Inspection · 2022-12-08
(757) 404-2575
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 monitoring inspection was conducted on 12/08/2022. There were 24 children present, ranging in ages from infant to 4 years, with 5 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 3 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
4Evidence:
1. Following nap time, the three and four year old children were sent to the bathrooms behind the infant room. No staff person accompanied these children to the bathroom. Once notified by the inspector, staff 2 requested that staff 1 supervise the children using the bathrooms.
2. During nap time, two children were observed with their heads totally covered, once, by a blanket and a second by the hood on a coat. Staff 1 acknowledged that the children's heads were covered.
The facility policies regarding sight and sound supervision of the children at all times will be reviewed with each staff member. Non-compliance will be addressed.
Evidence:
1. The current allergy/dietary restriction list provided was not dated.
2. The allergy/dietary restriction list provided indicated that child 1 and child 2 had food allergies, however these allergies were not diagnosed on the physician signed physical examination.
3. The allergy/dietary restriction list provided did not include a diagnosed food allergy documented on the physician signed physical examination.
4. Staff 1 acknowledged the missing and inaccurate documentation on the allergy list as noted above.
All children's records will be reviewed to determine diagnosed allergies versus dietary restrictions or preferences. Any questions as to allergies will be reviewed with the parents. The allergy charts will be updated to ensure accuracy, dated and placed for staff access in the rooms of each grouping of children.
Evidence:
1. A child was observed sleeping in a crib that was not identified for this child.
2. Staff 5 stated that the child just turned 12 months and was supposed to be sleeping on a cot. the child's name had been removed from the crib.
All infant staff will be reminded of the policy regarding the labeling of cribs for individual infants and the procedure for transitioning a child to a cot.
Evidence:
1. In the preschool nap room, a child was observed sleeping without a top and bottom cover.
Another child had only a bottom linen and was using a coat as a cover.
2. Staff 1 acknowledged that these two children did not have the required top and bottom linen.
Parents are required to provide and launder their child's linens weekly. A supply of sanitized linens will be on hand should a parent forget to supply the linens or if a linen would become soiled.