Inspection · 2024-11-14
Licensing Inspector
Christina Jones
(540) 340-2672
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
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site focused inspection was conducted on 11/14/2024 as a part of the provisional licensure period. The on-site inspection began at 10:30 am and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were 101 children and 18 staff present. The inspector reviewed 9 children?s records and 9 staff records on-site on 11/14/2024. This inspection included document review, a tour of the facility, observations and interviews. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 12/2/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for 14 months, did not have documentation of requesting a criminal history check and staff #9, employed for three months, did not have documentation of requesting a criminal history, central registry or sex offender search from a different state.
Plan of Correction: Out of state check will be completed on both employees and a status update will be conducted within 1 week of submissions.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There was a bottle of bleach water solution sitting on an open shelf in the wolves, lions and toucan classrooms.
Plan of Correction: Spoke to all teachers to reiterate that bleach bottles need to be locked at all times when not in use. Provided additional locks for cabinets in Wolves and Lions classrooms.
Standard 8VAC20-780-350-B-2
The required ratio for children ages 16 months to 24 months is one staff per five children. Two staff were observed supervising 16 children in the panda?s class where the youngest child in the group was 23 months of age.
Plan of Correction: Spoke with management team to ensure ratio requirements were understood. Discuss the memo requirement for children who are ready for transition but do not meet the age group ratio.
Standard 8VAC20-780-510-L
Medication shall be kept in a locked place using a safe locking method that prevents access by children. A prescription topical ointment was in an unlocked cabinet in the lion?s classroom.
Plan of Correction: Topical ointment was removed from the classroom. Use was no longer required.
Standard 8VAC20-780-60-A
(Repeat Violation) Children's records are required to contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached.
The record for child #6, enrolled for ten days, was missing proof of age and identity. The record for child #8, enrolled for eight months was missing the name, address and phone number for two emergency contacts.
Plan of Correction: Families were informed to provide missing documents for child files. Management team continued to review child files to ensure that emergency contact information is completely filled out to include full address.
Standard 8VAC20-780-70
(Repeat Violation) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #7, who has been actively working at the center for the past 4 months.
Plan of Correction: Have employee provide a letter of recommendation.