Inspection · 2022-05-17
Licensing Inspector
Keesha Minor
(571) 596-3660
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
X 8VAC20-780 Administration.
X 8VAC20-780 Staff Qualifications and Training.
X 8VAC20-780 Physical Plant.
X 8VAC20-780 Staffing and Supervision.
X 8VAC20-780 Programs.
X 8VAC20-780 Special Care Provisions and Emergencies
X 8VAC20-780 Special Services.
X 8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
X 8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
X 22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced renewal study was started on 5/17 and completed on 5/23. All rooms were in ratio with direct care staff. Observed children on the playground, infant care, transition to lunch, circle time and free play. Reviewed physical space, staff records, a sample of children records, emergency preparation, trainings and medication. Lunch to be served today was chicken chili, broccoli and cheese salad, bread and fruit. 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.
Ann Dramstad, Children?s Inspector
Office of Child Care Health and Safety
Division of School Readiness
703-314-0860
ann.dramstad@doe.virginia.gov
Standard 22.1-289.035-B-2
Based on administrative statement and record review, a Board Officer (BO) did not submit to fingerprinting within 30 days of obtaining the position.
Evidence:
BO #3 was missing a completed fingerprint letter (assumed the position September 2021).
Plan of Correction: Forms were sent 5/18/2022
Standard 22.1-289.035-B-4
Based on administrative statement and record review, the center did not background checks within the required timeframe. for individuals who resided out of state within the past 5 years.
Evidence:
Staff #1 was missing a criminal history and sex offender registry check prior to employment (11/2021).
Staff #2 was missing a criminal history prior to employment (5/2022)
Staff #13 was missing criminal history check prior to employment (5/2022)
Plan of Correction: Sent forms
Standard 8VAC20-770-60-B
Based on administrative statement, the center did not have completed Sworn Disclosure Statements (SDS) for Board Officers within 30 days of assuming the position.
Evidence:
BO # 1-9 assumed the position September 2021 and the center could not find the SDS forms.
Plan of Correction: Sent forms 5/18/2022 and all returned 5/20/2022
Standard 8VAC20-770-60-C-2
Based on administrative statement, the center did not obtain central registry findings within 30 days of assuming the Board Office position.
Evidence:
BO #1 and #3 were missing a completed CPS letter by October 2021.
Plan of Correction: Sent forms
Standard 8VAC20-780-160-A
Based on record review, staff did not obtain a TB screening prior to employment.
Evidence:
Staff #1 was hired 11/2021 and does not have a TB record.
Staff #13 was hired 5/2-22 and does not have a TB record.
Plan of Correction: A memo was sent 4/16/2022 to staff to submit a TB test documentation no later than 5/27/2022.
Standard 8VAC20-780-160-C
Based on record review and administrative statement, staff have not obtained a follow-up TB screening every two years.
Evidence:
Staff #5,6,7,10,11,12,14,16 and 17 have TB documentation that is older than 2 years.
Plan of Correction: A memo was sent to staff to submit a TB test documentation no later than 5/27/2022.
Standard 8VAC20-780-245-J-3
Based on administrative statement and record review, a child was not in the care of a staff member who has current Medication Administration Training (MAT) certification.
Evidence:
2 children have emergency medication on-site and no staff has current MAT certification as it expired 5/2/2022.
Plan of Correction: Renew MAT certification.
Standard 8VAC20-780-280-B
Based on observation, cleaning materials were not kept in a locked place using a safe locking method to prevent access by children.
Evidence:
Cleaning materials were on a high shelf in Pre-K classroom.
Plan of Correction: Staff retrained on the importance of keeping cleaning supplies in a locked cabinet and providing for the safety of the children.
Standard 8VAC20-780-510-E
Based on observation, the center did not a procedure to prevent use of outdated medication,
Evidence:
Prescription medication for Child #1 expired 3/2022.
Plan of Correction: Parents were notified 5/17 about the expired medication.
Standard 8VAC20-780-520-A
Based on observation, over the counter (OTC) products were kept beyond the expiration date.
Evidence:
Two OTC were expired in the Pre-K classroom.
Plan of Correction: Sent home expired OTC and asked parents for new creams.
Standard 8VAC20-780-530-A
Based on administrative staff statement, not all classrooms have a staff with current certification in first aid and CPR.
Evidence:
Infant 2 and Pre-K classrooms do not have a staff member with first aid and CPR from 7:00-9:00 am.
Plan of Correction: Short term plan to assign a floater with FC/CPR training in Infant 2 and Pre-K from 7-9 am. Long term plan FA/CPR training scheduled on staff training day for all staff 9/2/2022.