Inspection · 2022-08-03
Date
2022-08-03
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.
8VAC20-820 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
A renewal inspection was conducted on 8/3/2022. There were 25 children present, ranging in ages from toddlers to school age, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 3 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and discussed with the program director during the exit interview.
Violations
9Standard 8VAC20-780-160-C
Based upon review of records and staff interview, the facility has not ensured that they obtain an updated tuberculosis screening for staff at least every 2 years.
Evidence:
1. The tuberculosis screening the record provided for staff 1 is dated 1/25/2020, which is not within the past two years.
2. Staff 1 acknowledged that the most recent screening in the record for staff 1 is not within the past two years.
Evidence:
1. The tuberculosis screening the record provided for staff 1 is dated 1/25/2020, which is not within the past two years.
2. Staff 1 acknowledged that the most recent screening in the record for staff 1 is not within the past two years.
Plan of Correction: The facility responded with the following:
Staff 1 was unable to get documentation of an updated tuberculosis screening from the doctor so another screening will be obtained. Timing of tuberculosis screenings will be tracked to ensure that staff obtain the screening at least every two years.
Staff 1 was unable to get documentation of an updated tuberculosis screening from the doctor so another screening will be obtained. Timing of tuberculosis screenings will be tracked to ensure that staff obtain the screening at least every two years.
Standard 8VAC20-780-270-A
Based upon observation and staff interview, the facility has not ensured that areas, inside and outside, are maintained in a clean and safe condition.
Evidence:
1. There were two stained ceiling tiles in the front classroom showing evidence of a leak.
2. Staff 1 confirmed that there is a roof leak that needs to be repaired.
3. There was a large sheet of warped and rotten plywood on the sidewalk behind the building where children traverse from the building to and from the playground.
4. Staff 1 acknowledged that the land lord has been asked to remove the plywood.
Evidence:
1. There were two stained ceiling tiles in the front classroom showing evidence of a leak.
2. Staff 1 confirmed that there is a roof leak that needs to be repaired.
3. There was a large sheet of warped and rotten plywood on the sidewalk behind the building where children traverse from the building to and from the playground.
4. Staff 1 acknowledged that the land lord has been asked to remove the plywood.
Plan of Correction: The facility responded with the flowing:
The landlord will be contacted again regarding the needed roof repair and replacing the ceiling tiles. If the work is not completed, we will have the work done and take the cost out of our rent payment.
The piece of plywood will be disposed of.
The landlord will be contacted again regarding the needed roof repair and replacing the ceiling tiles. If the work is not completed, we will have the work done and take the cost out of our rent payment.
The piece of plywood will be disposed of.
Standard 8VAC20-780-280-B
Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by the children.
Evidence:
1. There was a container of Clorox sanitizing wipes with a hazard warning label on the low front windowsill.
2. Staff 1 acknowledged that the sanitizing wipes were on the window sill.
Evidence:
1. There was a container of Clorox sanitizing wipes with a hazard warning label on the low front windowsill.
2. Staff 1 acknowledged that the sanitizing wipes were on the window sill.
Plan of Correction: the facility responded with the following:
All staff will be reminded of the requirement to keep all potentially hazardous substances and chemicals in locked areas while children are in care.
All staff will be reminded of the requirement to keep all potentially hazardous substances and chemicals in locked areas while children are in care.
Standard 8VAC20-780-350-B-3
Based upon observation, the facility has not ensured that there is one staff person on duty for every 8 children aged 2 years in care.
Evidence:
Upon arrival of the inspector at 10:15 AM, staff 4 was on duty alone with 9 children ages 2 years and older. Staff 4 was alone until staff 1 arrived 5 minutes later.
Evidence:
Upon arrival of the inspector at 10:15 AM, staff 4 was on duty alone with 9 children ages 2 years and older. Staff 4 was alone until staff 1 arrived 5 minutes later.
Plan of Correction: The facility responded with the following:
We will ensure that we follow the required staff to child ratio at all times in the future.
We will ensure that we follow the required staff to child ratio at all times in the future.
Standard 8VAC20-780-550-F
Based upon review of documentation and staff interview, the facility has not ensured that lockdown procedures are practiced at least annually.
Evidence:
1. There was no documentation to demonstrate that a lock down drill had been practiced within the past year.
2. Staff 1 acknowledged that there was no lockdown drill documented.
Evidence:
1. There was no documentation to demonstrate that a lock down drill had been practiced within the past year.
2. Staff 1 acknowledged that there was no lockdown drill documented.
Plan of Correction: The facility responded with the following:
At least one lockdown drill will be conducted and documented each year.
At least one lockdown drill will be conducted and documented each year.
Standard 8VAC20-780-550-P
Based upon review of documentation and staff interview, the facility has not ensured that the written record of children's injuries includes all required documentation.
Evidence:
1. An injury record dated 6/28/22 for child 5 does not include how the parent was notified of the child's injury.
2. An injury record dated 6/30/22 for child 4 does not include how the parent was notified of the child's injury.
3. Staff 1 acknowledged that the two injury records noted above did not include how the parents were notified of the injuries.
Evidence:
1. An injury record dated 6/28/22 for child 5 does not include how the parent was notified of the child's injury.
2. An injury record dated 6/30/22 for child 4 does not include how the parent was notified of the child's injury.
3. Staff 1 acknowledged that the two injury records noted above did not include how the parents were notified of the injuries.
Plan of Correction: The facility responded with the following:
All staff will be reminded that all required information must be documented on the child's injury report. Injury records will be checked by the program director to ensure that they are complete.
All staff will be reminded that all required information must be documented on the child's injury report. Injury records will be checked by the program director to ensure that they are complete.
Standard 8VAC20-780-560-F
Based upon observation and staff interview, the facility has not ensured that there is a posted and dated menu listing foods to be served the current week.
Evidence:
1. The menu for the current week was not posted.
2. Staff 1 verified that the menu was not posted.
Evidence:
1. The menu for the current week was not posted.
2. Staff 1 verified that the menu was not posted.
Plan of Correction: The facility responded with the following:
The menu was posted during the inspection. In the future, the menu will be posted first thing on Monday morning.
The menu was posted during the inspection. In the future, the menu will be posted first thing on Monday morning.
Standard 8VAC20-780-60-A
Based upon review of records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached.
Evidence:
1. The record provided for child 1 did not include the telephone number for one of the two emergency contact persons listed.
2. Staff 1 acknowledged that there was not a telephone number for one for the two emergency contact persons in the record of child 1.
Evidence:
1. The record provided for child 1 did not include the telephone number for one of the two emergency contact persons listed.
2. Staff 1 acknowledged that there was not a telephone number for one for the two emergency contact persons in the record of child 1.
Plan of Correction: The facility responded with the following:
All children's records will be checked o ensure tha all required information is included. As ew children enroll, records will be carefully checked to ensure that they are complete.
All children's records will be checked o ensure tha all required information is included. As ew children enroll, records will be carefully checked to ensure that they are complete.
Standard 8VAC20-780-80-A
Based upon observation and staff interview, the facility has not ensured that for each group of children. a written record of daily attendance that documents the arrival and departure of each child as it occurs is kept.
Evidence:
1. At 10:30 AM, the attendance record for the two yr old/preschool grouping had not been taken.
2. Staff 4 verified that attendance had not yet been taken.
3. The attendance record for the toddler grouping was not with the grouping as it had been placed in the office.
4. Staff 1 verified that the toddler attendance record was not in the classroom.
Evidence:
1. At 10:30 AM, the attendance record for the two yr old/preschool grouping had not been taken.
2. Staff 4 verified that attendance had not yet been taken.
3. The attendance record for the toddler grouping was not with the grouping as it had been placed in the office.
4. Staff 1 verified that the toddler attendance record was not in the classroom.
Plan of Correction: The facility responded with the following:
All staff will be reminded that they are to keep the attendance record with them in their grouping of children at all times and that the attendance record must be updated as children arrive and depart.
All staff will be reminded that they are to keep the attendance record with them in their grouping of children at all times and that the attendance record must be updated as children arrive and depart.