Inspection · 2022-10-17
Date
2022-10-17
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
(540) 280-0742
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.
Yes
Areas Reviewed
8VAC20-790 Subsidy Regulations
Inspector Notes
The Licensing Inspector conducted an unannounced Subsidy Health and Safety inspection (SHSI) on Monday, October 17, 2022 from approximately 11:40am to 2:50pm. There were 27 children in attendance and a total of six staff directly supervising. Upon arrival, the children were observed resting and napping. Later, the children were observed waking up, taking bathroom breaks, and preparing for snack. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, kitchen, hallways, outdoor play area, and bathrooms were inspected. Five children's records and five staff records were reviewed.
A code compliance inspection was conducted on the same date as the SHSI supplemental inspection. 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.
Violations
8Standard 8VAC20-790-540-B-11
Based on a review of five children's records and interview, the vendor did not obtain a written allergy care plan for one child with a diagnosed food allergy .
Evidence: 1) The record of Child #1, date of attendance 02/10/22, indicated the child had a diagnosed food allergy, but the record did not contain a written allergy care plan. 2) During interview, management reported the center did not have a written allergy care plan for Child #1. A written allergy care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence: 1) The record of Child #1, date of attendance 02/10/22, indicated the child had a diagnosed food allergy, but the record did not contain a written allergy care plan. 2) During interview, management reported the center did not have a written allergy care plan for Child #1. A written allergy care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: The written allergy care plan will be requested and filed. In the future, all children with a diagnosed food allergy will have a written allergy care plan on file.
Standard 8VAC20-790-550-2-a
Based on a review of five staff records, the vendor did not ensure four staff had the satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of the individual's beginning date of employment.
Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2, employed on 01/03/22, was dated 06/23/22.
2) The Virginia Child Protective Services Central Registry check in the record of Staff #3, employed on 03/21/22, was dated 04/26/22.
3) The Virginia Child Protective Services Central Registry check in the record of Staff #4, employed on 03/09/22, was dated 04/21/22.
4) The Virginia Child Protective Services Central Registry check in the record of Staff #5, employed on 03/10/22, was dated 04/21/22.
Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2, employed on 01/03/22, was dated 06/23/22.
2) The Virginia Child Protective Services Central Registry check in the record of Staff #3, employed on 03/21/22, was dated 04/26/22.
3) The Virginia Child Protective Services Central Registry check in the record of Staff #4, employed on 03/09/22, was dated 04/21/22.
4) The Virginia Child Protective Services Central Registry check in the record of Staff #5, employed on 03/10/22, was dated 04/21/22.
Plan of Correction: In the future, all central registry checks will be obtained within 30 days of employment. Documentation of contact with the office of background investigation will be maintained if the results are not received within 30 days of employment.
Standard 8VAC20-790-550-2-b
Based on a review of five staff records and interview, the vendor did not obtain satisfactory results of the child abuse and neglect registry from any other state in which one individual has resided in the preceding five years.
Evidence: 1) The record of Staff #1, employed on 02/07/22, indicated the staff resided in a state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the out-of-state child abuse and neglect registry for Staff #1 has not been obtained.
Evidence: 1) The record of Staff #1, employed on 02/07/22, indicated the staff resided in a state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, management reported the out-of-state child abuse and neglect registry for Staff #1 has not been obtained.
Plan of Correction: The missing out-of-state check will be requested.
Standard 8VAC20-790-560-A
Based on a review of five staff records and interview, the vendor did not ensure two staff were evaluated by a health professional and were issued a statement that the individuals were determined to be free of communicable tuberculosis (TB) within the required timeframe.
Evidence: 1) The record of Staff #1, date of employment 02/07/22, contained a TB test that was completed on 09/13/21. The documentation should have been completed within the last 30 calendar days of the date of employment.
2) The record of Staff #2, date of employment 01/03/22, did not contain a TB screening. 3) During interview, management reported the TB screening for Staff #2 was not on file. The documentation of the screening should have been submitted at the time of employment and prior to coming into contact with children.
Evidence: 1) The record of Staff #1, date of employment 02/07/22, contained a TB test that was completed on 09/13/21. The documentation should have been completed within the last 30 calendar days of the date of employment.
2) The record of Staff #2, date of employment 01/03/22, did not contain a TB screening. 3) During interview, management reported the TB screening for Staff #2 was not on file. The documentation of the screening should have been submitted at the time of employment and prior to coming into contact with children.
Plan of Correction: TB screenings will be obtained at the time of employment and will not be more than 30 days prior to employment.
Standard 8VAC20-790-600-B
Based on a review of five staff records, the vendor did not ensure four staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.
Evidence: 1) The Virginia Preservice Training certificate in the record of Staff #1, employed on 02/07/22, was dated 07/17/22.
2) The Virginia Preservice Training certificate in the record of Staff #2, employed on 01/03/22, was dated 07/25/22.
3) The record of Staff #3, employed on 03/21/22, did not contain documentation that the staff completed the Virginia Preservice Training.
4) The Virginia Preservice Training certificate in the record of Staff #4, employed on 03/09/22, was dated 07/11/22.
5) During interview, management acknowledged Staff #1, Staff #2, Staff #3, and Staff #4 did not complete the Virginia Preservice Training within the first 90 days of employment.
Evidence: 1) The Virginia Preservice Training certificate in the record of Staff #1, employed on 02/07/22, was dated 07/17/22.
2) The Virginia Preservice Training certificate in the record of Staff #2, employed on 01/03/22, was dated 07/25/22.
3) The record of Staff #3, employed on 03/21/22, did not contain documentation that the staff completed the Virginia Preservice Training.
4) The Virginia Preservice Training certificate in the record of Staff #4, employed on 03/09/22, was dated 07/11/22.
5) During interview, management acknowledged Staff #1, Staff #2, Staff #3, and Staff #4 did not complete the Virginia Preservice Training within the first 90 days of employment.
Plan of Correction: The missing training will be completed. Moving forward, the Virginia Preservice Training will be required to be completed within the first 90 days of employment.
Standard 8VAC20-790-600-C
Based on a review of five staff records and interview, the vendor did not ensure five staff completed orientation training within the required timeframe.
Evidence: 1) The following staff records did not contain documentation that the staff received orientation training: Staff #1 (employed on 02/07/22); Staff #2 (employed 01/03/22); Staff #3 (employed 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22). Orientation training for staff should be completed prior to the staff member working alone with children and within seven days of the date of employment. 2) During interview, management reported orientation training has not been completed to staff.
Evidence: 1) The following staff records did not contain documentation that the staff received orientation training: Staff #1 (employed on 02/07/22); Staff #2 (employed 01/03/22); Staff #3 (employed 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22). Orientation training for staff should be completed prior to the staff member working alone with children and within seven days of the date of employment. 2) During interview, management reported orientation training has not been completed to staff.
Plan of Correction: Orientation training will be completed for all staff members and documentation maintained in the record.
Standard 8VAC20-790-600-D-1
Based on a review of five staff records and interview, the vendor did not ensure three staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.
Evidence: 1) The following staff records did not contain documentation of current certification in CPR: Staff #3 (employed on 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22).
2) During interview, management reported Staff #3, Staff #4, and Staff #5 do not have current certification in CPR.
Evidence: 1) The following staff records did not contain documentation of current certification in CPR: Staff #3 (employed on 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22).
2) During interview, management reported Staff #3, Staff #4, and Staff #5 do not have current certification in CPR.
Plan of Correction: The staff with missing CPR and first aid will complete the training as soon as possible. In the future, the training will be completed within 90 days of employment.
Standard 8VAC20-790-600-D-2
Based on a review of five staff records and interview, the vendor did not ensure three staff had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment.
Evidence: 1) The following staff records did not contain documentation of current certification in first aid: Staff #3 (employed on 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22).
2) During interview, management reported Staff #3, Staff #4, and Staff #5 do not have current certification in first aid.
Evidence: 1) The following staff records did not contain documentation of current certification in first aid: Staff #3 (employed on 03/21/22); Staff #4 (employed on 03/09/22); and Staff #5 (employed on 03/10/22).
2) During interview, management reported Staff #3, Staff #4, and Staff #5 do not have current certification in first aid.
Plan of Correction: The staff with missing CPR and first aid will complete the training as soon as possible. In the future, the training will be completed within 90 days of employment.