Inspection · 2024-01-09
Date
2024-01-09
Complaint Related
No
Licensing Inspector
Keesha Minor
(571) 596-3660
(571) 596-3660
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 1/9/2024 from 10:30 am-12:00 pm. There were 74 children supervised by 13 direct care staff. The physical plant, 4 staff records, 7 children?s records, medications, evacuation drills, and policies were inspected. Children were observed participating in group play,circle time, and table top activities. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. Please submit your plan of correction within 5 business days for it to be included on the website. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.
Violations
7Standard 22.1-289.011-F
Based on observation and staff interview, the center failed to post the license and any other documents required by the Superintendent in a conspicuous place on the licensed premises.
Evidence:
1. The findings of the most recent inspection of the facility was not posted in an conpicous place.
2. The findings of the most recent inspection of the facility is located in the director's office.
Evidence:
1. The findings of the most recent inspection of the facility was not posted in an conpicous place.
2. The findings of the most recent inspection of the facility is located in the director's office.
Plan of Correction: Will pos the inspection report at a place where it's visible to parents.
Standard 8VAC20-770-60-C-2
Based on record review, 2 of 4 staff files indicated that the facility did not obtain the results of a central registry check by the end of the 30th day of employment.
Evidence:
1. There was no documentation of central registry results for Staff #3 (DOH: 8/15/2023).
2. There was no documentation of central registry results for Staff #4 (DOH: 2/27/2023).
Evidence:
1. There was no documentation of central registry results for Staff #3 (DOH: 8/15/2023).
2. There was no documentation of central registry results for Staff #4 (DOH: 2/27/2023).
Plan of Correction: We have contacted the CPS for results. Will update the file when get results.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure children under 10 years of age were within actual sight and sound supervision of staff.
Evidence:
1. During the facility's inspection, on Tuesday, January 9, 2024, the Inspector observed Child #10 (two years and six months old) walking out of a hallway bathroom alone.
2. Child #10 stood in the hallway with their pants down until Staff #5 who was in the PK- Kindergarten classroom noticed them.
3. The Inspector asked Staff #5 if they knew who the teacher of Child #10 was and where they could find them. Staff #5 mentioned that Staff #6 was the child's teacher and that they should be in the bathroom. When the inspector checked the bathroom, there was no teacher present.
4. Staff #6 stepped out of their classroom to assist Child #10, escorting the child back into the bathroom to potty and back to their classroom.
Evidence:
1. During the facility's inspection, on Tuesday, January 9, 2024, the Inspector observed Child #10 (two years and six months old) walking out of a hallway bathroom alone.
2. Child #10 stood in the hallway with their pants down until Staff #5 who was in the PK- Kindergarten classroom noticed them.
3. The Inspector asked Staff #5 if they knew who the teacher of Child #10 was and where they could find them. Staff #5 mentioned that Staff #6 was the child's teacher and that they should be in the bathroom. When the inspector checked the bathroom, there was no teacher present.
4. Staff #6 stepped out of their classroom to assist Child #10, escorting the child back into the bathroom to potty and back to their classroom.
Plan of Correction: We will refresh the staff training on this matter to avoid future occurrences.
Standard 8VAC20-780-350-O
Based on record review and observation, the center failed to ensure that the ratio for balanced-mixed-age groupings of children was not being followed at all times.
Evidence:
1. The Inspector arrived at the facility for an inspection on Tuesday, January 9, 2024, at approximately 10:30 am.
2. Staff #5 left the PK-Kindergarten classroom to open the locked door for the Inspector and another student who was waiting in the entryway to enter the facility.
3. There were 20 students (ages 4 to 6 years old) checked in on the Pk-Kindergarten classroom attendance sheet when Staff #5 left to open the door for the Inspector and the student, the Inspector counted 20 students in the classroom, and Staff #3 confirmed there were 20 students present.
4. At approximately 10:35 am, Staff #5 was observed leaving the PK-Kindergarten classroom again to open the locked door for another student being dropped off in the entryway.
5. From approximately 10:30 and 10:35 am, Staff #5 left the classroom twice to unlock the entryway for the Inspector and the two students who were being dropped off, leaving Staff #3 alone with 20 students.
6. As a result of this action, the classroom was out of ratio and exceeded the 1:14 mixed-age group classroom ratio.
Evidence:
1. The Inspector arrived at the facility for an inspection on Tuesday, January 9, 2024, at approximately 10:30 am.
2. Staff #5 left the PK-Kindergarten classroom to open the locked door for the Inspector and another student who was waiting in the entryway to enter the facility.
3. There were 20 students (ages 4 to 6 years old) checked in on the Pk-Kindergarten classroom attendance sheet when Staff #5 left to open the door for the Inspector and the student, the Inspector counted 20 students in the classroom, and Staff #3 confirmed there were 20 students present.
4. At approximately 10:35 am, Staff #5 was observed leaving the PK-Kindergarten classroom again to open the locked door for another student being dropped off in the entryway.
5. From approximately 10:30 and 10:35 am, Staff #5 left the classroom twice to unlock the entryway for the Inspector and the two students who were being dropped off, leaving Staff #3 alone with 20 students.
6. As a result of this action, the classroom was out of ratio and exceeded the 1:14 mixed-age group classroom ratio.
Plan of Correction: One more person been hire just to attend the door.
Standard 8VAC20-780-510-F
Based on a review of medications, one medication does not have an authorization available for review.
Evidence: Child #9 is missing an medication authorization for medication they have at the center.
Evidence: Child #9 is missing an medication authorization for medication they have at the center.
Plan of Correction: Child's file has been fixed.
Standard 8VAC20-780-510-I
Based on a review of medications, one medication at the center does not have a prescription label attached.
Evidence: Child #8 has an epi-pen at the center that does not have a prescription label attached.
Evidence: Child #8 has an epi-pen at the center that does not have a prescription label attached.
Plan of Correction: Updated label will be attached to the medication.
Standard 8VAC20-780-510-P
Based on a review of medications, when an authorization for medication expires, the parent was not notified to pick up the medication or renew the authorization.
Evidence:
1. Medication present at the center had expired authorizations.
2. Medications were not picked up and the authorizations were not renewed.
3. Child #9's authorization expired 4/8/2023.
Evidence:
1. Medication present at the center had expired authorizations.
2. Medications were not picked up and the authorizations were not renewed.
3. Child #9's authorization expired 4/8/2023.
Plan of Correction: Parents have been notified and will be submitting required forms and new medication.