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Milestones Child Development Center

Inspection · 2023-08-25

Date
2023-08-25
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(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.
8VAC20-770 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 renewal inspection was conducted on 8/25/23 from 11:00am until 1:00pm. At the time of the inspection, there were 56 children in care with 12 staff present. A sample of 6 children's records and 5 staff records were reviewed. Children were observed participating in learning activities, engaging in free play, eating lunch and resting quietly during nap time. Lunch service, handwashing and restroom procedures were also observed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, children's injury reports, medication and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations were documented on the violation notice issued to the program and discussed with the center owner during the exit interview.

Violations

3
Standard 8VAC20-780-140-A
Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.

Evidence:
1. The record for child 1 (date of enrollment: 7/6/23) does not contain documentation of a physical examination.
2. The center owner confirmed that the record for child 1 is lacking documentation of a physical examination.
Plan of Correction: The center responded with the following: The parent of child 1 was contacted to obtain a copy of the child's most recent physical. Once received, documentation will be placed in the child's record.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

Evidence:
1. There was a wooden shelving unit located on the younger children's playground with two rusted nails protruding from the top of the shelf. The shelving unit was accessible to the children in care.
2. The center owner confirmed that the wooden shelving unit was not maintained in a safe and operable condition.
Plan of Correction: The center responded with the following: The wooden shelving unit was moved to the playground temporarily from the school-aged classroom until it could be disposed of. The protruding nails were immediately removed and the shelving until will be disposed of over the weekend. Staff will ensure appropriate supervision and make sure children do not play near the shelving unit when on the playground until it can be removed.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.

Evidence:
1. The record for staff 1 (date of hire: 7/25/23) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The center owner confirmed that the record for staff 1 is lacking documentation of the two required reference checks.
Plan of Correction: The center responded with the following: The references for staff 1 will be obtained and placed in staff 1's record.
View original record on Virginia Department of Social Services