Inspection · 2023-02-07
Date
2023-02-07
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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)
Inspector Notes
An unannounced renewal inspection was conducted on 02/07/2023 from 4:45 pm - 6:15 pm. At the time of entrance there were 15 children, ages 4 - 12 years, in care with three staff. Children were observed playing games and reading in the cafeteria.
Records reviewed for three staff and five children.
Information gathered during the inspection determined non-compliances with applicable standards and violations were documented on the violation notice issued to the program.
Violations
7Standard 8VAC20-780-140-A
Based on record review, the center failed to 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. Child 1, enrollment date 09/06/2022, lacked documentation of a physical exam.
2. Administrative staff confirmed that a physical was not on file for child 1.
Evidence:
1. Child 1, enrollment date 09/06/2022, lacked documentation of a physical exam.
2. Administrative staff confirmed that a physical was not on file for child 1.
Plan of Correction: Administrative staff stated that a physical exam will be obtained for this child.
Standard 8VAC20-780-550-P
Based on review, the center failed to ensure that the written record of children's minor injuries shall include all of the required information.
Evidence:
1. 3 of 3 injury reports reviewed lacked written documentation of time and method of parent notification.
2. 2 of 3 injury reports reviewed lacked a parent or second staff signature.
3. 3 of 3 injury reports reviewed lacked written documentation of treatment received.
Evidence:
1. 3 of 3 injury reports reviewed lacked written documentation of time and method of parent notification.
2. 2 of 3 injury reports reviewed lacked a parent or second staff signature.
3. 3 of 3 injury reports reviewed lacked written documentation of treatment received.
Plan of Correction: Administrative staff stated that all information would be included on injury reports going forward.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that children's records contain all of the required elements.
Evidence:
1. Enrollment records were not available for child 1 and child 2 who were in care during the inspection.
2. Administrative staff verified that enrollment records were not on file for these children.
Evidence:
1. Enrollment records were not available for child 1 and child 2 who were in care during the inspection.
2. Administrative staff verified that enrollment records were not on file for these children.
Plan of Correction: Administrative staff stated that children's records would be located and placed on file at the site.
Standard 8VAC20-780-70
Based on record review, the center failed to maintain the name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.
Evidence:
There was no emergency contact on file, at the site for staff 1.
Evidence:
There was no emergency contact on file, at the site for staff 1.
Plan of Correction: An emergency contact sheet will be completed by staff 1.
Standard 8VAC20-780-80-A
Based on record review and interview, the center failed to ensure that 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.
Evidence:
1. Attendance documentation had not been completed for 25 of 30 total children in care.
2. All staff verified that the attendance record had not been completed for all children in care.
Evidence:
1. Attendance documentation had not been completed for 25 of 30 total children in care.
2. All staff verified that the attendance record had not been completed for all children in care.
Plan of Correction: Administrative staff stated that every effort will be made to document children in attendance as they arrive.
Standard 8VAC20-820-120-E-1
Based on observation, the center failed to ensure that the most recently issued license was posted on the premises.
Evidence:
The current license was not posted.
Evidence:
The current license was not posted.
Plan of Correction: Administrative staff stated that the licensing board, containing the license and inspection reports, will be put out daily going forward.
Standard 8VAC20-820-120-E-2
Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility were posted.
Evidence:
The findings from the most recent monitoring inspection on 11/30/2022 were not posted.
Evidence:
The findings from the most recent monitoring inspection on 11/30/2022 were not posted.
Plan of Correction: Administrative staff stated that the licensing board, containing the license and inspection reports, will be put out daily going forward.