Inspection · 2023-08-09
Date
2023-08-09
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced monitoring inspection was conducted on 08/09/2023. There were 42 children, ages 3 months- 4 years, and 10 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, in free choice activities, during learning time and in large motor play outside. Infants were observed being fed and sleeping on demand. A total of 5 children?s records and 5 staff records were reviewed. The inspector discussed the following with the program director: afterschool care, fans in the classroom, playground standards, and sanitization. The inspector arrived for the inspection at 8:45 am and departed at 11:50 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
10Standard 22.1-289.035-A
Based on record review, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.
Evidence:
1. The most recent criminal history record check (fingerprint eligibility letter) in the record for Staff 3 was dated 04/11/2018; there was not a follow-up criminal history record check obtained by 04/11/2023.
2. The date on the original criminal history record check (fingerprint eligibility letter) in the record for Staff 4 was 03/29/2018. The follow-up criminal history record check was dated 05/19/2023. The follow-up criminal history record check was not obtained within the 5 year period.
3. The record for Staff 4 contained documentation that Staff 4 resides outside of the state. The original out of state child abuse and neglect registry check is dated 07/03/2018. There was not a follow-up out of state child abuse and neglect registry check obtain by 07/03/2023.
Evidence:
1. The most recent criminal history record check (fingerprint eligibility letter) in the record for Staff 3 was dated 04/11/2018; there was not a follow-up criminal history record check obtained by 04/11/2023.
2. The date on the original criminal history record check (fingerprint eligibility letter) in the record for Staff 4 was 03/29/2018. The follow-up criminal history record check was dated 05/19/2023. The follow-up criminal history record check was not obtained within the 5 year period.
3. The record for Staff 4 contained documentation that Staff 4 resides outside of the state. The original out of state child abuse and neglect registry check is dated 07/03/2018. There was not a follow-up out of state child abuse and neglect registry check obtain by 07/03/2023.
Plan of Correction: Will get them updated.
Standard 8VAC20-770-60-B
Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation.
Evidence: The record for Staff 5 contained a documented hire date of 05/05/2023. There was not a sworn statement available for review for Staff 5 during the inspection.
Evidence: The record for Staff 5 contained a documented hire date of 05/05/2023. There was not a sworn statement available for review for Staff 5 during the inspection.
Plan of Correction: Will get it completed today.
Standard 8VAC20-780-130-E
Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.
Evidence:
1. The record for Child 1, determined to be 20 months old, contained a documented start date of 01/10/2022. The most recent immunization record in the record for Child 1 was dated 11/16/2022; additional immunizations have not been obtained every 6 months.
2. The record for Child 3 contained a documented start date of 08/01/2022. The most recent immunization record in the record for Child 3 was dated 02/12/2022; additional immunizations were not obtained every 6 months from 02/12/2022 until the child turned 2 years old.
Evidence:
1. The record for Child 1, determined to be 20 months old, contained a documented start date of 01/10/2022. The most recent immunization record in the record for Child 1 was dated 11/16/2022; additional immunizations have not been obtained every 6 months.
2. The record for Child 3 contained a documented start date of 08/01/2022. The most recent immunization record in the record for Child 3 was dated 02/12/2022; additional immunizations were not obtained every 6 months from 02/12/2022 until the child turned 2 years old.
Plan of Correction: Will contact the parents.
Standard 8VAC20-780-140-A
REPEAT VIOLATION
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 3 did not contain a physical examination record; the record had a documented start date of 08/01/2022.
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 3 did not contain a physical examination record; the record had a documented start date of 08/01/2022.
Plan of Correction: Will contact parents.
Standard 8VAC20-780-160-C
REPEAT VIOLATION
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.
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.
Plan of Correction: Will get it done.
Standard 8VAC20-780-260-B
Based on document review, the center failed to obtain an annual approval from the health department.
Evidence: The most recent approval from the health department was dated 04/28/2022.
Evidence: The most recent approval from the health department was dated 04/28/2022.
Plan of Correction: Will contact the health department today.
Standard 8VAC20-780-280-B
REPEAT VIOLATION
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:
1. The storage closet, that contained the cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door.
2. There was a bottle labeled ?bleach and water? on a shelf in the infant room.
3. There was an aerosol spray bottle of Microban on the diaper changing table in the infant room.
4. There was an aerosol spray bottle of Lysol on a shelf in the large room used by the school-aged children.
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:
1. The storage closet, that contained the cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door.
2. There was a bottle labeled ?bleach and water? on a shelf in the infant room.
3. There was an aerosol spray bottle of Microban on the diaper changing table in the infant room.
4. There was an aerosol spray bottle of Lysol on a shelf in the large room used by the school-aged children.
Plan of Correction: Will move the key and lock the chemicals.
Standard 8VAC20-780-280-D
REPEAT VIOLATION
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: There were 2 containers of disinfectant deodorant, on a shelf in the closet of the pre-k classroom, that were located directly above the following items: napkins, paper plates, plastic utensils, and plastic cups.
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: There were 2 containers of disinfectant deodorant, on a shelf in the closet of the pre-k classroom, that were located directly above the following items: napkins, paper plates, plastic utensils, and plastic cups.
Plan of Correction: Will move the items around.
Standard 8VAC20-780-500-A
Based on observation, the center failed to ensure that that children?s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks.
Evidence: The children were observed during morning snack. Child 2 and Child 5 were observed immediately returning to play areas of the classrooms after finishing their snack. The children did not wash their hands with soap or running water or a disposable wipe after eating a snack.
Evidence: The children were observed during morning snack. Child 2 and Child 5 were observed immediately returning to play areas of the classrooms after finishing their snack. The children did not wash their hands with soap or running water or a disposable wipe after eating a snack.
Plan of Correction: Will review handwashing with staff.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
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: phone number of the child?s physician.
2. The record for Child 2 did not contain the following information: phone number of the child?s physician.
3. 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.
4. 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.
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: phone number of the child?s physician.
2. The record for Child 2 did not contain the following information: phone number of the child?s physician.
3. 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.
4. 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.
Plan of Correction: Will get the information from parents.