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Lighthouse Preschool & Daycare

Inspection · 2023-08-28

Date
2023-08-28
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

A monitoring inspection was initiated and concluded on 8/28/2023. There were 18 children present with 4 staff supervising and 1 administrative staff present. 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 5 staff records were reviewed. The inspection started at 12:15 pm and concluded at 4:50 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 program.

Violations

3
Standard 22.1-289.011-F
Based on observation and interview, the licensee did not ensure that documents required by the Superintendent were posted in a conspicuous place on the licensed premises.
Evidence:
The most recently issued violation notice from the previous inspection was not posted conspicuously in the center.
The program director confirmed that the violation notice was not posted at the time of the inspection.
Plan of Correction: The program director will print and post the results of the last inspection at the parent board near the entry to the center by the end of the day and following the receipt of each inspection report.
Standard 22.1-289.035-B-4
*** REPEAT VIOLATION ***
Based on a review of records and interview, the licensee did not always obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence:
Five staff records were reviewed.
The record for staff #5 (employed 8/25/2023) whose sworn disclosure statement documented that staff #5 resided in the states of South Carolina and Texas in the previous 5 years, did not contain the results of a Criminal Record Check for the States of South Carolina and Texas. Staff #5 was working in ratio with children on 8/28/2023 during the inspection.
The program director confirmed that she was unable to locate the South Carolina or the Texas Criminal Record Checks or a copy of the criminal record Check requests for staff #5.
Plan of Correction: The program director will submit documentation to the inspector showing that the out of state background check for staff #5 has been submitted within 10 days of the inspection.
Out of state Criminal Record Check results will be obtained prior to employment of any new staff.
Standard 8VAC20-780-70
Based on a review of records and interview, the licensee did not always keep a staff record containing all of the required documentation for each staff person.
Evidence:
Five staff records were reviewed.
The record for staff #4 (employed 8/15/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.
The record for staff #5 contained a written statement next to the listed reference names that they were "verified" but did not include the following required information: Dates of contact; Results; and Signature of person making the call.
The program director confirmed that this documentation was not present in the records for staff #4 and #5.
Plan of Correction: The program director will contact the references listed for staff # 4 and document the required information from the individuals in staff #4's record.
The program director will complete the missing documentation for the references she verified for staff #5.
Staff references will be checked and documented with the required information documented for potential hires prior to their employment.
View original record on Virginia Department of Social Services