Inspection · 2022-12-27
Date
2022-12-27
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
(757) 404-2575
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 12/27/2022. There were 37 school aged children present with four 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 5 child records and 4 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
7Standard 22.1-289.035-B-4
Based upon review of staff records, the facility has not ensured that the results of a fingerprint check, a child protective services central registry search and a sex offender search has been obtained from state other than Virginia in which an applicant for employment has lived within the past five years have been obtained.
Evidence:
1. Results of a central registry search for the state of North Carolina have not been obtained for staff 2, employed since 6/13/2022.
2. Staff 1 acknowledged that out of state background checks from North Carolina had not been obtained for staff 2.
Evidence:
1. Results of a central registry search for the state of North Carolina have not been obtained for staff 2, employed since 6/13/2022.
2. Staff 1 acknowledged that out of state background checks from North Carolina had not been obtained for staff 2.
Plan of Correction: The facility responded with the following:
Central Registry for North Carolina has been sent for employee, and staff 1 is not working on the floor until results are returned.
Central Registry for North Carolina has been sent for employee, and staff 1 is not working on the floor until results are returned.
Standard 8VAC20-770-60-C-2
Based upon review of staff records and staff interview, the facility has not ensured that results of child protective services central registry search is obtained within 30 days of employment or the employee is denied continued employment.
Evidence:
1. The record provided for staff 3, employed on 6/21/2022, and still employed, did not include the results of a central registry search.
2. Staff 1 acknowledged that the results of a central registry search were not available for review.
Evidence:
1. The record provided for staff 3, employed on 6/21/2022, and still employed, did not include the results of a central registry search.
2. Staff 1 acknowledged that the results of a central registry search were not available for review.
Plan of Correction: The facility responded with the following:
Central Registry for Staff 3has been resent and Staff 3 is not working on the floor until the results are returned.
Central Registry for Staff 3has been resent and Staff 3 is not working on the floor until the results are returned.
Standard 8VAC20-780-130-A
Based upon review of children's records and staff interview, the facility has not ensured that each child has received the immunizations required by the State Board of Health before the child attends the center.
Evidence:
1. Child 4 began attending on 9/6/2022. The record did not include documentation of the required immunizations.
2. Staff 1 acknowledged that the record for child 4 did not include documentation of immunizations.
Evidence:
1. Child 4 began attending on 9/6/2022. The record did not include documentation of the required immunizations.
2. Staff 1 acknowledged that the record for child 4 did not include documentation of immunizations.
Plan of Correction: The facility responded with the following:
Child 4 records have been received and proper documentation has been uploaded onto Player space, where children documents are kept.
Child 4 records have been received and proper documentation has been uploaded onto Player space, where children documents are kept.
Standard 8VAC20-780-140-A
Based upon review of children's records and staff interview, the facility has not ensured that each child has a physical examination by or under the direction of a physician prior to attending or within 30 days after attending.
Evidence:
1. Child 4 began attending on 9/6/2022. The record did not include documentation of a physical examination.
2. Staff 1 acknowledged that the results of a physical examination were not obtained for child 4.
Evidence:
1. Child 4 began attending on 9/6/2022. The record did not include documentation of a physical examination.
2. Staff 1 acknowledged that the results of a physical examination were not obtained for child 4.
Plan of Correction: The facility responded with the following:
Child 4 records have been received and proper documentation has been uploaded onto Player space where children documents are kept.
Child 4 records have been received and proper documentation has been uploaded onto Player space where children documents are kept.
Standard 8VAC20-780-240-A
Based upon review of staff records and staff interview, the facility has not ensured that the Virginia Department of Education (VDOE)-sponsored ten hour orientation course is completed within 90 calendar days of employment.
Evidence:
1. Staff 3 was hired on 6/21/2022 and staff 2 was hired on 6/3/2022. Neither record included documentation that either staff had completed the required ten hour VDOE-sponsored orientation course.
2. Staff 1 acknowledged that documentation of the completion of the required ten hour orientation course has not been received.
Evidence:
1. Staff 3 was hired on 6/21/2022 and staff 2 was hired on 6/3/2022. Neither record included documentation that either staff had completed the required ten hour VDOE-sponsored orientation course.
2. Staff 1 acknowledged that documentation of the completion of the required ten hour orientation course has not been received.
Plan of Correction: The facility responded with the following:
Staff 3 and Staff 2 did complete their 10 hour videos, it wasn't recorded in their staff files and it was past their 90 days of being hired. The certificates have been updated in the file.
Staff 3 and Staff 2 did complete their 10 hour videos, it wasn't recorded in their staff files and it was past their 90 days of being hired. The certificates have been updated in the file.
Standard 8VAC20-780-240-B
Based upon review of staff records and staff interview, the facility has not ensured that staff have completed the orientation training to include all required components and topics prior to working alone with the children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1. There was no documentation to demonstrate that staff 2, hired on 6/13/2022, and staff 3, hired on 6/21/2022, had completed the required orientation training.
2. Staff 1 acknowledged that there was no documentation to verify the required orientation training of either staff 2 or staff 3.
Evidence:
1. There was no documentation to demonstrate that staff 2, hired on 6/13/2022, and staff 3, hired on 6/21/2022, had completed the required orientation training.
2. Staff 1 acknowledged that there was no documentation to verify the required orientation training of either staff 2 or staff 3.
Plan of Correction: The facility responded with the following:
Staff 2 and Staff 3 did receive in person training it was not properly documented. Documents have been updated and in their files.
Staff 2 and Staff 3 did receive in person training it was not properly documented. Documents have been updated and in their files.
Standard 8VAC20-780-500-A
Based upon observation, the facility has not ensured that children's hands are washed with soap and running water or disposable wipes before and after eating meals and snacks.
Evidence:
The children were observed as they finished eating lunch. Staff 4 was squirting the children's hands from a bottle labeled "sanitizer" before the children went to play. Hands were not washed with soap and water nor were the children given a disposable wipe.
Evidence:
The children were observed as they finished eating lunch. Staff 4 was squirting the children's hands from a bottle labeled "sanitizer" before the children went to play. Hands were not washed with soap and water nor were the children given a disposable wipe.
Plan of Correction: The facility responded with the following:
Baby Wipes have been implemented for the handwashing process after each child eats snack. Each child washes their hands before they eat their snack.
Baby Wipes have been implemented for the handwashing process after each child eats snack. Each child washes their hands before they eat their snack.