Inspection · 2024-02-13
Date
2024-02-13
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22 Checks Code, Carbon Monoxide.1 Background
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was initiated on 02/13/2024 at 10:00 am and completed on 02/13/2024 at 1:25 pm.
At the time of entrance there were 18 children in care, ages 8 months - four years, with 3 staff supervising. A 4th staff arrived at approximately 10:15 am.
Children were observed during morning program time which included music & movement and story time. Lunch and nap was additionally reviewed.
The inspector reviewed records for five children and three staff.
The information gathered during the inspection determined non-compliance with applicable standards and violations were documented on the violation notice issued to the facility. These violations were reviewed with the program director at the conclusion of the inspection.
Violations
9Standard 22.1-289.011-F
Based on observation and interview, the center failed to ensure that the findings from the most recent inspection were posted.
Evidence:
1. The findings from the most recent inspection, which was a renewal inspection completed on 06/13/2023, was not posted.
2. Administrative staff 3 confirmed that the inspection documents from the 06/13/2023 renewal inspection was not posted on the premises as required.
Evidence:
1. The findings from the most recent inspection, which was a renewal inspection completed on 06/13/2023, was not posted.
2. Administrative staff 3 confirmed that the inspection documents from the 06/13/2023 renewal inspection was not posted on the premises as required.
Plan of Correction: Copy of recent inspection was found on the floor behind the piano few days later and posted back on the wall.
Standard 8VAC20-780-160-A
Repeat Violation
Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence:
1. Staff 1, hire date 12/09/2023 lacked documentation of a TB screening.
2. Staff 2, hire date 02/06/2024, lacked documentation of a TB screening.
3. Administrative staff 3 confirmed that a TB screening was not on file for these two staff who were caring for children during the inspection.
Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence:
1. Staff 1, hire date 12/09/2023 lacked documentation of a TB screening.
2. Staff 2, hire date 02/06/2024, lacked documentation of a TB screening.
3. Administrative staff 3 confirmed that a TB screening was not on file for these two staff who were caring for children during the inspection.
Plan of Correction: Staff is working on providing negative TB test result.
Standard 8VAC20-780-240-A
Based on record review and interview, the center failed to ensure that staff complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff 4, hire date 05/05/2023, lacks written documentation of completion of Virginia Preservice training.
2. Administrative staff 3 confirmed that staff 4 has not completed this required training.
Evidence:
1. Staff 4, hire date 05/05/2023, lacks written documentation of completion of Virginia Preservice training.
2. Administrative staff 3 confirmed that staff 4 has not completed this required training.
Plan of Correction: All staff is working on completing The Virginia Department of Education orientation course. The proof will be sent as soon as it will be completed at the end of April.
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition.
Evidence:
1. The covering around the water heater is torn and coming apart is several areas allowing access to the insulation surrounding the water heater.
a. The water heater is accessible to children as children must pass through the back mudroom area when entering and exiting the outdoor play area.
2. The handle to the outdoor cottage playhouse has broken off resulting in a protrusion hazard.
3. Two bolts, measuring approximately 14 threads, are protruding from the fence post beside the cottage play house. These bolts are a protrusion hazard.
Evidence:
1. The covering around the water heater is torn and coming apart is several areas allowing access to the insulation surrounding the water heater.
a. The water heater is accessible to children as children must pass through the back mudroom area when entering and exiting the outdoor play area.
2. The handle to the outdoor cottage playhouse has broken off resulting in a protrusion hazard.
3. Two bolts, measuring approximately 14 threads, are protruding from the fence post beside the cottage play house. These bolts are a protrusion hazard.
Plan of Correction: All damage parts are in the process of fixing. The photo will be sent on week of March 11, 2024.
Standard 8VAC20-780-340-D
Repeat Violation
Based on record review and interview, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
Evidence:
1. Staff 1 and staff 2, who were caring for 7 children in the infant & toddler classroom, lacked all required documents to confirm that they meet the requirements for program leader.
a. Both staff lacked written verification of completion of high school or equivalent.
b. Written information in staff files indicated that both staff were program leaders.
2. Administrative staff 3 confirmed that educational credentials were not on file for staff 1 and staff 2.
Based on record review and interview, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
Evidence:
1. Staff 1 and staff 2, who were caring for 7 children in the infant & toddler classroom, lacked all required documents to confirm that they meet the requirements for program leader.
a. Both staff lacked written verification of completion of high school or equivalent.
b. Written information in staff files indicated that both staff were program leaders.
2. Administrative staff 3 confirmed that educational credentials were not on file for staff 1 and staff 2.
Plan of Correction: The staff 1 - not employed in the facility anymore.
Staff 2 - had provided the proof for qualification of a program leader.
Staff 2 - had provided the proof for qualification of a program leader.
Standard 8VAC20-780-420-E-1
Based on observation and interview, the center failed to ensure that for each infant, the center shall post a daily record which can be easily accessed by both the parent and the staff working with the child.
Evidence:
1. The infant log, which is posted on the wall in the infant/toddler classroom, had not been completed for any of the infants in care during the inspection- which lasted from 10:00 am - 1:25 pm.
2. Administrative staff 3 stated that the process, at this time, was to notify each parent by text message the times of naps, feedings and diaper changes however, these text messages are not available to the staff working with the children in this classroom.
Evidence:
1. The infant log, which is posted on the wall in the infant/toddler classroom, had not been completed for any of the infants in care during the inspection- which lasted from 10:00 am - 1:25 pm.
2. Administrative staff 3 stated that the process, at this time, was to notify each parent by text message the times of naps, feedings and diaper changes however, these text messages are not available to the staff working with the children in this classroom.
Plan of Correction: The staff and parents are communicating through the text messages in the page called INFANT group - whole day to inform parents and between staff the time of feeding, naps and diaper changing of infants and toddlers. At the end of day the photo of the log sent to each child confidential. Inspector misunderstood the process of communicating between parents and staff.
Standard 8VAC20-780-500-C
Based on observation, the center failed to ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use.
Evidence:
Urine was observed inside of one toilet chair placed in the bathroom outside of the infant/toddler classroom at approximately 10:46 am.
Evidence:
Urine was observed inside of one toilet chair placed in the bathroom outside of the infant/toddler classroom at approximately 10:46 am.
Plan of Correction: The potty was cleaned and sanitized on the day of inspection at 10:47 am.
Standard 8VAC20-780-570-E
Based on observation and interview, the center failed to ensure that bottles shall be shall be dated.
Evidence:
1. A bottle for child 2 was not dated. Child 2 was observed drinking from this bottle during the inspection.
2, Administrative staff 3 verified that the bottle contained breast milk and was not dated to indicate that it had been brought into the facility on the date of the inspection.
Evidence:
1. A bottle for child 2 was not dated. Child 2 was observed drinking from this bottle during the inspection.
2, Administrative staff 3 verified that the bottle contained breast milk and was not dated to indicate that it had been brought into the facility on the date of the inspection.
Plan of Correction: The parents of the infant were asked to date the bottles daily. They started doing that.
Standard 8VAC20-780-80-A
Based on record review and interview, the center failed to ensure for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. Child 1 was not signed in on the facility attendance sheet when the inspector arrived at 10:00am.
2. Child 1 was identified as a child in care in the preschool classroom and administrative staff 3 confirmed that this child had not been signed in at arrival as required.
Evidence:
1. Child 1 was not signed in on the facility attendance sheet when the inspector arrived at 10:00am.
2. Child 1 was identified as a child in care in the preschool classroom and administrative staff 3 confirmed that this child had not been signed in at arrival as required.
Plan of Correction: All children will be signed in going forward. Staff will check behind parent to make sure child is signed in each day.