Inspection · 2024-10-28
Licensing Inspector
Anita Drewry
(757) 404-5261
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
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced, on-site renewal inspection was initiated on October 28, 2024 and completed on October 30, 2024. The on-site inspection began at 10:30am and ended at 11:35am. The inspector reviewed compliance in the areas listed above. There were 18 children present and 3 staff. The inspector reviewed 5 children?s records and 4 staff records electronically on October 29, 2024 and October 30, 2024. This inspection included document review, tour of the facility, interviews and observations. 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on November 7, 2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by a month.
Plan of Correction: We will stay on top of our paperwork to ensure the best interest of the children.
Standard 22.1-289.035-B-3
(Repeat violation) The center must have a search of the central registry requested prior to the employee's first day of employment. Staff #2, who had been employed for six weeks, did not have a central registry search. Staff #2 was working alone with children.
Plan of Correction: We will make sure that registry requirements are met upon the time of hiring.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for more than 6 weeks, did not have documentation of a central registry check from one state. Staff #2 was working alone with children.
Plan of Correction: We will make sure that all requirements are met in a timely manner, to ensure the best interest of the children.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for more than a month.
Plan of Correction: We will make sure there are physical documents all received by our center in a timely matter.
Standard 8VAC20-780-160-A
(Repeat violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment. Staff #4 had documentation of a TB test but did not state negative results.
Plan of Correction: We will make sure that all TB test and results are carefully evaluated in ensure safety.
Standard 8VAC20-780-350-B-1
The required ratio for children ages birth to 16 months is one staff per four children. Staff #4 was observed supervising five children (youngest child one month old) from approximately 10:30am-11:35am.
Plan of Correction: We Will make sure that adequate staff is always available for the best intent of the children.