Inspection · 2023-10-17
Date
2023-10-17
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 monitoring inspection was conducted on 10/17/2023. The inspector arrived at and departed at 10:20 AM and departed at 12:00 PM. There were 12 children present, ranging in ages from 23 months to four years, with 3 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 4 child records and 7 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 staff 1 during the exit interview.
Violations
13Standard 22.1-289-036-B-4
Based upon review of staff records, the facility has not ensured that they have obtained the results of a criminal history record check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.
Evidence:
According to the record provided, staff 6 lived in Nevada within the five years preceding hire. Results of a criminal history record check and a child abuse and neglect registry were not in the record.
Evidence:
According to the record provided, staff 6 lived in Nevada within the five years preceding hire. Results of a criminal history record check and a child abuse and neglect registry were not in the record.
Plan of Correction: The provider responded with the following:
The employee on her second day of train ask for reference for an apartment in South Dakota and gaved her two weeks notice. Therefore I told her that she did not need to come back,
The employee on her second day of train ask for reference for an apartment in South Dakota and gaved her two weeks notice. Therefore I told her that she did not need to come back,
Standard 8VAC20-780-140-A
Based upon review of children's records, the facility has not ensured that each child has a physical examination by or under the direction of a physician within 30 days after attending.
Evidence:
The record for child 2 indicated that child 2 began attending on 10/4/2022. The record did not include the results of a physical examination.
Evidence:
The record for child 2 indicated that child 2 began attending on 10/4/2022. The record did not include the results of a physical examination.
Plan of Correction: The provider responded with the following:
parent will be providing a copy by 10/20/2023
parent will be providing a copy by 10/20/2023
Standard 8VAC20-780-160-A
Based upon review of staff records, the facility has not ensured that staff obtain a negative tuberculosis screening within thirty days prior to employment and prior to working with the children.
Evidence:
1. The records provided for staff 6 and staff 7 did not include the results of a tuberculosis screening.
2. The record provided for staff 5 indicated a hire date of 4/17/2021, however the tuberculosis screening was dated 10/23/2020 which is not within 30 days prior to hrie.
Evidence:
1. The records provided for staff 6 and staff 7 did not include the results of a tuberculosis screening.
2. The record provided for staff 5 indicated a hire date of 4/17/2021, however the tuberculosis screening was dated 10/23/2020 which is not within 30 days prior to hrie.
Plan of Correction: The provider responded with the following:
1. Staff 6 left on the second day of training.
Staff 7 work with us 9/2020 - 12 2020
Staff 5 was hired on 10/19/2020. Took off three month to take care of grandfather
1. Staff 6 left on the second day of training.
Staff 7 work with us 9/2020 - 12 2020
Staff 5 was hired on 10/19/2020. Took off three month to take care of grandfather
Standard 8VAC20-780-160-C
Repeat
Based upon review of staff records, the facility has not ensured that staff submit results of a tuberculosis screening at least every two years.
Evidence:
The most recent tuberculosis screening in the record provided for staff 4 is dated 2/21/2021.
Based upon review of staff records, the facility has not ensured that staff submit results of a tuberculosis screening at least every two years.
Evidence:
The most recent tuberculosis screening in the record provided for staff 4 is dated 2/21/2021.
Plan of Correction: The provider responded with the following:
Staff will be getting a TB screening done.
Staff will be getting a TB screening done.
Standard 8VAC20-780-280-B
Repeat
Based upon observation, 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 spray bottle labeled sanitizer with a warning label stuck on the floor behind the changing table. The container was visible and could be easily pulled out from behind the table.
2. There were two containers of White-Out with warning labels on the desk in the front school age area.
Based upon observation, 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 spray bottle labeled sanitizer with a warning label stuck on the floor behind the changing table. The container was visible and could be easily pulled out from behind the table.
2. There were two containers of White-Out with warning labels on the desk in the front school age area.
Plan of Correction: The provider responded with the following:
1. Changing table is being replaced
2. Restate to staff that white out needs to be placed in the desk draw.
1. Changing table is being replaced
2. Restate to staff that white out needs to be placed in the desk draw.
Standard 8VAC20-780-290-A-3
Based upon observation, the facility has not ensured that electrical outlets have protective covers.
Evidence:
1. There was a four plug outlet in the front room with no protective covers.
2. There were two outlets in the hallway that did not have protective covers.
3. There was an outlet under the front window that did not have a protective cover.
Evidence:
1. There was a four plug outlet in the front room with no protective covers.
2. There were two outlets in the hallway that did not have protective covers.
3. There was an outlet under the front window that did not have a protective cover.
Plan of Correction: The provider responded with the following:
replaced covers
replaced covers
Standard 8VAC20-780-320-B
Based upon observation, the facility has not ensured that each restroom provided for children shall have warm running water.
Evidence:
The hot water was turned off at one handwashing sink in the hallway and there was only a small trickle of cold water from the hot water tap at the second sink.
Evidence:
The hot water was turned off at one handwashing sink in the hallway and there was only a small trickle of cold water from the hot water tap at the second sink.
Plan of Correction: The provider responded with the following:
Hot water tank is in the process of being repair by landlord wait for parts.
Hot water tank is in the process of being repair by landlord wait for parts.
Standard 8VAC20-780-430-A
Based upon observation, the facility has not ensured that materials and equipment are of an appropriate size for the children in care.
Evidence:
There was a plastic 1/2 inch by 1/4 inch plastic tube on the floor where the toddlers 23 months - 2 years were eating snack. A small dish on a table held several other of these pieces. These present a potential choking hazard to the toddlers.
Evidence:
There was a plastic 1/2 inch by 1/4 inch plastic tube on the floor where the toddlers 23 months - 2 years were eating snack. A small dish on a table held several other of these pieces. These present a potential choking hazard to the toddlers.
Plan of Correction: The provider responded with the following:
Director will be examing all toys brought in by employee.
Director will be examing all toys brought in by employee.
Standard 8VAC20-780-540-C
Based upon observation, the facility has not ensured that the first aid kit has all required supplies.
Evidence:
There were no tweezers in the first aid kit.
Evidence:
There were no tweezers in the first aid kit.
Plan of Correction: The provider responded with the following:
teacher used tweezers and placed it in desk drawer.
teacher used tweezers and placed it in desk drawer.
Standard 8VAC20-780-550-D
Based upon review of the records, the facility has not ensured that they have implemented monthly practice evacuation drills.
Evidence:
The most recent documented evacuation drill was conducted on 6/16/2023.
Evidence:
The most recent documented evacuation drill was conducted on 6/16/2023.
Plan of Correction: The provider responded with the following:
Change the person who is in charge of completing the produre.
Change the person who is in charge of completing the produre.
Standard 8VAC20-780-550-E
Based upon review of records, the facility has not ensured that shelter in place procedures are practiced a minimum of twice per year.
Evidence:
There were no records of shelter in place drills during the past year..
Evidence:
There were no records of shelter in place drills during the past year..
Plan of Correction: The provider responded with the following:
Change the person who is in charge of completing the produre.
Change the person who is in charge of completing the produre.
Standard 8VAC20-780-550-F
Based upon review of records, the facility has not ensured that lockdown procedures are practiced at least annually.
Evidence:
There were no records that a lock down drill was conducted during the past year.
Evidence:
There were no records that a lock down drill was conducted during the past year.
Plan of Correction: The provider responded with the following:
Change the person who is in charge of completing the produre.
Change the person who is in charge of completing the produre.
Standard 8VAC20-780-70
Based upon review of staff records and staff interview, the facility has not ensured that staff records include all required documentation.
Evidence:
According to staff 1, staff 5, 6 and 7 are no longer employed. The records provided for staff 5, 6, and 7 do not include the dates of termination of employment.
Evidence:
According to staff 1, staff 5, 6 and 7 are no longer employed. The records provided for staff 5, 6, and 7 do not include the dates of termination of employment.
Plan of Correction: The provider responded with the following:
The director was not present.
The director was not present.