Inspection · 2023-01-18
Date
2023-01-18
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
Inspector Notes
A monitoring inspection was conducted on 01/18/2023. A tour of the facility was conducted, in addition to a record review and interviews with staff. The Intensive Plan of Correction which was required to be completed by the center as also reviewed. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
4Standard 8VAC20-770-60-B
Based on a record review the center did not ensure all staff had the required background checks.
Evidence:
Staff #2, hired 09/14/2020 did not have a signed sworn statement of affirmation.
Evidence:
Staff #2, hired 09/14/2020 did not have a signed sworn statement of affirmation.
Plan of Correction: Staff #2 did have a signed sworn statement, however it was an old form. A current sworn statement will be given to the staff to complete this week.
Standard 8VAC20-780-245-A
Based on a record review the center did not ensure all staff completed a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
Staff #2, hired 09/14/2020 had 12 hours of training for 2022. Sixteen hours is required.
Evidence:
Staff #2, hired 09/14/2020 had 12 hours of training for 2022. Sixteen hours is required.
Plan of Correction: The director has spoken to the staff about completing the required trainings and the staff has received written notification. The director will consult with the owner for next steps.
Standard 8VAC20-780-40-E
Based on a record review, observations and interviews the center did not ensure the center's activities, services, and facilities were maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.
Evidence:
1. On 11/15/2022 The center was required to complete an Intensive Plan of Correction (IPOC) for violations cited on previous inspections in the areas of supervision and behavioral guidance.
2. The plan submitted by the center outlined 7 specific trainings the owner mandated all staff to complete by 11/28/2022. Five of the 11 staff members did not complete the trainings.
Evidence:
1. On 11/15/2022 The center was required to complete an Intensive Plan of Correction (IPOC) for violations cited on previous inspections in the areas of supervision and behavioral guidance.
2. The plan submitted by the center outlined 7 specific trainings the owner mandated all staff to complete by 11/28/2022. Five of the 11 staff members did not complete the trainings.
Plan of Correction: Staff who have not completed the trainings mandated by the owner as part of the IPOC, are required to have them competed by 02/01/2023. If not completed, the director will discuss disciplinary actions with the owner.
Standard 8VAC20-780-540-C
Based on observation the center did not have all required items in the first aid kit.
Evidence:
The first aid kit did not have antiseptic.
Evidence:
The first aid kit did not have antiseptic.
Plan of Correction: The director will ensure antiseptic is added to the first aid kit.