Inspection · 2024-06-05
Date
2024-06-05
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
(757) 404-2575
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
A monitoring inspection was initiated and concluded on 06-05-2024. The inspector arrived at 2:10 PM and departed at 3:10 PM. There were 17 children present, ranging in ages from 4 yrs to school age, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 2 staff records were reviewed.
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 and discussed with the program director during the exit interview.
Violations
11Standard 22.1-289.011-F
Repeat violation
Based upon observation, the facility has not ensured that the license and documentation of the most recent VDOE inspection is posted in a conspicuous place on the licensed premise.
Evidence:
The license and documentation of the most recent VDOE inspection was not posted.
Based upon observation, the facility has not ensured that the license and documentation of the most recent VDOE inspection is posted in a conspicuous place on the licensed premise.
Evidence:
The license and documentation of the most recent VDOE inspection was not posted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Repeat violation
Based upon review of children's records, the facility has not ensured that each child has received a physical examination prior to or within 30 days following enrollment.
Evidence:
The record provided for child 5, who began attending on 11/1/2023 did not include the results of a physical examination.
Based upon review of children's records, the facility has not ensured that each child has received a physical examination prior to or within 30 days following enrollment.
Evidence:
The record provided for child 5, who began attending on 11/1/2023 did not include the results of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Based upon review of records, the facility has not ensured that tuberculosis screenings are obtained at least every two years.
Evidence:
The most recent tuberculosis screening in the record of staff 1 is dated 2/3/2022.
Evidence:
The most recent tuberculosis screening in the record of staff 1 is dated 2/3/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based upon review of staff records, the facility has not ensured that the Virginia Department of Education - sponsored orientation course is completed within 90 calendar days of employment.
Evidence:
There was no documentation in the records of staff 1 and staff 2 of having completed that VDOE-sponsored orientation course.
Evidence:
There was no documentation in the records of staff 1 and staff 2 of having completed that VDOE-sponsored orientation course.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Repeat violation
Based upon review of staff records and staff interview, the facility has not ensured that an annual fire inspection has been conducted.
Evidence:
1. The most recent documentation of a fire inspection is dated 9/16/2022.
2. Staff 1 confirmed that they did not have documentation of a more recent fire inspection.
Based upon review of staff records and staff interview, the facility has not ensured that an annual fire inspection has been conducted.
Evidence:
1. The most recent documentation of a fire inspection is dated 9/16/2022.
2. Staff 1 confirmed that they did not have documentation of a more recent fire inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
Repeat violation
Based upon review of staff records and staff interview, the facility has not ensured that an annual health department sanitation inspection has been conducted.
Evidence:
1. The only health department documentation provided was a food service inspection.
2. Staff 1 confirmed that they did not have documentation of a health department sanitation inspection.
Based upon review of staff records and staff interview, the facility has not ensured that an annual health department sanitation inspection has been conducted.
Evidence:
1. The only health department documentation provided was a food service inspection.
2. Staff 1 confirmed that they did not have documentation of a health department sanitation inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children.
Evidence;
There was a bottle of multi-shine cleaner and a container of hand sanitizer, both with warning labels, on a table in the corner of the cafeteria where children were playing.
Evidence;
There was a bottle of multi-shine cleaner and a container of hand sanitizer, both with warning labels, on a table in the corner of the cafeteria where children were playing.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based upon review of documentation, the facility has not ensured that evacuation drills are practiced monthly.
Evidence:
The documentation of evacuation drills provided did not include a date and documentation of an evacuation drill in February 2024.
Evidence:
The documentation of evacuation drills provided did not include a date and documentation of an evacuation drill in February 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Based upon review of documentation, the facility has not ensured that shelter-in-place drills are practiced a minimum of twice per year.
Evidence:
Only one shelter-in-place drill was recorded for the past year.
Evidence:
Only one shelter-in-place drill was recorded for the past year.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-G
Based upon review of documentation, the facility has not ensured that documentation of emergency evacuation drills includes all required documentation.
Evidence:
The documentation of emergency evacuation drills did not include the method used to notify staff/children of the drill and the number of staff on duty at the time of the drill.
Evidence:
The documentation of emergency evacuation drills did not include the method used to notify staff/children of the drill and the number of staff on duty at the time of the drill.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Based upon review of children's records, the facility has not ensured that each record includes a written agreement between the parent and the facility that includes all required agreements.
Evidence:
1. The parent agreement in the record of child 2 was not signed by the parent.
2. The records provided for child 1, 3, 4 and 5 did not include the parent agreement that parents will notify the facility within 24 hours if the child or any household member contracts a reportable communicable disease.
Evidence:
1. The parent agreement in the record of child 2 was not signed by the parent.
2. The records provided for child 1, 3, 4 and 5 did not include the parent agreement that parents will notify the facility within 24 hours if the child or any household member contracts a reportable communicable disease.
Plan of Correction: Not available online. Contact Inspector for more information.