Inspection · 2023-01-30
Date
2023-01-30
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22 Checks Code, Carbon Monoxide.1 Background
Inspector Notes
An unannounced renewal inspection was conducted on 01/30/2023 from 12:40 pm - 2:45 pm. At the time of entrance there were 65 children in care with 6 teaching staff. The children in care ranged in age from infant - school age. Children were observed during nap.
Records were reviewed for five staff and five children.
Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.
Violations
8Standard 8VAC20-780-240-I
Based on record review and interview, the center failed to ensure that documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member and is considered part of the staff member's record.
Evidence:
1. There was no written documentation to demonstrate that staff 1 , hire date 08/01/2022, had completed orientation training as required within seven days of the first day of employment.
2. Administrative staff confirmed that documentation of orientation training was not on file for staff 1.
Evidence:
1. There was no written documentation to demonstrate that staff 1 , hire date 08/01/2022, had completed orientation training as required within seven days of the first day of employment.
2. Administrative staff confirmed that documentation of orientation training was not on file for staff 1.
Plan of Correction: The program director stated that staff 1 had obtained orientation training however, her training log had been misplaced. A new training certificate will be included in her file to demonstrate that orientation training had been completed.
Standard 8VAC20-780-245-J-3
Based on record review, the center failed to ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who meets the requirements for medication administration (MAT) training.
Evidence:
1. There is no documentation on file to verify that any staff have MAT certification.
a. A child in care, child 1, has emergency medication on file for a diagnosed food allergy.
Evidence:
1. There is no documentation on file to verify that any staff have MAT certification.
a. A child in care, child 1, has emergency medication on file for a diagnosed food allergy.
Plan of Correction: The program director stated she took an online class - an AED/CPR and First Aid class that she found on the DOE website - thinking this met the requirements of MAT.
The program director stated that the correct MAT class would be obtained.
The program director stated that the correct MAT class would be obtained.
Standard 8VAC20-780-340-A
Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.
Evidence:
1. When the inspection entered the toddler/two year old nap room at approximately 12:50 pm the staff supervising the children was observed placing blankets over two children in such a way as to completely cover each child's face and head.
2. The inspector noted that all 14 children in this group were completely covered with a blanket to include the child's face and head.
3. This is a suffocation hazard when a child's face and head is completed covered with a blanket.
Evidence:
1. When the inspection entered the toddler/two year old nap room at approximately 12:50 pm the staff supervising the children was observed placing blankets over two children in such a way as to completely cover each child's face and head.
2. The inspector noted that all 14 children in this group were completely covered with a blanket to include the child's face and head.
3. This is a suffocation hazard when a child's face and head is completed covered with a blanket.
Plan of Correction: The program director stated that all staff would be reminded not to cover children's face and head with a blanket during nap.
Standard 8VAC20-780-350-I
Based on observation and interview, the center failed to ensure for children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, the following rest period ratios are permitted:
*Children 16 through 24 months of age: one staff per 10 children;
*Children two years of age: One staff per 16 children;
*Children of preschool age: One staff per 20 children.
Evidence:
1. There were a total of 14 children ages16 months - two years with 1 staff when this classroom was observed during naptime at approximately 12:50 pm.
a. Classroom staff reported that 6 of the children in this group were under the age of 2 years.
b. Two staff were needed to meet the toddler nap ratio of 1:10.
2. There were a total of 22 children, ages 2 years & 3 years, with one staff when this classroom was observed during naptime at approximately 1:00pm.
a. Classroom staff reported that 7 children in this group were two years of age.
b. Two staff were needed to meet the two-year old nap ratio of 1:16
3. Classroom staff confirmed to the inspector they were alone with the children during nap time.
*Children 16 through 24 months of age: one staff per 10 children;
*Children two years of age: One staff per 16 children;
*Children of preschool age: One staff per 20 children.
Evidence:
1. There were a total of 14 children ages16 months - two years with 1 staff when this classroom was observed during naptime at approximately 12:50 pm.
a. Classroom staff reported that 6 of the children in this group were under the age of 2 years.
b. Two staff were needed to meet the toddler nap ratio of 1:10.
2. There were a total of 22 children, ages 2 years & 3 years, with one staff when this classroom was observed during naptime at approximately 1:00pm.
a. Classroom staff reported that 7 children in this group were two years of age.
b. Two staff were needed to meet the two-year old nap ratio of 1:16
3. Classroom staff confirmed to the inspector they were alone with the children during nap time.
Plan of Correction: The program director stated she thought the ratio requirements at nap time required only one staff. The program director stated she would re-work break times to ensure sufficient staff in each classroom to meet the required staff-to-child ratio.
Standard 8VAC20-780-560-G
Based on observation, the center failed to ensure that when food is brought from home the food container shall be labeled in a way that identifies the owner.
Evidence:
1. Two packets of frozen breast milk were not labeled with the child's name.
a. These packets were observed in the infant room refrigerator.
Evidence:
1. Two packets of frozen breast milk were not labeled with the child's name.
a. These packets were observed in the infant room refrigerator.
Plan of Correction: Breast milk was labeled during inspection and staff were remined to ensure all breast milk was labeled with child's name.
Standard 8VAC20-780-580-B
Based on record review, the center failed to ensure that any vehicle used by the center for the transportation of children shall meet the following requirements:
The vehicle shall be insured with at least the minimum limits established by Virginia state statutes:
Evidence:
1. There is no written documentation to indicate that both facility vans, used to transport children to and from public school, had insurance in effect from 10/31/2022 through 01/31/2023.
a. Policy 1 reviewed by the inspector, for both vans, expired on 10/31/2022.
b. Policy 2 reviewed by the inspector, for both vans, began coverage on 01/31/2023.
The vehicle shall be insured with at least the minimum limits established by Virginia state statutes:
Evidence:
1. There is no written documentation to indicate that both facility vans, used to transport children to and from public school, had insurance in effect from 10/31/2022 through 01/31/2023.
a. Policy 1 reviewed by the inspector, for both vans, expired on 10/31/2022.
b. Policy 2 reviewed by the inspector, for both vans, began coverage on 01/31/2023.
Plan of Correction: The program director stated insurance was in effect however, the policy was changed and documentation needed to be obtained from the insurance agent.
Standard 8VAC20-820-120-E-1
Based on observation, the center failed to ensure that any provisional license shall be posted at each public entrance of the facility and a notice shall be prominently displayed next to the license that states that a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections is available for inspection at the facility or on the facility.
Evidence:
1. The provisional license, issued 09/07/2022, was not posted at the public entrance of the facility.
a. The license was posted on the parent board which is not a prominent place near the public entrance into the facility.
Evidence:
1. The provisional license, issued 09/07/2022, was not posted at the public entrance of the facility.
a. The license was posted on the parent board which is not a prominent place near the public entrance into the facility.
Plan of Correction: The program director stated that the provisional license had been posted at the public entrance but had fallen down and placed, by mistake, on the parent board.
Standard 8VAC20-820-120-E-2
Based on observation, the center failed to ensure the findings of the most recent inspection of the facility were posted on the premises.
Evidence:
1. The findings of the most recent monitoring inspection on 11/07/2022 were not posted.
a. The findings of the 08/22/2022 complaint inspection were posted.
Evidence:
1. The findings of the most recent monitoring inspection on 11/07/2022 were not posted.
a. The findings of the 08/22/2022 complaint inspection were posted.
Plan of Correction: The program director stated that the findings from the most recent inspection will be posted.