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Carlisle School

Inspection · 2023-10-10

Date
2023-10-10
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Inspector Notes

An unannounced monitoring inspection was conducted 10/10/2023. There were 22 children, ages 3 years-5 years, 3 staff providing direct care and supervision and numerous support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, and emergencies. The children were observed during rest time. A total of 5 children?s records, 4 staff records, and 1 medication were reviewed during the inspection. The inspector arrived at 12:58 pm and departed at 3:00 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

4
Standard 8VAC20-770-60-B
Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation.

Evidence: The record for Staff 4 did not contain a sworn statement or affirmation. Staff 4 was working the day of the inspection.
Plan of Correction: The sworn statement was completed during the inspection.
Standard 8VAC20-780-140-A
Based on record review, the center failed to obtain a copy of the child?s physical examination before the child?s attendance or within 30 days after the first day of attendance.

Evidence: The record for Child 3 had a documented start date of 08/22/2023; there was not a physical examination available for review for Child 3 during the inspection.
Plan of Correction: The physical was requested during the inspection.
Standard 8VAC20-780-245-J-3
Based on record review, the center failed to ensure that any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who meets the requirements to administer medication.

Evidence: Child 1 is prescribed an emergency medication and is in the care of Staff 1 only during afternoon transport. Staff 1 does not meet the requirement to administer medication.
Plan of Correction: Staff 1 is scheduled to take the medication administration training class on 11/14/2023.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.

Evidence:
1. The record for Child 3 did not contain the following information: the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one designated person listed).
2. The record for Child 5 did not contain the following information: name and phone number of child?s physician; the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses provided); and written agreements between the parent and the center as required by the standards.
Plan of Correction: Will have the parent complete the form today.