Inspection · 2022-06-08
Date
2022-06-08
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
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 6/8/22. The inspectors arrived at 12:30pm and departed at approximately 2:50pm. There were 57 children present and 8 staff members. A sample of five children?s records and 4 staff records were reviewed. Children were observed during group activity, free play, lunch and naptime. First aid and emergency supplies, the written emergency preparedness plan, documentation of emergency drills and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations are listed on the violation notice issued to the center and were discussed with center management during the exit interview.
Violations
12Standard 22.1-289.035-B-2
Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment.
Evidence:
1. The record for staff 2 (date of hire: 1/10/22) does not contain the results of a national fingerprint search. Staff 2 was working at the center on the day of the inspection.
2. The center director confirmed that the record for staff 2 is lacking documentation of the results of a national fingerprint search.
Evidence:
1. The record for staff 2 (date of hire: 1/10/22) does not contain the results of a national fingerprint search. Staff 2 was working at the center on the day of the inspection.
2. The center director confirmed that the record for staff 2 is lacking documentation of the results of a national fingerprint search.
Plan of Correction: The center responded with the following: Fingerprint results for staff 2 were obtained on 6/13/22 and forwarded to the licensing inspector. Going forward, center management will ensure that fingerprint results are obtained before a new staff begins employment.
Standard 22.1-289.035-B-4
Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry is obtained from any state in which the individual has resided in the preceding five years.
Evidence:
1. Staff 1 has a hire date of 1/24/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Tennessee and Mississippi within the past five years. The results of a criminal history record information check from the state of Mississippi and the results of a central registry search from the states of Tennessee and Mississippi were not available for staff 1.
2. Staff 2 has a hire date of 1/10/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Florida and California within the past five years. The results of a criminal history record information check from the state of California and the results of a central registry search from the states of California and Florida were not available for staff 2.
3. Staff 3 has a hire date of 10/4/21. Staff 3 indicated on his sworn statement or affirmation that he has resided in the state of Texas within the past five years. The results of a criminal history record information check and the results of a central registry search from the state of Texas were not available for staff 3.
4. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking the results of their out-of-state background checks.
Evidence:
1. Staff 1 has a hire date of 1/24/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Tennessee and Mississippi within the past five years. The results of a criminal history record information check from the state of Mississippi and the results of a central registry search from the states of Tennessee and Mississippi were not available for staff 1.
2. Staff 2 has a hire date of 1/10/22. Staff 1 indicated on her sworn statement or affirmation that she has resided in the states of Florida and California within the past five years. The results of a criminal history record information check from the state of California and the results of a central registry search from the states of California and Florida were not available for staff 2.
3. Staff 3 has a hire date of 10/4/21. Staff 3 indicated on his sworn statement or affirmation that he has resided in the state of Texas within the past five years. The results of a criminal history record information check and the results of a central registry search from the state of Texas were not available for staff 3.
4. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking the results of their out-of-state background checks.
Plan of Correction: The center responded with the following: The out-of-state background checks for staff 1, staff 2 and staff 3 will be completed as soon as possible. Once received, the results of each search will be forwarded to the licensing inspector. Going forward, center management will ensure out-of-state background checks are completed within the required timeframes.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure that the results of a central registry finding are received within 30 days of employment.
Evidence:
1. The records for staff 1 (date of hire: 1/24/22) and staff 2 (date of hire: 1/10/22) do not contain the results of a central registry finding. Staff 1 and staff 2 were working on the day of the inspection.
2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.
Evidence:
1. The records for staff 1 (date of hire: 1/24/22) and staff 2 (date of hire: 1/10/22) do not contain the results of a central registry finding. Staff 1 and staff 2 were working on the day of the inspection.
2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.
Plan of Correction: The center responded with the following: The central registry searches for staff 1 and staff 2 will be completed. Once received, the results will be forwarded to the licensing inspector. Going forward, center management will ensure that central registry searches are completed within the required timeframes.
Standard 8VAC20-780-160-A
Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening.
Evidence:
1. The records for staff 1 (date of hire: 1/24/22), staff 2 (date of hire: 1/10/22) and staff 3 (date of hire: 10/4/21) do not contain documentation of a negative tuberculosis screening.
2. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking documentation of a negative tuberculosis screening.
Evidence:
1. The records for staff 1 (date of hire: 1/24/22), staff 2 (date of hire: 1/10/22) and staff 3 (date of hire: 10/4/21) do not contain documentation of a negative tuberculosis screening.
2. The center director confirmed that the records for staff 1, staff 2 and staff 3 are lacking documentation of a negative tuberculosis screening.
Plan of Correction: The center responded with the following: Staff 1, staff 2 and staff 3 will obtain TB screenings as soon as possible. Going forward, center management will ensure that TB screenings are obtained with in the required timeframes.
Standard 8VAC20-780-270-A
Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.
Evidence:
1. On the playground, the 2 Little Tikes Bikes had all four wheels cracked and broken off the hinge, which poses an injury hazard to the children.
2. On the playground, the seated skateboard had a broken handle, which poses a pinching and injury hazard.
3. The center director confirmed that the broken play equipment was being used on the playground by children in care.
Evidence:
1. On the playground, the 2 Little Tikes Bikes had all four wheels cracked and broken off the hinge, which poses an injury hazard to the children.
2. On the playground, the seated skateboard had a broken handle, which poses a pinching and injury hazard.
3. The center director confirmed that the broken play equipment was being used on the playground by children in care.
Plan of Correction: The center responded with the following: The center director immediately disposed of the two bikes and seated skateboard. They will no longer be in use.
Standard 8VAC20-780-280-B
Based on observation and interview, it was determined that the center did not ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. In the PreK 3 year old classroom, there was an unlocked spray bottle of bleach water located on the counter within reach of children.
2. In the PreK 2 year old classroom, there were two bottles of disinfectant spray unlocked on top of a cabinet accessible to children.
3. The center director confirmed that the cleaning products were unlocked and accessible to children in care.
Evidence:
1. In the PreK 3 year old classroom, there was an unlocked spray bottle of bleach water located on the counter within reach of children.
2. In the PreK 2 year old classroom, there were two bottles of disinfectant spray unlocked on top of a cabinet accessible to children.
3. The center director confirmed that the cleaning products were unlocked and accessible to children in care.
Plan of Correction: The center responded with the following: The staff members in each classroom immediately locked up the bottles of cleaning material during the inspection.
Standard 8VAC20-780-40-D
Based on observation and interview, the center did not ensure that the The license shall be posted in a place conspicuous to the public (? 22.1-289.011 of the Code of Virginia).
Evidence:
1. The license was not posted in the center.
2. The center director confirmed that the license was not posted in the center.
Evidence:
1. The license was not posted in the center.
2. The center director confirmed that the license was not posted in the center.
Plan of Correction: The center responded with the following: The center will ensure that the most recent inspection for the center is posted.
Standard 8VAC20-780-450-A
Based on observation and interview, the center did not ensure that the cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.
Evidence:
1. In the PreK 2 year old room, there were two children sleeping on cots without a bottom cover.
2. In the PreK 3 year old room, there were three children sleeping on cots without a bottom cover.
3. In the 4 year old room, there were two children sleeping on cots without a bottom cover.
4. The center director confirmed that not all of the children had bottom covers for their cots.
Evidence:
1. In the PreK 2 year old room, there were two children sleeping on cots without a bottom cover.
2. In the PreK 3 year old room, there were three children sleeping on cots without a bottom cover.
3. In the 4 year old room, there were two children sleeping on cots without a bottom cover.
4. The center director confirmed that not all of the children had bottom covers for their cots.
Plan of Correction: The center responded with the following: Staff will make sure to remind parents to bring both a top and bottom cover for their cots. Staff will also ensure that there are extra clean linens at the center.
Standard 8VAC20-780-560-F
Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period shall be posted.
Evidence:
1. There was no observation of a menu posted in the center.
2. The center director confirmed that there was no menu posted.
Evidence:
1. There was no observation of a menu posted in the center.
2. The center director confirmed that there was no menu posted.
Plan of Correction: The center responded with the following: The center will post the weekly menu with dates to all classrooms and the center?s entrance.
Standard 8VAC20-780-560-G
Based on observation and interview, the center did not ensure that when food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner.
Evidence:
1. Water bottles and lunch boxes were not labeled with the date or name that identifies the owner in any of the classrooms.
2. The center director confirmed that there was no name and dates to the children?s food/drink containers.
Evidence:
1. Water bottles and lunch boxes were not labeled with the date or name that identifies the owner in any of the classrooms.
2. The center director confirmed that there was no name and dates to the children?s food/drink containers.
Plan of Correction: The center responded with the following: Staff will ensure that children's items brought from home are labeled and dated.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.
Evidence:
1. Staff 1's (date of hire: 1/24/22) job title is documented in the record as program leader. The record for staff 1 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. The record for staff 1 also contains documentation that only one reference as to character and reputation as well as competency was checked before employment, where two are required.
2. Staff 2's (date of hire: 1/10/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader.
3. The record for staff 3 (date of hire: 10/4/21) does not contain the name, address and telephone number of a person to be notified in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment.
4. The center director confirmed that the above information is missing from the records for staff 1, staff 2 and staff 3.
Evidence:
1. Staff 1's (date of hire: 1/24/22) job title is documented in the record as program leader. The record for staff 1 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. The record for staff 1 also contains documentation that only one reference as to character and reputation as well as competency was checked before employment, where two are required.
2. Staff 2's (date of hire: 1/10/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader.
3. The record for staff 3 (date of hire: 10/4/21) does not contain the name, address and telephone number of a person to be notified in an emergency or documentation that two or more references as to character and reputation as well as competency were checked before employment.
4. The center director confirmed that the above information is missing from the records for staff 1, staff 2 and staff 3.
Plan of Correction: The center responded with the following: The center will ensure that the missing items from each staff record is obtained and placed in their record.
Standard 8VAC20-820-120-E-2
Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility.
Evidence:
1. The results from the most recent inspection (3/3/22) was not posted anywhere in the center.
2. The center director confirmed that the findings from the most recent inspection were not posted.
Evidence:
1. The results from the most recent inspection (3/3/22) was not posted anywhere in the center.
2. The center director confirmed that the findings from the most recent inspection were not posted.
Plan of Correction: The center responded with the following: The center will ensure that the license is posted in the center.