Inspection · 2022-04-22
Date
2022-04-22
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 4/22/22 from 10;00am - 11:30am. During the inspection there were 29 children ages three years old through five years old in care with 5 staff. During the tour of the facility children were observed participating in various activities in the classroom and eating snack. Records were reviewed for five children and five staff. Medication, emergency procedures, and emergency supplies were reviewed during the inspection. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program and were discussed during the exit interview.
Violations
6Standard 8VAC20-780-160-A
Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning
Evidence:
1. The record for staff #3 did not contain documentation of a negative tuberculosis screening.
2.The record for staff #5 did not contain documentation of a negative tuberculosis screening.
3. Staff #4 (Program Director) reviewed the records for staff #3 and staff #5, and confirmed that there was not any documentation of a negative tuberculosis screening available for viewing during the inspection for either staff.
Evidence:
1. The record for staff #3 did not contain documentation of a negative tuberculosis screening.
2.The record for staff #5 did not contain documentation of a negative tuberculosis screening.
3. Staff #4 (Program Director) reviewed the records for staff #3 and staff #5, and confirmed that there was not any documentation of a negative tuberculosis screening available for viewing during the inspection for either staff.
Plan of Correction: The facility responded: Staff #2 and staff #5 have been sent to complete a new TB screening since we were unable to locate a negative TB screening during the inspection. We will ensure that each new staff member will submit documentation of a negative tuberculosis screening. Documentation of a negative TB screening has to be completed prior to the staff?s start date and must be less than 30 days old.
Standard 8VAC20-780-160-C
Based on a review of five staff records, it was determined that the facility did not ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.
Evidence:
1. The record for staff #2, contained documentation of TB screening that was dated 12/14/18.
2. Staff #4 (Program Director), reviewed the record for staff #2 and confirmed that an updated TB screening had not been received.
Evidence:
1. The record for staff #2, contained documentation of TB screening that was dated 12/14/18.
2. Staff #4 (Program Director), reviewed the record for staff #2 and confirmed that an updated TB screening had not been received.
Plan of Correction: The facility responded: Staff #2 will be sent to complete an updated TB screening. All current staff will be sent to complete an updated TB screening prior to two years since their last TB screening.
Standard 8VAC20-780-280-B
Based on observation, it was determined that the facility did not ensure that all 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 door for the cabinet under the sink in the Pre-K classroom was not secured with any type of locking mechanism. The cabinet contained several bottles of hazardous substances used for cleaning.
2. Staff #4 (Program Director) confirmed there were hazardous substances present that were not kept in a locked place.
Evidence:
1. The door for the cabinet under the sink in the Pre-K classroom was not secured with any type of locking mechanism. The cabinet contained several bottles of hazardous substances used for cleaning.
2. Staff #4 (Program Director) confirmed there were hazardous substances present that were not kept in a locked place.
Plan of Correction: The facility responded: All hazardous substances will be stored in a secure location that uses a locking method.
Standard 8VAC20-780-550-F
Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that an annual lockdown drill is completed.
Evidence:
1. The emergency drill log did not have written documentation to demonstrate that an annual lockdown drill was completed during the 2021.
2. Staff #4 (Program Director) confirmed that there was no annual lockdown drill completed during the year of 2021.
Evidence:
1. The emergency drill log did not have written documentation to demonstrate that an annual lockdown drill was completed during the 2021.
2. Staff #4 (Program Director) confirmed that there was no annual lockdown drill completed during the year of 2021.
Plan of Correction: The facility responded: Going forward we will ensure that a lockdown drill is is completed annually.
Standard 8VAC20-780-560-G
Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date.
Evidence:
1. The Licensing Inspector observed that all of the lunch boxes that the children had brought from home were not labeled with their name and the date.
2. Staff #4 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.
Evidence:
1. The Licensing Inspector observed that all of the lunch boxes that the children had brought from home were not labeled with their name and the date.
2. Staff #4 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.
Plan of Correction: The facility responded: We will label all food brought from home with the child's name and the date.
Standard 8VAC20-780-60-A
Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.
Evidence:
1. The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents.
2.The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents.
3. Staff #4 (Program Director) confirmed that the record for child #1 and child #3 did not contain all of the required information.
Evidence:
1. The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents.
2.The record for child #1 did not contain the enrollment agreement with all of the required information about the child and the parents.
3. Staff #4 (Program Director) confirmed that the record for child #1 and child #3 did not contain all of the required information.
Plan of Correction: The facility responded: Staff will ensure that all children?s files have a complete record on site. We will have the parents of child #1 and child #3 complete a new enrollment agreement.