Inspection · 2023-02-02
Date
2023-02-02
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
(804) 588-2371
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
22.1 Early Childhood Care and Education
Inspector Notes
An unannounced monitoring inspection was conducted on 02/02/2023. There were 21 children, ages 2 years -5 years, 4 staff members providing direct supervision and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, special care provisions and emergencies and special services. The children were observed during mealtime, child choice activities, teacher directed activities and rest time. The inspector discussed the following with the provider: allergies, menus, and training hours. A total of 5 children?s records and 5 staff records were reviewed. The inspector arrived for the inspection at 9:15 am and departed at 12:30 pm.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
Violations
7Standard 22.1-289.035-B-2
REPEAT VIOLATION
Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence:
1. The record for Staff 4 contained a documented hired date of 11/18/2022. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available.
2. The record for Staff 5 contained a documented hired date of 1/17/2023. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available.
Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence:
1. The record for Staff 4 contained a documented hired date of 11/18/2022. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available.
2. The record for Staff 5 contained a documented hired date of 1/17/2023. No eligibility letter was available for review. Staff 2 confirmed the eligibility letter was not available.
Plan of Correction: Provider will request required information.
Standard 8VAC20-770-60-C-2
Based on record review and interview with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
Evidence: The record for Staff 4 documented a hire date of 11/18/2022. The central registry search was not available for review. Staff 2 confirmed the central registry search was not available.
Evidence: The record for Staff 4 documented a hire date of 11/18/2022. The central registry search was not available for review. Staff 2 confirmed the central registry search was not available.
Plan of Correction: Provider will request required information.
Standard 8VAC20-780-260-A
Based on record review and interview will staff, the center failed to provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence: The most recent fire inspection was dated 11/09/2022. Staff 2 confirmed a more recent inspection was not available.
Evidence: The most recent fire inspection was dated 11/09/2022. Staff 2 confirmed a more recent inspection was not available.
Plan of Correction: Provider will request required information.
Standard 8VAC20-780-530-A
Based on observation and record review, the center failed to ensure that at least one staff in each classroom or areas where children are present shall have: current certification in cardiopulmonary resuscitation (CPR) as appropriate to children in care and current certification in first aid.
Evidence: Staff 4 was the only staff member in a classroom with children. The staff record did not contain documentation of CPR or first aid certification.
Evidence: Staff 4 was the only staff member in a classroom with children. The staff record did not contain documentation of CPR or first aid certification.
Plan of Correction: Provider will schedule appropriate training.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: home address of a parent, name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete) and first day of attendance.
2. The record for Child 2 did not contain the following information: home address of a parent, and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete).
3. The record for Child 3 did not contain the following information: home address of a parent.
4. The record for Child 4 did not contain the following information: home address of a parent, the phone number of the child?s physician and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete).
5. The record for Child 5 did not contain the following information: name and phone number of the child?s physician, allergies and intolerance to medication or any other substances and action to take in an emergency situation, chronic physical problems and pertinent developmental information and any special accommodations needed and previous child day care and schools attended by the child.
Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: home address of a parent, name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete) and first day of attendance.
2. The record for Child 2 did not contain the following information: home address of a parent, and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete).
3. The record for Child 3 did not contain the following information: home address of a parent.
4. The record for Child 4 did not contain the following information: home address of a parent, the phone number of the child?s physician and name, address, and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete).
5. The record for Child 5 did not contain the following information: name and phone number of the child?s physician, allergies and intolerance to medication or any other substances and action to take in an emergency situation, chronic physical problems and pertinent developmental information and any special accommodations needed and previous child day care and schools attended by the child.
Plan of Correction: Provider will update children?s records.
Standard 8VAC20-780-70
Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.
Evidence:
1. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available.
2. The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available.
Evidence:
1. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available.
2. The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 2 confirmed this information was not available.
Plan of Correction: Provider will request required information.
Standard 8VAC20-780-80-A
Based on document review, the center failed to ensure that 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. The written record of daily attendance in the green group of children did not document the departure of each child as it occurred. There were 8 children marked in attendance and 6 children in attendance for that group.
2. The written record of daily attendance in the orange group of children did not document the arrive of each child as it occurred. There were 4 children marked in attendance and 5 children in attendance for that group.
Evidence:
1. The written record of daily attendance in the green group of children did not document the departure of each child as it occurred. There were 8 children marked in attendance and 6 children in attendance for that group.
2. The written record of daily attendance in the orange group of children did not document the arrive of each child as it occurred. There were 4 children marked in attendance and 5 children in attendance for that group.
Plan of Correction: Staff will take attendance at the time of arrival and departure.