Inspection · 2022-08-10
Licensing Inspector
Laura Brindle
(540) 905-2062
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
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 8/10/22 from 12:30pm to 2:35pm with the director. There were 25 children in care, ranging in age from seven-months to four-years-old, supervised by five staff. The director reported that the School Age class was on a field trip to the pool and they returned at the end of the inspection. The Toddlers through four-year-olds were observed napping and infants were observed having free play and being fed bottles. Four child records and four staff records were reviewed. The Center has 11 staff with current certification in CPR and First Aid, and five staff trained in Daily Health Observation Training. Medications on site were all previously reviewed and the center has five staff certified in Medication Administration Training. The attendance and emergency drill log were reviewed. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.
Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 8/17/22. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.
Standard 8VAC20-780-40-M
Based on documentation review and interview with program staff, the center did not ensure that they maintained a current written list of all children?s allergies, sensitivities, and dietary restrictions. Evidence: Interview revealed that a toddler who was enrolled on 5/2/22 has an allergy to eggs. The child?s record contained documentation that they are allergic to eggs. The child was not listed on the center?s allergy list. The list also did not contain the date it was last updated.
Plan of Correction: All allergies, sensitivities and dietary restrictions will be included on the Allergy Classroom List, even if parents state otherwise from what their child's pediatrician states on physical.
Standard 8VAC20-780-60-A-8
Based on review of four child records and interview with the director, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child A contained documentation that the child is allergic to eggs. There was no written care plan for the child from the doctor regarding the steps to be taken in the event of an allergic reaction.
Plan of Correction: Require "Allergy Plan of Action" documents to be submitted at time of enrollment anytime allergy is listed on the physical. Director will no longer allow parents exceptions for when the parents state the Allergy is not severe or give other instructions.