Inspection · 2024-08-15
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, on-site monitoring inspection was conducted on 8/15/24. The on-site inspection began at 9:30am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 22 children present and five staff. The inspector reviewed five children?s records and four 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 8/23/24. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
(Repeat Violation) Based on review of four staff records, the center did not obtain the results of a criminal history record check from all states in which a staff member had resided within the past five years prior to employment. Evidence: The record for Staff #4, with an employment date of 5/23/24, contained documentation that the staff member had resided in Kentucky within the past five years. The criminal history check results on record from Kentucky were dated 6/11/24.
Plan of Correction: Will be sure all criminal background checks are complete before they start working.
Standard 8VAC20-780-160-A
Based on review of four staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Evidence: The TB screening on record for Staff #3, with an employment date of 5/29/24, was dated 5/26/23.
Plan of Correction: Will correct on next new hire.
Standard 8VAC20-780-40-L
(Repeat Violation) Based on review of documentation and interview, the center did not ensure all staff who work with children were informed of children?s allergies, sensitivities, and dietary restrictions. Evidence: On 8/15/24, Staff #5 was alone with three children in the infant classroom. The Inspector asked Staff #5 if any of the children had food allergies and Staff #5 reported that none of the children had food allergies. Child D was present in the classroom and record review and interview with other staff revealed that Child D had documented food allergies to grains, seed oils, processed sugar, and soy.
Plan of Correction: The Director of the facility held a meeting and let all employees know of this allergy.
Standard 8VAC20-780-40-M
Based on review of documentation, the center did not maintain a current written list of all children?s allergies, sensitivities, and dietary restrictions. Evidence: The record for Child D, (date of enrollment 7/10/23) contained documentation of diagnosed allergies to grains, seed oils, processed sugar, and soy. Child D?s allergies were not documented on the allergy list in the classrooms.
Plan of Correction: Made new allergies lists and posted them inside classrooms.
Standard 8VAC20-780-500-A
Based on observation, staff did not wash their hands with soap and running water after contact with body fluids, as required. Evidence: A staff member was observed wiping the nose of a two-year-old, then using hand sanitizer. Washing with soap and water is required when running water is available.
Plan of Correction: Hand washing procedures are posted in each classroom and we went over this in team meeting.
Standard 8VAC20-780-550-F
Based on review of documentation, the center did not ensure that lockdown procedures were practiced at least annually. Evidence: The most recent lockdown drill was documented on 2/8/23.
Plan of Correction: Having a lockdown scheduled from this point on.
Standard 8VAC20-780-80-A
(Repeat Violation) Based on observation and review of documentation, the center did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: On 8/15/24 at approximately 9:31am, three children were observed in the Infant classroom. The attendance contained documentation of two children present.
Plan of Correction: This was brought up in a team meeting and discussed with all employees.