Inspection · 2024-06-10
Date
2024-06-10
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was started in the center on June 10, 2024 from 11:30 AM until 3:00 PM and concluded on June 18, 2024. At the time of entrance, 41 children were in care with 9 staff members. The sample size consisted of 5 children?s records and 5 staff records. Children were observed playing outside, eating snack and during their rest period.
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.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations
7Standard 8VAC20-780-350-B-1
Repeat
Based on documentation review, observations and staff interviews, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care.
Evidence: There were 17 infants and toddlers, observed on the playground with only 4 staff members supervising. Center owner, verified the 17th child, Child #1 arrived at approximately 9:48 AM and the 5th staff arrived at approximately 11:50 AM. The center did not meet the ratio of 1 staff to every 4 infants for approximately 2 hours.
Based on documentation review, observations and staff interviews, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care.
Evidence: There were 17 infants and toddlers, observed on the playground with only 4 staff members supervising. Center owner, verified the 17th child, Child #1 arrived at approximately 9:48 AM and the 5th staff arrived at approximately 11:50 AM. The center did not meet the ratio of 1 staff to every 4 infants for approximately 2 hours.
Plan of Correction: Director & Assistant Director will try there best getting the staff putting time off in a timely manner so us as directors can plan ahead.
Standard 8VAC20-780-500-A
Repeat
Based on observation and staff interviews, the licensee did not ensure to follow handwashing procedures.
Evidence: Staff #5 was observed feeding an infant outside on the playground and the infant did not have their hands washed with soap and running water or disposable wipes after eating..
Based on observation and staff interviews, the licensee did not ensure to follow handwashing procedures.
Evidence: Staff #5 was observed feeding an infant outside on the playground and the infant did not have their hands washed with soap and running water or disposable wipes after eating..
Plan of Correction: All staff will make sure that handy wipes made readily available for kids during times of no running water access or soap when outside
Standard 8VAC20-780-500-B
Repeat
Based on observation and staff interviews, the licensee did not ensure the required procedures were followed for diapering.
Evidence:
1.Staff #7 was observed conducting a diaper change and the diaper pad was not cleaned nor sanitized as required. After the diaper change, Staff #7 sprayed the diaper pad with a sanitizing solution then immediately wiped it down. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down only after two minutes. The diaper pad was not cleaned with soap and water after the diaper change.
2. During a diaper change Staff #7 did not dispose of the soiled diaper by using foot-operated trashcan or open the trashcan lid in a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff #7 lifted the lid of the trash can with her hand and disposed of the soiled diaper.
Based on observation and staff interviews, the licensee did not ensure the required procedures were followed for diapering.
Evidence:
1.Staff #7 was observed conducting a diaper change and the diaper pad was not cleaned nor sanitized as required. After the diaper change, Staff #7 sprayed the diaper pad with a sanitizing solution then immediately wiped it down. Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down only after two minutes. The diaper pad was not cleaned with soap and water after the diaper change.
2. During a diaper change Staff #7 did not dispose of the soiled diaper by using foot-operated trashcan or open the trashcan lid in a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff #7 lifted the lid of the trash can with her hand and disposed of the soiled diaper.
Plan of Correction: Director will follow up with staff for understanding of diapering procedure.
Standard 8VAC20-780-510-E
Based on review of the medication policy and staff interviews, the center did not ensure all required information was in the policy.
Evidence: The medication policy did not include the following required component's;
1.Non-prescription medication be consistent with the manufacturer's instructions for age, duration and dosage.
2 Duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent.
Evidence: The medication policy did not include the following required component's;
1.Non-prescription medication be consistent with the manufacturer's instructions for age, duration and dosage.
2 Duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent.
Plan of Correction: Office will check that all medication meet the form authorization.
Standard 8VAC20-780-510-P
Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Evidence: Child #8 had a medication (Albuterol) and the medication authorization signed by the parent expired on 4-2-24. The medication had not been sent home to the parents or disposed of as required.
Evidence: Child #8 had a medication (Albuterol) and the medication authorization signed by the parent expired on 4-2-24. The medication had not been sent home to the parents or disposed of as required.
Plan of Correction: Director and Assistant will review all medication making sure all forms and meds are in compliance with licensing standards and all meds expired will be returned to parent of child.
Standard 8VAC20-780-550-P
Repeat
Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information.
Evidence: Five injury reports reviewed all were missing some information to include the
future action to prevent injury, the date, time and how the parent was notified of the injury.
Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information.
Evidence: Five injury reports reviewed all were missing some information to include the
future action to prevent injury, the date, time and how the parent was notified of the injury.
Plan of Correction: Director has download the model form for injury reports through license portal to make sue all guidelines are as follows in event of injury
Standard 8VAC20-780-570-E
Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name.
Evidence: One bottle was observed, and it was not dated.
Evidence: One bottle was observed, and it was not dated.
Plan of Correction: Staff in infant room will ensure dates are placed on cups or bottles for beginning of day