Inspection · 2023-02-21
Licensing Inspector
Florence Martus
(804) 389-0157
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 (8VAC20-770)
22.1 Background Checks Code
Inspector Notes
An unannounced renewal inspection was conducted from 4:15 - 5:30 pm with staff. There were 18 children, ranging from five years to 11 years of age, present with three staff supervising. Children were observed playing in centers with age-appropriate toys. Three onsite staff records and two onsite child records were reviewed at the time of the inspection along with the daily attendance record, emergency drill log, written list of food allergies, sensitivities and dietary restrictions, the first aid kit, emergency supplies and the required posted information. It was reported that there was no medication on site. Four staff records were reviewed off site at the Ron Rosner YMCA on 2/22/2023.
Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Tuesday, 3/7/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.
Standard 22.1-289.035-B-4
Based on review of four staff records, it was determined that out of state background checks were not completed as required. Evidence: The records for staff #2, (date of hire: 11/28/2022) and staff #3 (date of hire: 11/14/2022) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for all states in which they have resided, or an Out of State Sex Offender Registry search completed prior to their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on review of three staff records, it was determined that not all Tuberculosis (TB) tests/screenings were completed within 30 calendar days of the date of employment as required. Evidence: the TB test/screening for Staff #2 (date of hire: 11/28/2022) had a TB test/screening dated: 10/26/2022 and Staff #3 (date of hire: 11/14/2022) had a TB test/screening dated: 9/30/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Based on review of four staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #4 had a TB test/screening dated: 9/14/2020.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-J-1
Based on review of documentation, and an interview with the program manager, the facility has agreed to administer medication but did not have a staff member with current Medication Administration Training (MAT) certification on site. Evidence: none of the three staff on site have obtained MAT certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-L
Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could accurately state which children in the group had allergies, sensitivities and/or dietary restrictions.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance, for each group of children, documents the arrival and departure of all children in care as it occurs. Evidence: 18 children were observed, however 19 children were listed on the attendance sheet.
Plan of Correction: Not available online. Contact Inspector for more information.