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Apple Tree Kids-#1002

Inspection · 2024-06-17

Date
2024-06-17
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was conducted on 6/17/2024 from 11:40am - 2:40pm. At the time of entrance, 44 children, ages 4 months to 5 years old, were in care with 7 staff members present. The sample size consisted of 5 children?s records and 5 staff records. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed playing and socializing, sleeping in cribs, crawling and toddling, having lunch and being bottle fed, settling onto cots for rest time. Medication administration was not observed. One medication stored on site for emergency use was reviewed with regard to storage, written authorization and required documentation. 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.

Violations

3
Standard 22.1-289.035-B-4
Based on a review of records and interview, the licensee did not ensure that the results of a sex offender registry check is obtained from any state in which the individual has resided in the preceding five years.
Evidence:
Five staff records were reviewed.
The record for staff #4 (hired 5/20/2024) whose documentation revealed that she resided in Missouri within the past five years, did not contain the results of a Missouri sex offender registry check.
Plan of Correction: The Registry for Missouri will be checked digitally and printed for staff # 4's record by the end of the week.
Sex offender registry searches will be conducted for all staff who have resided outside of Virginia in the past 5 years, whether the state is a "National Fingerprint File" (NFF) state or not. The program had a misunderstanding of this requirement.
Standard 8VAC20-780-500-A
Based on a review of records and interview, staff did not always ensure that children's hands are washed with soap and running water or disposable wipes before and after eating meals or snacks.
Evidence:
The licensing inspector observed staff in the toddler classroom bring children to the tables and began distributing bag lunch when the inspector inquired about handwashing. Staff confirmed that the children's hands had not been washed.
Plan of Correction: Staff took children immediately to have their hands washed following the reminder during the inspection. Staff will ensure that children's hands are always washed before and after each snack or meal.
Standard 8VAC20-780-560-J
Based on a review of records and interview, staff did not always ensure that tables and high chair trays are sanitized before and after each use for feeding
Evidence:
The licensing inspector observed staff in the toddler classroom bring children to the tables and began distributing bag lunches when the inspector inquired table sanitizing. Staff confirmed that the tables had not been sanitized.
Plan of Correction: Staff removed the bagged lunches and sanitized the tables immediately after the inspector inquired about table sanitizing.
Staff will ensure that tables properly sanitized before and after each use for feeding.
View original record on Virginia Department of Social Services