Inspection · 2024-08-06
(804) 629-8302
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
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was conducted on 8/6/24. The on-site inspection began at 9:40 a.m. and ended at 12:30 p.m. The inspector reviewed compliance in the areas listed above. There were 59 children present and 10 staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review, tour of the facility, interviews, observations, and measurements. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/20/24. A POC submitted after this date will not appear on the public website.
Violations
8Based on review five staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members.
Evidence:
1. The record for Staff #2 with an employment date of 10/12/22, the results of the Central registry search background check was dated 11/30/22.
2. The record for Staff #4 with an employment date of 09/12/22, the results of the Central registry search background check was dated 10/24/22.
Evidence: The record for Staff # 1 did not contain documentation of education required for the job position.
Based on observation and measurement it was determined that there was insufficient resilient surfacing underneath and surrounding the play equipment.
Evidence: On the big playground there was approximately three inches of mulch at the base of the three slides and the fall zones of the composite play structure and less than two inches of mulch in the fall zones of the dome jungle gym.
Evidence: A ratio waiver request was granted on 7/3/24 increasing the ratio in the Pre-K room from 1 staff to 10 children to 1 staff to 11 children. On 8/6/24 from approximately 9:40 a.m. to 9:43 a.m., the LI observed 15 Pre-K children, ages four-years-old, on the playground being supervised by one staff member.
Evidence: When asked, staff in the Pre-K class and School Age class could state which children in the group had allergies, sensitivities and/or dietary restrictions.
Based on observation and interview, the center did not ensure a current written list of all children's allergies, sensitivities, and dietary restrictions were in each room or area where children are present.
Evidence: When the Pre-K and School Age class were on the playground the Allergy List was located in their classrooms. Staff were unable to identify the children with diagnosed allergies in the group.
Based on review of medication it was determined that the center did not follow procedures regarding expired medication.
Evidence: The emergency medication on site for Child #6 expired on 6/24.
Evidence: The record for Child #6, with a documented allergy to peanuts and emergency medication on site, did not contain documentation of a written allergy care plan from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.