Inspection · 2023-06-28
Date
2023-06-28
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
(757) 404-2575
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.
8VAC20-820 HEARINGS PROCEDURES.
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 monitoring inspection was conducted on 6/28/2023 with follow-up on 7/3/2023.. There were 94 school aged children present with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 6 child records and 13 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the program administrator during the exit interview.
Violations
6Standard 8VAC20-780-160-A-1
Based upon review of the records of thirteen newly employed staff, the facility has not ensured that documentation of a tuberculosis screening is obtained by staff before coming into contact with the children.
Evidence:
The record provided for staff 9, employed and bean working on 6/23/2023 did not include the results of a tuberculosis screening.
Evidence:
The record provided for staff 9, employed and bean working on 6/23/2023 did not include the results of a tuberculosis screening.
Plan of Correction: The facility responded with the following:
Staff 9 advised this was done prior to the start of employment; he is obtaining a copy of it by Monday in order to return to work.
Staff 9 advised this was done prior to the start of employment; he is obtaining a copy of it by Monday in order to return to work.
Standard 8VAC20-780-160-A-2
Based upon review of the records for thirteen newly employed staff, the facility has not ensured that there is documentation that staff have obtained a tuberculosis screening within the last 30 calendar days of the date of employment.
Evidence:
The record provided for staff 4 indicated and employment date pf 6/23/2023. The tuberculosis screening in the record is dated 9/7/2022 which is not within 30 days prior to employment.
Evidence:
The record provided for staff 4 indicated and employment date pf 6/23/2023. The tuberculosis screening in the record is dated 9/7/2022 which is not within 30 days prior to employment.
Plan of Correction: The facility responded with the following:
Staff 4 advised to obtain TB assessment/test on 6/29/2023.
Document has been placed in the file.
Staff 4 advised to obtain TB assessment/test on 6/29/2023.
Document has been placed in the file.
Standard 8VAC20-780-260-A
Based upon review of records, the facility has not ensured that the results of an annual fire inspection are available for review.
Evidence:
The most recent fire department inspection available for review is dated 4/12/2022.
Evidence:
The most recent fire department inspection available for review is dated 4/12/2022.
Plan of Correction: The facility responded with the following:
Copy of the inspection verification is attached and has been added to Site Director's binder. Inspection conducted 4/23/2023.
Copy of the inspection verification is attached and has been added to Site Director's binder. Inspection conducted 4/23/2023.
Standard 8VAC20-780-280-B
Based upon observation, the facility has not ensured that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children.
Evidence:
There was a container of cleaning fluid labeled "caution" and "keep out of reach of children" by the sink in the counter of the art room.
Evidence:
There was a container of cleaning fluid labeled "caution" and "keep out of reach of children" by the sink in the counter of the art room.
Plan of Correction: The facility responded with the following:
Daily physical checks are made by Site Director and/or Asst. Site Director to ensure children do not have access to cleaning/hazardous materials. Teachers have all been put on alert to pay close attention to this matter and importance of ensuring student safety.
Daily physical checks are made by Site Director and/or Asst. Site Director to ensure children do not have access to cleaning/hazardous materials. Teachers have all been put on alert to pay close attention to this matter and importance of ensuring student safety.
Standard 8VAC20-780-510-G
Based upon observation, the facility has not ensured that medication is labeled with the child's name, the name of the medication, the dosage amount and the time or times to be given.
Evidence:
1. There were albuterol inhalers for child 1 and for child 2 in the kindergarten classroom that were not labeled with the child's name, the dosage amount and the time(s) to be given (no prescription boxes).
2. There were albuterol inhalers for child 3, child 4 and child 5 in the first grade classroom that not labeled with the child's name, the dosage amount and the time(s) to be given (no prescription boxes). There was also an epi-pen for child 5 that was not labeled with the child's name, the dosage amount and the time to be given (prescription box).
Evidence:
1. There were albuterol inhalers for child 1 and for child 2 in the kindergarten classroom that were not labeled with the child's name, the dosage amount and the time(s) to be given (no prescription boxes).
2. There were albuterol inhalers for child 3, child 4 and child 5 in the first grade classroom that not labeled with the child's name, the dosage amount and the time(s) to be given (no prescription boxes). There was also an epi-pen for child 5 that was not labeled with the child's name, the dosage amount and the time to be given (prescription box).
Plan of Correction: The facility responded with the following:
1. Prescription boxes for child 1 and 2 are on site with the medication inside, properly labeled w/name, dosage, time to be given.
2. Prescription boxes for the inhalers for children 3, 4, and 5 are now in their boxes, labeled w/child's name, dosage amount and time to be given.
1. Prescription boxes for child 1 and 2 are on site with the medication inside, properly labeled w/name, dosage, time to be given.
2. Prescription boxes for the inhalers for children 3, 4, and 5 are now in their boxes, labeled w/child's name, dosage amount and time to be given.
Standard 8VAC20-780-70
Based upon review of the records of thirteen newly employed staff, the facility has not ensured that each staff record includes documentation that at least two references as to character reputation and competency were obtained before employment and that each record includes the name, address and telephone number for an emergency contact person.
Evidence:
1. The records provided for staff 2, 4, 7, 8, 9 and 10 did not include documentation of at least two reference checks prior to employment.
2. The records provided for staff 2, 4, 5 and 13 do not include the addresses for the emergency contact persons.
Evidence:
1. The records provided for staff 2, 4, 7, 8, 9 and 10 did not include documentation of at least two reference checks prior to employment.
2. The records provided for staff 2, 4, 5 and 13 do not include the addresses for the emergency contact persons.
Plan of Correction: The facility responded with the following:
1. 2 references have been obtained on staff #4, 7, 8, 9, 10.
Requested on Staff 2 - 7/5 waiting
2. Addresses for Emergency Contacts were obtained for all and added to the files of Staff #2, 4, 5. and 13 using a Google Doc prior to the review, and have been added to their individual files.
1. 2 references have been obtained on staff #4, 7, 8, 9, 10.
Requested on Staff 2 - 7/5 waiting
2. Addresses for Emergency Contacts were obtained for all and added to the files of Staff #2, 4, 5. and 13 using a Google Doc prior to the review, and have been added to their individual files.