Inspection · 2024-03-28
Date
2024-03-28
Complaint Related
Yes
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
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced complaint inspection was conducted on 03/28/2024 in response to a complaint received on 03/20/2024 regarding supervision, areas and equipment, and injury reports. There was a total of 43 children and 9 staff members present during the inspection. The inspector reviewed video footage, interviewed 3 staff members, reviewed 3 children?s records, and 2 staff member records during the inspection. The inspectors arrived at 9:35 am and departed at 10:45 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.
The information gathered pursuant to an investigation of the complaint supports the allegation and the complaint was determined to be valid.
Violations
7Standard 8VAC20-780-240-A
REPEAT VIOLATION
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 1 contained a documented hire date of 08/23/2022; there was not documentation that Staff 1 has completed the VDOE orientation course in the record for Staff 1.
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 1 contained a documented hire date of 08/23/2022; there was not documentation that Staff 1 has completed the VDOE orientation course in the record for Staff 1.
Plan of Correction: They are working on the training now.
Standard 8VAC20-780-340-D
Based on record review, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
Evidence: Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class in the video footage from 03/19/2024. Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class during the 03/28/2024 inspection. Staff 1 and Staff 2 are both program aides. There was not at least one staff member qualified as a program lead or program director regularly present.
Evidence: Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class in the video footage from 03/19/2024. Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class during the 03/28/2024 inspection. Staff 1 and Staff 2 are both program aides. There was not at least one staff member qualified as a program lead or program director regularly present.
Plan of Correction: There is a program leader assigned to the group and will work on getting one of the aides promoted to lead.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure that children under the age of 10 years shall always be within actual sight and sound supervision of staff.
Evidence: Three children from the pre-k classroom were observed walking from the restroom back to their classroom during the 03/28/2024 inspection without a staff member. During the time the preschool-aged children were in the restroom and as they walked down the hallway to their classroom they were not within the sight and sound supervision of a staff member.
Evidence: Three children from the pre-k classroom were observed walking from the restroom back to their classroom during the 03/28/2024 inspection without a staff member. During the time the preschool-aged children were in the restroom and as they walked down the hallway to their classroom they were not within the sight and sound supervision of a staff member.
Plan of Correction: Will retrain the staff.
Standard 8VAC20-780-530-A
Based on record review, the center failed to ensure that at least one staff member in each classroom or area where children are present shall have a current certification in CPR and first aid.
Evidence: Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class in the video footage from 03/19/2024 and during the 03/28/2024 inspection; neither Staff 1 nor Staff 2 have a current certification in CPR or first aid.
Evidence: Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class in the video footage from 03/19/2024 and during the 03/28/2024 inspection; neither Staff 1 nor Staff 2 have a current certification in CPR or first aid.
Plan of Correction: Will get them enrolled in a class.
Standard 8VAC20-780-550-P
COMPLAINT RELATED
Based on document review, the center failed to ensure that injury reports contain all of the elements as required by the standards.
Evidence: The injury report for Child 1 from 03/19/2024 did not contain the following required information: the date and time when parents were notified; and documentation on how parent was notified.
Based on document review, the center failed to ensure that injury reports contain all of the elements as required by the standards.
Evidence: The injury report for Child 1 from 03/19/2024 did not contain the following required information: the date and time when parents were notified; and documentation on how parent was notified.
Plan of Correction: Will use the model form.
Standard 8VAC20-780-70
Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards.
Evidence:
1. The record for Staff 1 did not contain the following information: name, address and telephone number of a person to be notified in an emergency.
2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
Evidence:
1. The record for Staff 1 did not contain the following information: name, address and telephone number of a person to be notified in an emergency.
2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction: Will get the information by Monday.
Standard 8VAC20-780-80-B
COMPLAINT RELATED
Based on the review of video footage, photographs, injury report review, and interviews, the center failed to ensure that the center shall inform the department?s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.
Evidence: Video footage from the Toddler Class on 03/19/2024 shows Child 1 being pushed by another child and falling onto a wooden shelving unit. Child 1 struck their face on the bottom shelf of the shelving unit resulting in a cut near their left eye. Child 1 was taken for outside medication attention by their parent following pickup on 03/19/2024. As of 03/28/2024, the center had not informed the department of the injury that required outside medical attention.
Based on the review of video footage, photographs, injury report review, and interviews, the center failed to ensure that the center shall inform the department?s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.
Evidence: Video footage from the Toddler Class on 03/19/2024 shows Child 1 being pushed by another child and falling onto a wooden shelving unit. Child 1 struck their face on the bottom shelf of the shelving unit resulting in a cut near their left eye. Child 1 was taken for outside medication attention by their parent following pickup on 03/19/2024. As of 03/28/2024, the center had not informed the department of the injury that required outside medical attention.
Plan of Correction: Will report any injuries within 2 days.