Inspection · 2024-04-17
Date
2024-04-17
Complaint Related
No
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 monitoring inspection was conducted on April 17, 2024 between the hours of 9:30am-12:015pm. There were a total of 101 children with 15 supervising staff members present. Children were observed during diapering, reading books, coloring, and engaged in group activities and indoor gross motor play time. A selection of staff and children records, medications and other documents were reviewed. The physical space, emergency supplies, evacuation drills, attendance records, and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.
Violations
8Standard 22.1-289.035-B-4
Based on record review and interview, the center did not obtain a sex offender registry check and a criminal history record information check from any state in which the individual had resided in the preceding five years prior to the first day of employment.
Evidence:
1. Staff #3's record (Date of hire-04/15/2024) contains a sworn statement that states that they lived in the state of California in the preceding five years. Staff #3's record did not contain documentation of a sex offender registry check and criminal history record information check for the state of California prior to the first day of employment.
2. Staff #4's record (Date of hire-04/10/2024) contains a sworn statement that states that they lived in the state of Florida in the preceding five years. Staff #4's record did not contain documentation of a Florida sex offender registry check.
3. Staff #2 confirmed that the out of state sex offender registry checks and the criminal history information check for Staff #4 and Staff #5 were not completed prior to the fist date of employment.
Evidence:
1. Staff #3's record (Date of hire-04/15/2024) contains a sworn statement that states that they lived in the state of California in the preceding five years. Staff #3's record did not contain documentation of a sex offender registry check and criminal history record information check for the state of California prior to the first day of employment.
2. Staff #4's record (Date of hire-04/10/2024) contains a sworn statement that states that they lived in the state of Florida in the preceding five years. Staff #4's record did not contain documentation of a Florida sex offender registry check.
3. Staff #2 confirmed that the out of state sex offender registry checks and the criminal history information check for Staff #4 and Staff #5 were not completed prior to the fist date of employment.
Plan of Correction: We have completed a sex offender registry check and a criminal background for the state of California for the employee. Moving forward, we will ensure that we ask all applicants if they ever lived out of the state prior to their first day.
Standard 8VAC20-770-60-B
Based on record review and interview, employees did not complete a sworn statement or affirmation prior to the first day of employment.
Evidence:
1. Staff #4's record (Date of hire-04/10/2024) did not contain documentation of a completed sworn statement prior to the first date of employment. Staff #4 completed a sworn statement on the date of the inspection, 04/17/2024.
2. Staff #5's record (Date of hire-04/10/2024) did not contain documentation of a completed sworn statement prior to the first date of employment. Staff #5 completed a sworn statement on the date of the inspection, 04/17/2024.
3. Staff # 2 confirmed that Staff #4 and Staff #5 did not complete a sworn statement prior to the date of employment.
Evidence:
1. Staff #4's record (Date of hire-04/10/2024) did not contain documentation of a completed sworn statement prior to the first date of employment. Staff #4 completed a sworn statement on the date of the inspection, 04/17/2024.
2. Staff #5's record (Date of hire-04/10/2024) did not contain documentation of a completed sworn statement prior to the first date of employment. Staff #5 completed a sworn statement on the date of the inspection, 04/17/2024.
3. Staff # 2 confirmed that Staff #4 and Staff #5 did not complete a sworn statement prior to the date of employment.
Plan of Correction: Moving forward with any new hires, we will ensure that they complete a sworn statement upon the first day of employment.
Standard 8VAC20-780-160-A
Based on record review, each staff member did not submit documentation of a negative tuberculosis(TB) screening completed the last 30 calendar days of the date of employment.
Evidence:
1. Staff #4's record (Date of hire-04/10/2024) did not contain documentation of a negative TB screening completed the last 30 calendar days of the date of employment. Staff #4's record contained documentation of a negative Tb screening dated 01/30/2024.
2. Staff #5's record (Date of hire-04/10/2024) did not contain documentation of a negative TB screening completed the last 30 calendar days of the date of employment. Staff #5's record contained documentation of a negative TB screening dated 09/09/2023.
Evidence:
1. Staff #4's record (Date of hire-04/10/2024) did not contain documentation of a negative TB screening completed the last 30 calendar days of the date of employment. Staff #4's record contained documentation of a negative Tb screening dated 01/30/2024.
2. Staff #5's record (Date of hire-04/10/2024) did not contain documentation of a negative TB screening completed the last 30 calendar days of the date of employment. Staff #5's record contained documentation of a negative TB screening dated 09/09/2023.
Plan of Correction: We will ensure that all TB screenings are completed no longer than the last 30 days of the their start date. We will ensure that when performing reference checks for preemployment to list more details such as comments based on their performance and the person who performed the checks will sign and date their name at the bottom of the form.
Standard 8VAC20-780-280-B
Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevent access by children.
Evidence:
1. In the Exploration B classroom, a container of disinfecting wipes were located on top of a mirror int he bathroom.
Evidence:
1. In the Exploration B classroom, a container of disinfecting wipes were located on top of a mirror int he bathroom.
Plan of Correction: All teaching staff will ensure all cleaning products are in a locked cabinet.
Standard 8VAC20-780-510-G
Based on medication review, an emergency medication is not labeled with the child's name, the name of the medication, the dosage amount, and the time or the times to be given.
Evidence:
1. Child #9 has emergency medication on site. The medication was located in a plastic bag and missing the prescription label.
2. Child #10 has emergency medication on site. The medication is missing the prescription label.
Evidence:
1. Child #9 has emergency medication on site. The medication was located in a plastic bag and missing the prescription label.
2. Child #10 has emergency medication on site. The medication is missing the prescription label.
Plan of Correction: We will ensure that all of the medication has the prescription label for the prescribed medications.
Standard 8VAC20-780-510-I
Based on medication review and staff interview, the center did not obtain written authorization from a parent and physician to administer a medication.
Evidence:
1. Child #6 has an Auvi-Q medication at the center to be administered in an emergency. Child #6 does not have documentation of parent and physician authorization to administer medication.
2. Staff # 6 confirmed that Child #6 did not have parent and physician authorization to administer the Auvi-Q emergency medication.
Evidence:
1. Child #6 has an Auvi-Q medication at the center to be administered in an emergency. Child #6 does not have documentation of parent and physician authorization to administer medication.
2. Staff # 6 confirmed that Child #6 did not have parent and physician authorization to administer the Auvi-Q emergency medication.
Plan of Correction: We will check all forms to ensure that they are filled out correctly to include the proper name of the medication as listed on the prescription label.
Standard 8VAC20-780-570-E
Based on observation, prepared infant formula was not dated and labeled with the child's name.
Evidence:
1. Three bottles of prepared formula were located in the refrigerator for Child #6 without the child's name and date.
Evidence:
1. Three bottles of prepared formula were located in the refrigerator for Child #6 without the child's name and date.
Plan of Correction: All infant teachers will double check all bottles have been labeled at the time of drop off in the morning.
Standard 8VAC20-780-70
Based on record review and interview, required records were not kept for each staff person.
Evidence:
1. Staff #4's record (Date of hire-04/10/2024) did not contain documentation of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. Staff #5's record (Date of hire-04/10/2024) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. Staff #6 confirmed that staff references were conducted, but documentation was unavailable at the time of the inspection.
Evidence:
1. Staff #4's record (Date of hire-04/10/2024) did not contain documentation of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. Staff #5's record (Date of hire-04/10/2024) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. Staff #6 confirmed that staff references were conducted, but documentation was unavailable at the time of the inspection.
Plan of Correction: We will check to ensure the date of hire are on each person's record upon employment. We have completed a sex offender registry check and a criminal background check for employee for the state of Florida. Moving forward, we will ensure that we ask all applicants if they lived outside of the state prior to their first day.