Inspection · 2023-11-14
Date
2023-11-14
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 1114/2023. The inspector arrived at 1:00 PM and departed at 3:05 PM .There were 16 children present, ranging in ages from infant to five years with 6 staff. The inspector reviewed compliance in administration, staff and supervision, programming, medication and special care and emergencies. A total of 4 child records and four 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
6Standard 8VAC20-780-130-A
Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required immunizations.
2. The record provided for child 4, who began attending on 10/13/2023, did not include documentation of the required immunizations.
Evidence:
1. The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required immunizations.
2. The record provided for child 4, who began attending on 10/13/2023, did not include documentation of the required immunizations.
Plan of Correction: The facility responded with the following:
Child 2 was placed into the program by social services. We will contact social services/foster parent to obtain the required documentation.
Child 2 was placed into the program by social services. We will contact social services/foster parent to obtain the required documentation.
Standard 8VAC20-780-140-A
Based upon review of children's records, the facility has not ensured that they have obtained documentation that each child has received a physical examination by or under the direction of a physician prior to or within 30 days after attending the center.
Evidence:
The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required physical examination..
Evidence:
The record provided for child 2, who staff 4 stated began attending on 6/20/2023, did not include documentation that the child has received the required physical examination..
Plan of Correction: The facility responded with the following:
Child 2 was placed into the program by social services. We will contact social services/foster parent to obtain the required documentation.
Child 2 was placed into the program by social services. We will contact social services/foster parent to obtain the required documentation.
Standard 8VAC20-780-500-B
Based upon observation, the facility has not ensured that the diapering area has the appropriate diaper disposal system that is either foot-operated or used in such a way that neither a staff members hands nor the soiled diaper touches the exterior of the disposal system during disposal.
Evidence:
The lid on the foot operated diaper disposal system in the girls' bathroom opens the lid only 1 inch which does not allow a diaper to be disposed without touching the exterior surface.
Evidence:
The lid on the foot operated diaper disposal system in the girls' bathroom opens the lid only 1 inch which does not allow a diaper to be disposed without touching the exterior surface.
Plan of Correction: The facility responded with the following:
A new diaper pail will be purchased. Staff will be reminded to let administration know when equipment is broken.
A new diaper pail will be purchased. Staff will be reminded to let administration know when equipment is broken.
Standard 8VAC20-780-510-E
Based upon review of the medication stored for administration to children, the facility's procedures for administering medication do not include that there must be written parental permission for medication to be received for potential administration to children.
Evidence:
There was an albuterol inhaler stored for potential administration to child 1. There was on written parental authorization for the albuterol to be administered, if needed.
Evidence:
There was an albuterol inhaler stored for potential administration to child 1. There was on written parental authorization for the albuterol to be administered, if needed.
Plan of Correction: The facility responded with the following:
The facility's medication procedures will be updated and reviewed with all staff to ensure that medication is not received from a parent without all required written permissions.
The facility's medication procedures will be updated and reviewed with all staff to ensure that medication is not received from a parent without all required written permissions.
Standard 8VAC20-780-60-A
Based upon review of children's records, the facility has not ensured that each child's record includes the date the child began attending.
Evidence:
The record provided for child 2 did not include the child's first date of attending.
Evidence:
The record provided for child 2 did not include the child's first date of attending.
Plan of Correction: The facility responded with the following:
All children's records will be checked to ensure that they include each child's first date of attendance.
All children's records will be checked to ensure that they include each child's first date of attendance.
Standard 8VAC20-780-70
Based upon review of staff records, the facility has not ensured that staff records include all required information.
Evidence:
1. The record provided for staff 2, who staff 1 stated is a program leader, did not include documentation to demonstrate that staff 2 possesses the education, certification or experience required by the position of program leader.
2. The record provided for staff 2 did not include the hire date or the job title.
3. The record provided for staff 2 did not include any references as to character, reputation and competency.
4. Staff 1 stated that staff 2 was hired on 10/20/2023. The record for staff 2 did not include documentation that staff 2 received the required new staff orientation training. Staff 1 and staff 4 verified that staff 2 had received the training.
Evidence:
1. The record provided for staff 2, who staff 1 stated is a program leader, did not include documentation to demonstrate that staff 2 possesses the education, certification or experience required by the position of program leader.
2. The record provided for staff 2 did not include the hire date or the job title.
3. The record provided for staff 2 did not include any references as to character, reputation and competency.
4. Staff 1 stated that staff 2 was hired on 10/20/2023. The record for staff 2 did not include documentation that staff 2 received the required new staff orientation training. Staff 1 and staff 4 verified that staff 2 had received the training.
Plan of Correction: The facility responded with the following:
All staff records will be reviewed to ensure that all required information is documented. At least two reference checks will be obtained prior to any new staff being hired.
All staff records will be reviewed to ensure that all required information is documented. At least two reference checks will be obtained prior to any new staff being hired.