Inspection · 2024-03-15
Date
2024-03-15
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
(757) 404-2601
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 renewal inspection was conducted on March 15, 2024, from 10:00am to 12:30pm. At the time of the inspection there were 12 children in care ages two to four years old with four staff and two administrators. Children were observed participating in various activities including outdoor play, handwashing, lunch, and nap. A sampling of children and staff records were reviewed. Evacuation drills, emergency supplies, health and fire inspections, medication, insurance and required postings were also reviewed. Violations regarding administration, physical plant, special care provisions and emergencies were documented on the violation notice and discussed during the exit meeting.
Violations
10Standard 22.1-289.035-A
Based on record review and interview the center failed to ensure that background checks are maintained as required
Evidence:
1. The record for Staff #1 did not contain an updated fingerprint. The most recent fingerprint is dated February 15, 2019.
2. Staff #1 confirmed that the most recent fingerprint on file is past due for update.
Evidence:
1. The record for Staff #1 did not contain an updated fingerprint. The most recent fingerprint is dated February 15, 2019.
2. Staff #1 confirmed that the most recent fingerprint on file is past due for update.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.058
Based on observation and interview, the center failed to ensure that one carbon monoxide detector is present in the building.
Evidence:
Staff 1 confirmed that there was not a carbon monoxide detector in the building.
Evidence:
Staff 1 confirmed that there was not a carbon monoxide detector in the building.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
160C
Based on record review the center failed to ensure that tuberculosis screening are obtained within required time frames.
Evidence:
1. The most recent tuberculosis screening on file for Staff #1 is dated December 15, 2021.
2. Staff #1 confirmed that the tuberculosis screening is past due for update.
Based on record review the center failed to ensure that tuberculosis screening are obtained within required time frames.
Evidence:
1. The most recent tuberculosis screening on file for Staff #1 is dated December 15, 2021.
2. Staff #1 confirmed that the tuberculosis screening is past due for update.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Based on record review and interview the center failed to ensure that required annual training is obtained by each staff.
Evidence:
1. The records for Staff #1 and #3 did not contain any documentation of annual training during the 2023 calendar year.
2. Staff #1 confirmed that there is not any documented training for 2023 in the records of Staff #1 and #3.
Evidence:
1. The records for Staff #1 and #3 did not contain any documentation of annual training during the 2023 calendar year.
2. Staff #1 confirmed that there is not any documented training for 2023 in the records of Staff #1 and #3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure that areas are maintained in safe and operable condition.
Evidence:
1. There was a pinch point in the two-year-old room within reach of children. When pressure was applied to a wall a gap appears at the bottom between the wall and baseboard. point within reach of children.
2. There was a sharp, cracked wooden piece of a windowsill exposed and within reach of children in the two-year-old room.
3. Children?s fingers could become caught in the half doors in the school age room which were unsecured.
Evidence:
1. There was a pinch point in the two-year-old room within reach of children. When pressure was applied to a wall a gap appears at the bottom between the wall and baseboard. point within reach of children.
2. There was a sharp, cracked wooden piece of a windowsill exposed and within reach of children in the two-year-old room.
3. Children?s fingers could become caught in the half doors in the school age room which were unsecured.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-H
Based on observation, the center failed to ensure that harmful agents are not stored in areas, purses or pockets that are accessible to children.
Evidence:
1. Lotion and bath salts were accessible to children in the school age classroom.
2. Staff #1 confirmed that the materials listed above were accessible to children.
Evidence:
1. Lotion and bath salts were accessible to children in the school age classroom.
2. Staff #1 confirmed that the materials listed above were accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation the center failed to demonstrate compliance with diaper disposal requirements.
Evidence:
1. Staff #2 was observed using her hand to open the trash can in order to dispose of a soiled diaper
2. Staff #1 confirmed the staff touch the trash can lid with their hands.
Evidence:
1. Staff #2 was observed using her hand to open the trash can in order to dispose of a soiled diaper
2. Staff #1 confirmed the staff touch the trash can lid with their hands.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-C
Based on observation, the center failed to ensure that diaper cream was inaccessible to children.
Evidence:
1. There was diaper ointment within reach of children on the diaper changing table in the bathroom.
2. Staff #1 confirmed that the diaper cream was accessible to children.
Evidence:
1. There was diaper ointment within reach of children on the diaper changing table in the bathroom.
2. Staff #1 confirmed that the diaper cream was accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-540-B
Based on observation, the center failed to ensure that first aid kits were inaccessible to children.
Evidence:
1. There was a first aid kit accessible to children in the school age classroom.
2. Staff #1 confirmed that the first aid kit was accessible to the children.
Evidence:
1. There was a first aid kit accessible to children in the school age classroom.
2. Staff #1 confirmed that the first aid kit was accessible to the children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that each child?s record contains all required information.
Evidence:
1. The record for Child #1 did not contain documentation of annual update. The most recent documented update was dated on 9/22/2022.
2. Staff #1 confirmed the information was last updated on 9/22/2022.
Evidence:
1. The record for Child #1 did not contain documentation of annual update. The most recent documented update was dated on 9/22/2022.
2. Staff #1 confirmed the information was last updated on 9/22/2022.
Plan of Correction: Not available online. Contact Inspector for more information.