Inspection · 2023-03-24
Date
2023-03-24
Complaint Related
No
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
(703) 537-6757
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.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
The inspection findings have been updated as a result of a first step review completed on 3/24/2023.
An unannounced monitoring inspection was conducted on 1/19/23 at 11:15am to 3:00pm with another licensing inspector and continued on 1/26/23 at 9:30am to 3:25pm and on 1/30/23 at 1:20pm to 4:30pm with the local agency and another licensing inspector to investigate a self-reported incident at the center regarding a forbidden action. Interviews were conducted with 6 staff members, a parent and the child. Attendance documentation, allergy lists, 4 Staff statements, 5 child files, and 3 staff files were reviewed. Classrooms and the physical plant were observed as well. An exit interview was conducted on 2/24/2023. If you have further questions regarding this investigation, please contact Angela Dudek at angela.dudek@doe.virginia.gov.
Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 3/1/23.
Violations
6Standard 63.2-1509-A
Based on staff interview and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services immediately as required.
Evidence:
1)On 1/10/2023 at approximately 6:20pm, a parent reported to management after picking up her child from the center, that Child #1 (age 7 years old) stated to the parent that their teacher had picked the child up by their arm and the child had marks on their arm. Management staff looked at the child?s arm and confirmed seeing redness on the child?s arm on 1/10/23.
2)The parent sent photos of the child?s arm to management on 1/10/23 at approximately 6:23pm, on 1/10/23 at approximately 8:47pm, and on 1/12/23 at approximately 7:02am.
3)Based on documentation and interview, the center reported the incident to Child Protective Services (CPS) on 1/12/23.
Evidence:
1)On 1/10/2023 at approximately 6:20pm, a parent reported to management after picking up her child from the center, that Child #1 (age 7 years old) stated to the parent that their teacher had picked the child up by their arm and the child had marks on their arm. Management staff looked at the child?s arm and confirmed seeing redness on the child?s arm on 1/10/23.
2)The parent sent photos of the child?s arm to management on 1/10/23 at approximately 6:23pm, on 1/10/23 at approximately 8:47pm, and on 1/12/23 at approximately 7:02am.
3)Based on documentation and interview, the center reported the incident to Child Protective Services (CPS) on 1/12/23.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-F
Based on staff interviews, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision of staff.
Evidence:
1)On 1/10/23, at approximately 4:40pm-5:30pm during an incident involving the behavioral guidance of a Child #1, Staff #1 left Child #1 (age 7) alone in a hallway outside of the classroom to ?take a break?.
2)Based on interviews with staff and the child, the door to the classroom was closed at various times during the approximately 50 minutes the child was alone.
Evidence:
1)On 1/10/23, at approximately 4:40pm-5:30pm during an incident involving the behavioral guidance of a Child #1, Staff #1 left Child #1 (age 7) alone in a hallway outside of the classroom to ?take a break?.
2)Based on interviews with staff and the child, the door to the classroom was closed at various times during the approximately 50 minutes the child was alone.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-4
Based on documentation and staff interview, the center did not maintain the required supervision ratio of staff to children whenever children are in care.
Evidence:
Attendance sheets that were used on 1/3/23-1/11/23 showed the Private Kindergarten classroom to be outside of the appropriate ratio for the age group. The center did not maintain the required supervision ratio of 1 staff for every 10 children based on the youngest child (age 4) in the classroom. Staff #1 confirmed that they are regularly out of ratio.
1)On 1/3/2023, at approximately 10:00am-4:00pm, Child #2, Child #3, and Child #4 were in a classroom that had up to 31 children with 2 staff members.
2)On 1/6/2023, at approximately 3:18pm-3:56pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 14 children with 1 staff member. A
3)On 1/6/2023 at approximately 4:00pm-4:50pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 24 children with 2 staff members.
4)On 1/10/2023, at approximately 3:18pm-4:41pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 24 children with 1 staff member.
5)On 1/11/2023, at approximately 4:10-5:00pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 25 children with 2 staff members.
Evidence:
Attendance sheets that were used on 1/3/23-1/11/23 showed the Private Kindergarten classroom to be outside of the appropriate ratio for the age group. The center did not maintain the required supervision ratio of 1 staff for every 10 children based on the youngest child (age 4) in the classroom. Staff #1 confirmed that they are regularly out of ratio.
1)On 1/3/2023, at approximately 10:00am-4:00pm, Child #2, Child #3, and Child #4 were in a classroom that had up to 31 children with 2 staff members.
2)On 1/6/2023, at approximately 3:18pm-3:56pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 14 children with 1 staff member. A
3)On 1/6/2023 at approximately 4:00pm-4:50pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 24 children with 2 staff members.
4)On 1/10/2023, at approximately 3:18pm-4:41pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 24 children with 1 staff member.
5)On 1/11/2023, at approximately 4:10-5:00pm, Child #2, Child #3 and Child #4 were in a classroom that had up to 25 children with 2 staff members.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-410-1
Based on staff interview, the center failed to ensure that forbidden actions did not occur involving physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position or exercise as a punishment.
Evidence: On 1/10/23, Child #1 stated that when they became upset in the classroom, Staff #1 roughly handled Child#1 by grabbing their arm, picking them up, and placing them in the hallway to ?take a break?. There were red marks left on the child?s arm that later bruised.
Evidence: On 1/10/23, Child #1 stated that when they became upset in the classroom, Staff #1 roughly handled Child#1 by grabbing their arm, picking them up, and placing them in the hallway to ?take a break?. There were red marks left on the child?s arm that later bruised.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-410-4
Based on staff interview, the center failed to ensure that forbidden actions did not occur involving separation from the group so that a child is away from the hearing and vision of a staff member.
Evidence: Child #1 was separated from their group and alone in the hallway outside the classroom for approximately 50 minutes and was not in the vision and hearing of a staff member.
Evidence: Child #1 was separated from their group and alone in the hallway outside the classroom for approximately 50 minutes and was not in the vision and hearing of a staff member.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.
Evidence: Upon review of written attendance records from 1/3/23-1/13/23, it was determined that departure was not documented for each child in care as it occurs.
1)On 1/3/23, departure was not documented for 6 children in the classroom for ages 4 and up.
2)On 1/4/23, departure was not documented for 2 children in the classroom for ages 4 and up.
3)On 1/5/23, departure was not documented for any of the 28 children in the classroom for ages 4 and up.
4)On 1/6/23, departure was not documented for 6 children in the classroom for ages 4 and up.
5)On 1/9/23, departure was not documented for any of the 18 children in the classroom for ages 4 and up.
6)On 1/12/23, departure was not documented for 23 children in the classroom for ages 4 and up.
7) On 1/13/23, departure was not documented for 18 children in the classroom for ages 4 and up.
Evidence: Upon review of written attendance records from 1/3/23-1/13/23, it was determined that departure was not documented for each child in care as it occurs.
1)On 1/3/23, departure was not documented for 6 children in the classroom for ages 4 and up.
2)On 1/4/23, departure was not documented for 2 children in the classroom for ages 4 and up.
3)On 1/5/23, departure was not documented for any of the 28 children in the classroom for ages 4 and up.
4)On 1/6/23, departure was not documented for 6 children in the classroom for ages 4 and up.
5)On 1/9/23, departure was not documented for any of the 18 children in the classroom for ages 4 and up.
6)On 1/12/23, departure was not documented for 23 children in the classroom for ages 4 and up.
7) On 1/13/23, departure was not documented for 18 children in the classroom for ages 4 and up.
Plan of Correction: Not available online. Contact Inspector for more information.