Inspection · 2023-09-27
Date
2023-09-27
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
(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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was started in the center on September 27, 2023 from 10:55 am until 1:00 pm and concluded on September 27, 2023. At the time of entrance, 32 children were in care with 9 staff members present. The sample size consisted of 5 children?s records and 5 staff records. Children were observed eating, reading time and preparing for rest period.
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.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations
10Standard 22.1-289.035-A
Based on record review and staff interviews, the licensee did not ensure all staff shall undergo a background check every five years to include a sworn statement, criminal records check (CRC) and search of the central registry check.
Evidence: Staff #4 did not have an updated CRC as the most recent was dated 9-5-2018.
Evidence: Staff #4 did not have an updated CRC as the most recent was dated 9-5-2018.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.
Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results. Staff #4 was observed working on the day of the inspection.
Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results. Staff #4 was observed working on the day of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment and coming in contact with children.
Evidence: Staff #5?s TB screening was dated 9-8-2023 and was conducted after coming into contact with children on 2-20-2023.
Evidence: Staff #5?s TB screening was dated 9-8-2023 and was conducted after coming into contact with children on 2-20-2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence: Staff #1?s (hire date was 7-24-2023) record did not include documentation of completing the required Virginia Department of Education-sponsored orientation.
Evidence: Staff #1?s (hire date was 7-24-2023) record did not include documentation of completing the required Virginia Department of Education-sponsored orientation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Repeat
Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.
Evidence: Child#6 has dietary restriction (verified by Staff #6), and their name was not listed on the current written list of all children's allergies, sensitivities, and dietary restrictions.
Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.
Evidence: Child#6 has dietary restriction (verified by Staff #6), and their name was not listed on the current written list of all children's allergies, sensitivities, and dietary restrictions.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands and children?s hands with soap and running water before and after a diaper change.
Evidence: Staff #6 was observed changing the diaper for Child #3 and the staff and the child's hands were not washed with soap and water.
Evidence: Staff #6 was observed changing the diaper for Child #3 and the staff and the child's hands were not washed with soap and water.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation and staff interviews, the licensee did not a nonabsorbent surface for diapering or changing shall be used.
Evidence : In the infant room and in the toddler room the diaper pad was torn and the foam was expowed and the daipe pad si nolonger nonabsorbent.
Evidence : In the infant room and in the toddler room the diaper pad was torn and the foam was expowed and the daipe pad si nolonger nonabsorbent.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-G
Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.
Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in February, March, April, and May 2023.
Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in February, March, April, and May 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review and staff interviews, license did not ensure that children?s records contained all required information.
Evidence: Child # 1 has a diagnosed food allergy (eggs and shellfish) and the record did not include a written care plan, to include instructions from a physician.
Evidence: Child # 1 has a diagnosed food allergy (eggs and shellfish) and the record did not include a written care plan, to include instructions from a physician.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.
Evidence: The following information was missing from the staff records.
1.Staff #2, designated as program leader/ lead teacher) did not have documentation they have the experience required by the job position.
2.Staff #3 did not have documentation of 1 of the 2 required references.
Evidence: The following information was missing from the staff records.
1.Staff #2, designated as program leader/ lead teacher) did not have documentation they have the experience required by the job position.
2.Staff #3 did not have documentation of 1 of the 2 required references.
Plan of Correction: Not available online. Contact Inspector for more information.