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Tri-County Community Action Agency, Inc - Mary Bethune

Inspection · 2023-05-09

Date
2023-05-09
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
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
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced monitoring inspection was conducted onsite on 05/09/2023 and concluded with an electronic record review on 05/09/2023. There were 15 children, ages 3 years- 5 years, and 3 staff providing direct supervision present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during teacher directed activities, mealtime, and outdoor time. A total of 5 children?s records, and 3 staff records were reviewed. The inspector arrived for the inspection at 10:30 am and departed at 12:15 pm.
The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation noticed issued to the provider.

Violations

4
Standard 8VAC20-780-130-A
Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.
Evidence: The record for Child 3 indicated the first date of attendance as 11/21/2022. The immunization in record was dated 1/23/2023.
Plan of Correction: Staff will obtain information before children will attend.
Standard 8VAC20-780-140-A
Repeat Violation
Based on record review, the center failed to obtain documentation 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: The record for Child 5 contained a documented start date of 09/13/2022. The physical examination in record was dated 10/31/2022.
Plan of Correction: Staff will obtain information before children within timeframe.
Standard 8VAC20-780-500-A
Based on observations, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
Evidence: Children were observed eating lunch, lining up and going outside without washing their hands after the meal.
Plan of Correction: Staff will ensure children wash hands before and after meals.
Standard 8VAC20-780-60-A
Repeat Violation
Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the record contained only 1 non-parental contact)
2. The record for Child 5 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction: Staff will obtain missing information from families.