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Bermuda Hundred Child Development Center

Inspection · 2024-03-13

Date
2024-03-13
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A renewal inspection was conducted on March 13, 2024 from approximately 3:15 PM to 6:15 PM. There were 62 children present in the center, ranging in ages from infant to school-age, with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The inspector reviewed medications and medication authorizations for six children. A total of eight child records, seven staff records, and two board member records were reviewed.

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 complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names, list staff by positions only.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations

7
Standard 22.1-289.035-A
Based on a review of staff records and interview, the center did not ensure that staff had the required repeat background checks every five years.

Evidence:
1. The record for staff #3 contained a criminal history record check dated 5/24/18 and 7/24/23.
2. The record for staff #5 contained a criminal history record check dated 7/17/18 and 8/09/23.
3. The record for staff #6 contained a criminal history record check dated 7/13/18 and 7/21/23.
4. The record for staff #7 contained a criminal history record check dated 7/12/18 and 7/27/23.
5. A member of management acknowledged that the criminal history record checks were not completed in the required time frame.
Plan of Correction: Office management will ensure that all background checks will be completed in the required time frame.
Standard 8VAC20-780-140-A
Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance.

Evidence:
The records for child #2 (enrolled: 7/10/23) and child # 6 (enrolled: 5/02/23) did not have a physical examination.
Plan of Correction: Office management will ensure that all children will have a correct physical examination before the child's attendance or within one month after first day.
Standard 8VAC20-780-160-C
Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

Evidence:
1. The record for staff #1 contained a TB screening dated 9/30/21 and 12/01/23.
2. The record for staff #3 contained a TB screening dated 10/04/19 and 12/03/23.
3. The record for staff #5 contained a TB screening dated 9/02/20 and 10/26/22.
4. The record for staff #6 contained a TB screening dated 9/05/20 and 9/09/22.
5. The record for staff #7 contained a TB screening dated 10/05/21 and 12/02/23. TB screenings/test are required at least every two years.
Plan of Correction: Office management will ensure that all staff member's TB screenings will be completed by the correct date. All staff member's TB screenings will be conducted on time and before expiration dates.
Standard 8VAC20-780-240-C
Based on record review, the center did not ensure that staff complete all required training.

Evidence:
1. The record for staff #2 (employed: 2/26/24) did not have documentation of orientation training.
Plan of Correction: Office management will ensure all staff including new staff has documentation of orientation training.
Standard 8VAC20-780-510-G
Based on review of medication, documentation and interview, the center did not ensure medications shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.

Evidence:
1. Emergency medication for child C did not have a child's name, dosage amount and times to be given. Child C's medication did not have a prescription label identifying the owner.
2. A member of management acknowledged that the medication for child C was not labeled with required information.
Plan of Correction: Office management will ensure that all emergency medication has a child's name, dosage amount and time to given. All medications will have a prescription label identifying the owner. All medication and paperwork will be in date and have all requirements.
Standard 8VAC20-780-510-P
Based on review of medications and documentation, the center did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Evidence:
The emergency medication for child D expired January 2024. The medication was still on site at the center. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Plan of Correction: Office management will ensure that all authorizations and medications are in date. If expired, parents will be notified to pick up medication within 14 days.
Standard 8VAC20-780-70
Repeat Violation
Based on record review, the center did not ensure that each staff record contains all required information.

Evidence:
The record for staff # 2 (employed: 2/26/24) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction: Office management will ensure that all staff has documentation of two or more references and references are checks before employment.
View original record on Virginia Department of Social Services