Inspection · 2023-12-14
Licensing Inspector
Monique Anderson
(540) 309-2397
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
22.1 Background Checks Code
8VAC20-790 Physical Plant
32.1 Report by person other than physician
8VAC20-790 Staffing & Supervision
63.2 Child abuse and neglect
8VAC20-790 Programs
8VAC20-790 Introduction
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Administration
8VAC20-790 Special Services
8VAC20-790 Staff Qualifications & Training
Inspector Notes
A subsidy inspection was completed on 12/14/2023. A Religious Exempt Code inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in religious exempt requirements were reviewed during this supplemental inspection.
Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.
Standard 8VAC20-790-600-B
Based on record review, the Vendor failed to ensure within the first 90 days of employment all staff who work directly with children complete Virginia Preservice Training for child Care Staff.
EVIDENCE:
Staff #3 (date of hire 7/03/2023) did not complete the 10 hour preservice training.
Plan of Correction: Staff will complete the 10 hours preservice training.
Standard 8VAC20-790-600-F
Based on record review, the Vendor failed to ensure staff who work directly with children annually attend at least 16 hours of training and staff development activities to include the department's health and safety update course.
EVIDENCE:
Staff #1 and Staff #2 did not complete at least 16 hours of annual training. Staff #1 completed 2 hours and staff #2 completed 11 hours.
Staff #1 did not complete the department's annual health and safety update course.
Plan of Correction: Staff will complete 16 hours of annual training to include the annual preservice training. for year 2023
Standard 8VAC20-790-600-I
Based on record review and discussion with staff, the Vendor failed to have at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.
EVIDENCE:
There wasn't at least 1 staff person present with daily health observation training.
Plan of Correction: Staff will complete daily health observation training.
Standard 8VAC20-790-670-E
Based on inspection, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children received care by consistent staff or team of staff members.
EVIDENCE:
Vendor has not developed a written plan on continuity of care procedure.
Plan of Correction: Director will develop a plan of continuity of care.
Standard 8VAC20-790-800-A-2
Based on inspection, the Vendor failed to practice shelter-in-place procedures at least twice a year.
EVIDENCE:
Practice of the shelter in place emergency procedures have not been completed.
Plan of Correction: Center will complete 2 shelter in place drills each year.
Standard 8VAC20-790-800-A-3
Based on inspection, the Vendor failed to practice lockdown procedures at least annually.
EVIDENCE:
Lock down emergency procedures have not been practiced.
Plan of Correction: Center will complete at least 1 lock down drill each year