Inspection · 2024-08-05
Licensing Inspector
Heather Harrell
(757) 334-4329
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 8/5/24. The on-site inspection began at 11:05am and ended at 2:35pm. The inspector reviewed compliance in the areas listed above. There were 114 children present and 22 staff. The inspector reviewed 10 children?s records and 10 staff records. This inspection included document review, a 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.
Standard 8VAC20-780-130-E
Based on record review and interview, the center did not ensure that documentation of additional immunizations are obtained once very six months for children under the age of two years.
Evidence:
1. The record for child 1 (age 1 year) does not contain documentation of updated immunizations. The last signed immunization record is dated 8/15/23.
2. The center director confirmed that the record for child 1 is lacking an updated immunization record.
Plan of Correction: The center responded with the following: The parent of child 1 was contacted during the inspection and updated immunization records were requested. Once obtained, they will be placed in child 1's record.
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: 9/5/23) does not contain documentation of a physical examination.
2. The center director 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 during the inspection and documentation of the most recent physical examination was requested. Once obtained, the documentation will be placed in child 1's record. Going forward, center management will ensure that children's physicals are obtained in the required timeframes. An audit of children's records will be routinely conducted to ensure records are complete.
Standard 8VAC20-780-240-A
Based on record review and interview, the center did not ensure that the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
Evidence:
1. The record for staff 1 (date of hire: 9/7/23) does not contain documentation that the Virginia Department of Education (VDOE)-sponsored orientation course has been completed.
2. Staff 1 confirmed that she has not completed the VDOE-sponsored orientation course.
Plan of Correction: The center responded with the following: Staff 1 is in the process of completing the required orientation course. Center management will ensure that all new staff have completed their required trainings within the required timeframes.