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Angelles Place Child Development Center

Inspection · 2022-12-13

Date
2022-12-13
Complaint Related
No
Licensing Inspector
James R Basham
(804) 588-2370
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

An unannounced monitoring inspection was conducted on 12/13/2022. There were 10 children, ages 6 months ? 4 years and 4 staff present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, care of children, preventing the spread of disease, emergencies and nutrition. A total of 2 children?s records and 5 staff records were reviewed. The children were observed during circle time, handwashing and lunch. The inspector arrived for the inspection at 9:45am and departed the center at 1:21pm.

Discussion on standards related to annual fire inspection. Discussion on standards related to children?s records. Discussion on standards related to ongoing training.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

8
Standard 22.1-289.035-A
Based on the review of five staff records, the center failed to ensure that every employee at a child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

Evidence: Staff 5 start date was 12/11/2013 and on the day of the inspection the most recent central registry result was dated 4/6/2017.
Plan of Correction: Provider will submit for central registry results for staff.
Standard 8VAC20-780-140-A
Based on the review of two children?s records, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within thirty day after the first day of attendance.

Evidence: Child 1 start date was 9/29/2022 and on the day of the inspection did not have the required physical examination record within thirty days.
Plan of Correction: Provider will obtain signed physical examination record from parent.
Standard 8VAC20-780-160-C
Based on the review of five staff?s records, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff member shall obtain and submit the results of a follow up tuberculosis screening.

Evidence: The most recent tuberculosis screening for staff 5 was dated 2/2/2017, there was not a follow up test/screening for 2019 or 2021 available for review.
Plan of Correction: Provider will obtain tuberculosis screening results for staff.
Standard 8VAC20-780-350-B-1
Based on observation and discussion with staff, the center failed to ensure that the staff-to-children ratios specified in Table 2 are required whenever children are in care.

Evidence: Staff 1 was the only staff person in the infant room for approximately 5 minutes after licensing staff arrived. Staff 4 was not in the infant room for approximately 4 minutes prior to licensing staff arriving. Staff 1 was out of ratio for approximately 9 minutes.
Plan of Correction: Provider will ensure a back up staff can take over for staff breaks to maintain ratio.
Standard 8VAC20-780-40-K
Based on observation and discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome and abusive head trauma.

Evidence: Staff 4 stated that the center did not have written procedures for prevention of shaken baby syndrome and abusive head trauma.
Plan of Correction: Provider will develop written procedures for shaken baby syndrome and abusive head trauma.
Standard 8VAC20-780-530-A
Based on observations, record review and discussion with staff, the center failed to ensure that at least one staff member in each classroom or area where children are present shall have a current certification in CPR and First Aid.

Evidence: Staff 2 and Staff 4 most recent CPR and first aid certification expired 6/30/2022 and on the day of the inspection did not have current CPR and first aid training.
Plan of Correction: Provider will schedule CPR and first aid training for staff in each classroom.
Standard 8VAC20-780-530-C
Based on observations, record review and discussion with staff, the center failed to ensure that there shall be at least two people who are currently certified in CPR and First Aid on the premises during the center?s hours of operation, on fieldtrips, and wherever children are in care.

Evidence:
1) Staff 2, Staff 3 and Staff 4 most recent CPR and first aid certification expired 6/30/2022 and on the day of the inspection did not have current CPR and first aid training.
Plan of Correction: Provider will schedule CPR and first aid training for staff.
Standard 8VAC20-780-550-D
Based on observation and discussion with staff, the center failed to implement a monthly practice evacuation drill.

Evidence: Documentation of monthly evacuation drills was not recorded and on the day of the inspection there have been no emergency evacuation practice drills completed since 8/10/2022.
Plan of Correction: Provider will document monthly practice emergency drills.
View original record on Virginia Department of Social Services