Inspection · 2023-05-16
Date
2023-05-16
Complaint Related
Yes
Licensing Inspector
Jessica Eason
(804) 629-7489
(804) 629-7489
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
? 8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced complaint investigation was conducted jointly with a local agency on May 16, 2023 in response to a complaint received on May 11, 2023 of allegations of care, protection, and guidance. Staff interviews were conducted, physical plant was overserved, and records were reviewed.
The preponderance of evidence does support the allegations and the complaint is deemed valid. Please email me at karen.dickens@doe.virginia.gov with any questions or clarifications.
Violations
4Standard 8VAC20-780-270-A
Based on observation, staff interview and documentation review,areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
1. According to an incident report dated 05/10/2023, Child #1 was climbing on the raised flower box and fell. Child #1's arms and legs were cleaned off by Staff #1 and checked for broken skin. Staff #1 did not observe any marks or broken skin and Child #1 returned to play.
2. At approximately 2:30pm, Staff #1 stated that she observed a mark on the inner right thigh of Child #1. Staff #1 stated that they assumed that the mark happened at home.
3. At approximately 4:45pm, the parents of Child #1 noticed a large mark on the inner right thigh of Child #1.
4. The wooden flower bed box located on the far left of the playground had splintering and deteriorating wood on two of the outer corners of the flower bed box. The deteriorating wood of the left corner of the box had an exposed metal bolt head that had sharp edges.
Evidence:
1. According to an incident report dated 05/10/2023, Child #1 was climbing on the raised flower box and fell. Child #1's arms and legs were cleaned off by Staff #1 and checked for broken skin. Staff #1 did not observe any marks or broken skin and Child #1 returned to play.
2. At approximately 2:30pm, Staff #1 stated that she observed a mark on the inner right thigh of Child #1. Staff #1 stated that they assumed that the mark happened at home.
3. At approximately 4:45pm, the parents of Child #1 noticed a large mark on the inner right thigh of Child #1.
4. The wooden flower bed box located on the far left of the playground had splintering and deteriorating wood on two of the outer corners of the flower bed box. The deteriorating wood of the left corner of the box had an exposed metal bolt head that had sharp edges.
Plan of Correction: The flower bed was covered with a tarp the day of the inspection. The flower bed will be removed from the playground.
Standard 8VAC20-780-340-A
Based on interview and documentation review, when supervising children, staff did not always ensure their care, protection, and guidance.
Evidence:
1. At approximately 2:30pm, Staff #1 observed a red mark on Child #1's inner thigh. Staff #1 stated that they assumed the mark happened at home and that they did not treat the mark.
2. Staff #1 stated that they did not notify the parents of Child #1 about the observed mark. Staff #1 stated that it is procedure to notify the parents of any marks and bruises observed on children using the Brightwheel app.
3. According to an incident report dated 05/10/2023 at 11:15am, " When [Child #1] was climbing on a raised flower bed [when] she fell. [Staff] cleaned [their] arms and legs. We later found a scratch on [their] inner thigh".
4. Staff #1 stated that they did not associate the mark on the inner right thigh to the fall that happened earlier on the playground.
Evidence:
1. At approximately 2:30pm, Staff #1 observed a red mark on Child #1's inner thigh. Staff #1 stated that they assumed the mark happened at home and that they did not treat the mark.
2. Staff #1 stated that they did not notify the parents of Child #1 about the observed mark. Staff #1 stated that it is procedure to notify the parents of any marks and bruises observed on children using the Brightwheel app.
3. According to an incident report dated 05/10/2023 at 11:15am, " When [Child #1] was climbing on a raised flower bed [when] she fell. [Staff] cleaned [their] arms and legs. We later found a scratch on [their] inner thigh".
4. Staff #1 stated that they did not associate the mark on the inner right thigh to the fall that happened earlier on the playground.
Plan of Correction: Staff has been recertified in First Aid and CPR since the incident. Staff members will be retrained about notification to parents about marks and bruises on children and timely notification.
Standard 8VAC20-780-550-O
Based on interview, the center did not notify the parent by the end of the day of any known minor injuries.
Evidence:
1. Staff #1(Date of hire-02/28/2022) stated that on May 10, 2023 at approximately 2:30pm, they observed a mark on the inner right thigh of Child #1.
2. Staff #1 stated that it is procedure to notify the parents by the Brightwheel app of any marks or bruises observed on children. Staff #2 stated that it is standard procedure to contact parents about bruises or marks on children.
3. Staff #1 did not notify the parent by the end of the day of any known minor injuries. Staff #1 stated " It is my fault that I did not contact anyone. I assumed it happened at home".
Evidence:
1. Staff #1(Date of hire-02/28/2022) stated that on May 10, 2023 at approximately 2:30pm, they observed a mark on the inner right thigh of Child #1.
2. Staff #1 stated that it is procedure to notify the parents by the Brightwheel app of any marks or bruises observed on children. Staff #2 stated that it is standard procedure to contact parents about bruises or marks on children.
3. Staff #1 did not notify the parent by the end of the day of any known minor injuries. Staff #1 stated " It is my fault that I did not contact anyone. I assumed it happened at home".
Plan of Correction: The center will retrain staff members on notifying parents by the end of the day of any known minor injuries.
Standard 8VAC20-780-550-P
Based on documentation review, the center did not maintain a complete written record of children's serious and minor injuries that were made the day of occurrence.
Evidence:
1. According to an incident report dated 05/10/2023, Child #1 sustained a minor injury on the playground.
2. An incident report was written at the end of the day after the parents of Child #1 observed a red mark on the inner right thigh.
3. The incident report did not contain the date and time when parents were notified and any future action to prevent recurrence of the injury.
Evidence:
1. According to an incident report dated 05/10/2023, Child #1 sustained a minor injury on the playground.
2. An incident report was written at the end of the day after the parents of Child #1 observed a red mark on the inner right thigh.
3. The incident report did not contain the date and time when parents were notified and any future action to prevent recurrence of the injury.
Plan of Correction: The missing information on the incident reports will be written on the report, but eventually, the incident reports will include this information on the form to be in compliance.