Inspection · 2022-04-28
Date
2022-04-28
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted on 04/28/2022. There were 42 children, ages 7 months- 5 years, and 9 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during circle/story time, during free choice play and having lunch. Infants were observed being fed and sleeping on demand. A total of 5 children?s records, 5 staff records, and 1 medication were reviewed. The inspector discussed the following with the staff: the physical plant, trainings, documentation and children?s allergies. The inspector arrived for the inspection at 8:45 am and departed at 1:30 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
9Standard 22.1-289.035-B-2
Based on record review and discussion with staff, 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: The record for Staff 2 contained a documented hire date of 09/09/2019. The employment eligibility letter was dated 10/01/2019.
Evidence: The record for Staff 2 contained a documented hire date of 09/09/2019. The employment eligibility letter was dated 10/01/2019.
Plan of Correction: Will get fingerprints prior to hire.
Standard 22.1-289.035-B-4
Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years.
Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 03/15/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.
Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 03/15/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.
Plan of Correction: Will request the information.
Standard 8VAC20-770-60-C-2
Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
Evidence:
1. The record for Staff 1 contained a documented hire date of 03/15/2022. The central registry search was dated 04/27/2022.
2. The record for Staff 2 contained a documented hire date of 09/09/2019. The central registry search was dated 10/31/2019.
Evidence:
1. The record for Staff 1 contained a documented hire date of 03/15/2022. The central registry search was dated 04/27/2022.
2. The record for Staff 2 contained a documented hire date of 09/09/2019. The central registry search was dated 10/31/2019.
Plan of Correction: Will follow-up and document the follow-up
Standard 8VAC20-780-280-B
Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There was an unlocked aerosol can of Lysol on a shelf and an unlocked box of cleaning materials on the diaper changing table in the infant room.
2. There were 2 unlocked aerosol cans of Betco disinfectant, 1 glass cleaner and a plastic spray bottle containing a bleach and water solution accessible to children in the room used for school aged children.
3. There is a small storage area, the second room on the left as you enter the front of the building, which had multiple unlocked cabinets which contained various cleaning materials.
Evidence:
1. There was an unlocked aerosol can of Lysol on a shelf and an unlocked box of cleaning materials on the diaper changing table in the infant room.
2. There were 2 unlocked aerosol cans of Betco disinfectant, 1 glass cleaner and a plastic spray bottle containing a bleach and water solution accessible to children in the room used for school aged children.
3. There is a small storage area, the second room on the left as you enter the front of the building, which had multiple unlocked cabinets which contained various cleaning materials.
Plan of Correction: Will get a new lock and make sure all cleaning materials are kept locked.
Standard 8VAC20-780-340-F
Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence: Child 5 was observed walking down the hall and going back to their classroom alone. Staff 5 stated that Child 5 has been allowed to go to the restroom alone. The restroom was out of sight and sound supervision of Staff 5. The restroom is located around a corner and down the hallway from the classroom. Child 5 was determined to be 3 years old.
Evidence: Child 5 was observed walking down the hall and going back to their classroom alone. Staff 5 stated that Child 5 has been allowed to go to the restroom alone. The restroom was out of sight and sound supervision of Staff 5. The restroom is located around a corner and down the hallway from the classroom. Child 5 was determined to be 3 years old.
Plan of Correction: Have staff ask other classes for help.
Standard 8VAC20-780-350-B-4
Based on observation and discussion with staff, the center failed to ensure that the required staff to child ratio for children ages 3 years up to school age eligible, 1 staff for every 10 children, shall maintained.
Evidence: There were 13 children, ages 3 years-5 years, and 1 staff member observed in the pre-k room; the required staff-to-child ratio for this group of children was 1:10.
Evidence: There were 13 children, ages 3 years-5 years, and 1 staff member observed in the pre-k room; the required staff-to-child ratio for this group of children was 1:10.
Plan of Correction: Will utilize other classes if necessary.
Standard 8VAC20-780-500-A
Based on observation and discussion with staff, the center failed to ensure that children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
Evidence: Child 4 was observed immediately going to play upon completing their breakfast. Child 4 did not wash their hands with soap and running water or disposable wipes after eating a meal.
Evidence: Child 4 was observed immediately going to play upon completing their breakfast. Child 4 did not wash their hands with soap and running water or disposable wipes after eating a meal.
Plan of Correction: Will make sure children at least use a wipe.
Standard 8VAC20-780-520-A
Based on observation and discussion with staff, the center failed to ensure that over-the-counter skin products shall not be kept or used beyond the expiration date of the product.
Evidence:
1. Over-the-counter Skin Product 1 expired on 06/2021.
2. Over-the-counter Skin Product 2 expired on 06/2021.
3. Over-the-counter Skin Product 3 expired on 01/2021.
4. These 3 over-the-counter skin products were located in the 2 year old class.
Evidence:
1. Over-the-counter Skin Product 1 expired on 06/2021.
2. Over-the-counter Skin Product 2 expired on 06/2021.
3. Over-the-counter Skin Product 3 expired on 01/2021.
4. These 3 over-the-counter skin products were located in the 2 year old class.
Plan of Correction: Will send them home and get new ones if necessary.
Standard 8VAC20-780-60-A
Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 2 did not contain the following information: documentation of health information as required by the standards.
2. The record for Child 3 did not contain the following information: documentation of viewing proof of the child?s identity and age; and documentation of health information as required by the standards.
3. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child?s record as required by the standards; and documentation of health information as required by the standards.
4. The record for Child 5 did not contain the following information: documentation of health information as required by the standards.
Evidence:
1. The record for Child 2 did not contain the following information: documentation of health information as required by the standards.
2. The record for Child 3 did not contain the following information: documentation of viewing proof of the child?s identity and age; and documentation of health information as required by the standards.
3. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child?s record as required by the standards; and documentation of health information as required by the standards.
4. The record for Child 5 did not contain the following information: documentation of health information as required by the standards.
Plan of Correction: Will get with the parents and get the missing information.