Inspection · 2023-02-15
Date
2023-02-15
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 02/15/2023. There were 44 children, ages 5 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 morning snack and in free choice activities. 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 arrived for the inspection at 9:00 am and departed at 11:15 am.
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 8VAC20-780-140-A
Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance; or within 30 days after the first day of attendance.
Evidence: The record for Child 1 did not contain a physical examination record; the record had a documented start date of 08/01/2022.
Evidence: The record for Child 1 did not contain a physical examination record; the record had a documented start date of 08/01/2022.
Plan of Correction: Will tell the parent.
Standard 8VAC20-780-160-C
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.
Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 10/16/2020; there was not a follow-up tuberculosis screening available for review.
Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 10/16/2020; there was not a follow-up tuberculosis screening available for review.
Plan of Correction: Will send the staff for a test/screening.
Standard 8VAC20-780-240-A
Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.
Evidence: The record for Staff 3 contained a documented hire date of 08/19/2022. Staff 3 has not completed the Virginia Department of Education sponsored orientation course as of 02/15/2023.
Evidence: The record for Staff 3 contained a documented hire date of 08/19/2022. Staff 3 has not completed the Virginia Department of Education sponsored orientation course as of 02/15/2023.
Plan of Correction: The staff is working on getting it completed.
Standard 8VAC20-780-280-B
Based on observation, 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: The storage closet, that contained cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door.
Evidence: The storage closet, that contained cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door.
Plan of Correction: Will retrain the staff.
Standard 8VAC20-780-280-D
Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.
Evidence:
1. There was a container of stain remover and a container of Febreeze on the shelf about the baby food in the Infant Room storage closet.
2. There was a bottle of Betco cleaner, Great Value Disinfectant and Microban on a shelf with cupcakes, cookies and Cheetos in the Toddler Room storage closet.
Evidence:
1. There was a container of stain remover and a container of Febreeze on the shelf about the baby food in the Infant Room storage closet.
2. There was a bottle of Betco cleaner, Great Value Disinfectant and Microban on a shelf with cupcakes, cookies and Cheetos in the Toddler Room storage closet.
Plan of Correction: Will retrain the staff.
Standard 8VAC20-780-60-A
Based on record review, 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 1 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete).
2. The record for Child 3 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child?s record.
Evidence:
1. The record for Child 1 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete).
2. The record for Child 3 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child?s record.
Plan of Correction: Will get with the parents to get the 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 attendance record for the Infant Class contained documentation that there were 6 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.
2. The attendance record for the Toddler Class did not contain documentation of children?s departure on 02/14/2023.
3. The attendance record for the Toddler Class contained documentation that there were 5 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.
4. The attendance record for the 2 Year Old Class did not contain documentation of children?s departure on 02/14/2023.
5. The attendance record for the Pre-K Class contained documentation that there were 13 children in care during the 02/15/2023 inspection. There were 14 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.
Evidence:
1. The attendance record for the Infant Class contained documentation that there were 6 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.
2. The attendance record for the Toddler Class did not contain documentation of children?s departure on 02/14/2023.
3. The attendance record for the Toddler Class contained documentation that there were 5 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.
4. The attendance record for the 2 Year Old Class did not contain documentation of children?s departure on 02/14/2023.
5. The attendance record for the Pre-K Class contained documentation that there were 13 children in care during the 02/15/2023 inspection. There were 14 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.
Plan of Correction: Will retrain the staff.