room, did not have documentation of program director qualifications on file.
Staff #3, who was the program leader and the only staff in the Toddler D room, did not have documentation of program director qualifications on file.
Staff #7, who was the program director and the only staff in the Two C room, did not have documentation of program director qualifications on file.
Plan of Correction: Each staff member?s file is immediately being updated with documented qualifications for both education and experience.