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Higher Horizons Early Head Start

Inspection · 2024-11-12

Date
2024-11-12
Complaint Related
No
Licensing Inspector
Lynette A Storr
(703) 309-9153
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on November 12, 2024. The on-site inspection began at 8:45am and ended at 11:45am. The inspector reviewed compliance in the areas listed above. There were 26 children present and 18 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on November 19, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #2?s record (enrolled 11 weeks) did not have documentation of any immunizations.
Child #5?s record (enrolled 6 weeks) did not have documentation of all of the required immunizations.
Plan of Correction: Monitoring of the children's files has been heightened to ensure that all required documents are included. Action plans to receive necessary information will be enforced.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff #2, (who has been actively working at the center for over 3 years), Staff #3, (who has been actively working at the center for over 2 years), Staff #4, (who has been actively working at the center for 1 year and 11 months), and Staff #5, (who has been actively working at the center for over 1 year), does not have documentation of a negative tuberculosis screening.
Plan of Correction: We located the file that contains all the TB negative results for staff. Designated personnel has been provided access of this file in the case of HR absence.
Standard 8VAC20-780-60-A
Centers must keep a separate record for each child enrolled that contains all of the required information.

Child #2's record (enrolled 11 weeks) was missing the name, address, and phone number of one emergency contact, the address of a second emergency contact, and the first day of attendance. Child #5?s record (enrolled 6 weeks) was missing the first day of attendance.
Plan of Correction: Monitoring of the children's files has been heightened to ensure that all necessary information and signatures are included. Action plans to receive necessary information will be enforced.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #2, who has been actively working at the center for over 3 years, had only one completed reference verification on file.
Staff #3, who has been actively working at the center for over 2 years, did not have any completed reference verifications on file.
Staff #4, who has been actively working at the center for 1 year and 11 months, did not have any completed reference verifications on file.
Plan of Correction: Human Resources will monitor all staff files to ensure that the required information are included. References for all staff will be added by November 26, 2024.
Standard 8VAC20-780-90-A
The center is required to obtain a signed parental authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.

Child #2?s record (enrolled 11 weeks) did not have a signed parent authorization for emergency medical care.
Plan of Correction: Monitoring of the children's files has been heightened to ensure that all necessary information and signatures are included. Action plans to get parents signatures' will be enforced.
View original record on Virginia Department of Social Services