Inspection · 2024-07-18
Licensing Inspector
Julie Kunowsky
(540) 430-9256
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.
Yes
Areas Reviewed
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers
Inspector Notes
An unannounced, on-site subsidy health and safety inspection was initiated on 07/18/2024 and completed on 07/18/2024. The on-site inspection began at 10:14 and ended at 1:30. The inspector reviewed compliance in the areas listed above. There were 41 children present with 11 staff. The Inspector reviewed four child?s records and five staff?s records.
? document review (i.e. policies and procedures, emergency drill logs, medication administration logs, authorization forms),
? tour of the facility,
? interviews,
? observations (recordings, etc.)
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
Review and sign the inspection report and return the forms by 07/31/2024 at 5:00 PM.
Standard 8VAC20-790-520-F
Based on interview, the center failed to maintain, in a way that is accessible to staff who work with children, a current written list of all children?s allergies, sensitivities, and dietary restrictions that is dated and kept confidential in each room or area where children are present.
Evidence:
In the school age classroom the teacher advised that one child had a food allergy but the allergy was not posted in the classroom.
Plan of Correction: An allergy list was put in the school age classroom.
Standard 8VAC20-790-540-B-11
Based on record review and interview, the center failed to ensure a written allergy care plan was obtained for each child with a diagnosed food allergy that includes instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
The review of child 3's record showed there was no allergy care plan for the allergy listed in the file. The director stated they did not have an allergy care plan.
Plan of Correction: The parents of the child were advised to provide an allergy care plan.
Standard 8VAC20-790-630-C-1
Based on observation, the center failed to ensure fans were kept out of reach of preschool children or younger.
Evidence:
In the 2's classroom, a fan was on the floor.
Plan of Correction: The fan was moved out of reach of children.
Standard 8VAC20-790-640-A
Based on observation, the center failed to ensure hazardous substances were kept in a locked location to prevent access by children.
Evidence:
In the older 2's room Febreze and Air Wick air freshener were on the top open shelf.
Plan of Correction: The hazardous substances were moved to a locked location.
Standard 8VAC20-790-780-A-1
Based on observation, the center failed to ensure a complete first aid kit was kept in each building.
Evidence:
In the building used by school age children the first aid kit did not contain: scissors, tweezers, gauze pads, adhesive tape, antiseptic cleansing solution and a thermometer.
Plan of Correction: All the missing components of the first aid kit were purchased and added to the first aid kit in the school age building.
Standard 8VAC20-790-810-C-1
Based on observation and interview, the center failed to ensure food containers were clearly labeled in a way that identifies the owner when brought from home.
Evidence:
In the Frogs classroom a child's water bottle was not labeled.
In the Tadpoles classroom four water bottles were not labeled.
Plan of Correction: Staff were informed to ensure all water bottles had children's names on them when they were dropped off each day.