Inspection · 2024-09-18
Date
2024-09-18
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
(540) 340-2672
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
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced renewal inspection was initiated and completed on 9/18/2024. The on-site inspection began at 9:30am and ended at 12:40pm. The inspector reviewed compliance in the areas listed above. There were 67 children present and 12 staff. The inspector reviewed 8 children?s records and 6 staff records on-site. The inspection included document review, tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Violations
9Standard 22.1-289.035-A
The provider center must obtain a central registry background check report every five years from the date of the last check.
The record for Staff #1 did not contain documentation that a central registry background check report had been completed every five years from the date of the last check. The last central registry check on file expired 3 months ago.
The record for Staff #1 did not contain documentation that a central registry background check report had been completed every five years from the date of the last check. The last central registry check on file expired 3 months ago.
Plan of Correction: Results were received 9/25/2024.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.
1. In the Boulevard, inside the mail playroom, there is a hole in the wall that is 5 inches wide by two inches long.
2. In the Infant B classroom there was a shelf that was cracked, there is a wooden bolt that was exposed.
1. In the Boulevard, inside the mail playroom, there is a hole in the wall that is 5 inches wide by two inches long.
2. In the Infant B classroom there was a shelf that was cracked, there is a wooden bolt that was exposed.
Plan of Correction: Cabinet will be replaced and the hole will be patched up.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
1. In the Infant A classroom, there was a spray bottle of sanitizer unlocked in an upper cabinet.
2. In the Infant B classroom, there was a spray bottle of sanitizer unlocked in an upper cabinet by t he changing table and a bottle of sanitizer unlocked in an upper cabinet above the microwave.
3. In the Toddler A classroom, there was a spray bottle of sanitizer unlocked in an upper cabinet.
4. In the Boulevard room, there was a spray bottle of sanitizer unlocked in an upper cabinet
1. In the Infant A classroom, there was a spray bottle of sanitizer unlocked in an upper cabinet.
2. In the Infant B classroom, there was a spray bottle of sanitizer unlocked in an upper cabinet by t he changing table and a bottle of sanitizer unlocked in an upper cabinet above the microwave.
3. In the Toddler A classroom, there was a spray bottle of sanitizer unlocked in an upper cabinet.
4. In the Boulevard room, there was a spray bottle of sanitizer unlocked in an upper cabinet
Plan of Correction: Teachers will be reminded that all cabinets with chemicals need to be locked.
Standard 8VAC20-780-500-B
A nonabsorbent surface for diapering or changing shall be used.
In the Twaddlers classroom, the diapering mat had tears causing it to no longer be nonabsorbent
In the Twaddlers classroom, the diapering mat had tears causing it to no longer be nonabsorbent
Plan of Correction: Changing pad will be replaced as soon as possible.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.
Medication for Child #3 was onsite, but the medication authorization had expired over 5 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.
Medication for Child #3 was onsite, but the medication authorization had expired over 5 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: Medication will be given back to parent until the authorization is current.
Standard 8VAC20-780-560-G
When food is brought from home the food container must be clearly dated.
1. In the Preschool 2-A classroom, there were 2 lunchboxes with no name and date and a bottle of Pediasure and a donut in a cubby with no name or date.
2. In Infant B classroom there was 3 yogurt pouches and a bag of Cheerios with no name and date.
3. In Twaddler classroom there was a lunchbox not dated.
4. In the Preschool 1-A classroom, there was 1 lunchbox without a name and date and 1 lunchbox without a date.
5. In the Preschool 2-B classroom there was 1 lunchbox without a name and date.
1. In the Preschool 2-A classroom, there were 2 lunchboxes with no name and date and a bottle of Pediasure and a donut in a cubby with no name or date.
2. In Infant B classroom there was 3 yogurt pouches and a bag of Cheerios with no name and date.
3. In Twaddler classroom there was a lunchbox not dated.
4. In the Preschool 1-A classroom, there was 1 lunchbox without a name and date and 1 lunchbox without a date.
5. In the Preschool 2-B classroom there was 1 lunchbox without a name and date.
Plan of Correction: Note will be sent out to parents with a reminder to put the child's name and date on food brought from home.
Standard 8VAC20-780-570-E
Prepared infant formula shall be refrigerated, dated and labeled with the child's name.
In the Infant A classroom, one child is missing the dates on their two bottles.
In the Infant A classroom, one child is missing the dates on their two bottles.
Plan of Correction: Bottles were corrected during the inspection.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
1. The record for Child #1, enrolled for 5 months, was missing the following required components: Addresses of both emergency contacts.
2. The record for Child #2, enrolled for 9 months was missing the following required components: An address for one of the emergency contacts
1. The record for Child #1, enrolled for 5 months, was missing the following required components: Addresses of both emergency contacts.
2. The record for Child #2, enrolled for 9 months was missing the following required components: An address for one of the emergency contacts
Plan of Correction: Children's records will be corrected at pick-up , will request parents to update.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
1. There were four children present in the Infant-A classroom, but five were marked present on the attendance record.
2. There were four children present in the Infant-B classroom, but only three were marked present on the attendance record.
1. There were four children present in the Infant-A classroom, but five were marked present on the attendance record.
2. There were four children present in the Infant-B classroom, but only three were marked present on the attendance record.
Plan of Correction: Attendance will be corrected, children will be added.