Inspection · 2024-01-18
(757) 404-5261
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-770 Background Checks
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 1/18/2024 from 12:15 pm -1:25 pm. in response to an incident that was self -reported by the licensee on 1/10/2024. One children's record and one staff record were reviewed. Two staff were interviewed on site. One additional staff and one collateral witness was interviewed via telephone. Reports and documentation related to the incident 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. Repeat violations were found and are identified within this report.
Violations
1Based on interviews, incident report and additional, related documentation, staff did not always ensure the care, protection and guidance of children in attendance at the center.
Evidence:
The Program Director self reported an incident in which a child's elbow was dislocated while in care.
Interviews with staff and written documentation describe a two and a half year old child (child #1) incurring an injury to her arm on 1/10/2024 which resulted in a diagnosis of "nurses elbow" by the child's medical provider.
Interviews and written reports state that staff #1 held child #1 by her by her arm when child #1 "fell out" in response to being told it was time to transition from her current activity.
Interviews confirm that staff are trained to never hold a child by their arm. However, staff #1 stated that "it was reflex" to catch child #1 by her arm, to keep her from falling to the floor.