Inspection · 2024-03-13
Date
2024-03-13
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
(540) 222-6352
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted with the director from 8:00 am to 11:45 am. There were 30 children present with 6 staff providing supervision. The ages of the children present ranged from 8 months to 5 years. The Licensing Inspector was able to observe, diapering procedures, circle time, children eating breakfast and handwashing. Two children had medications on site and 2 allergy care plans were reviewed.
The most recent fire inspection was dated 3/14/22 and the health inspection was dated 1/30/24.
The areas of non compliance are outlined on the violation notice.
Violations
14Standard 8VAC20-780-240-C
Based on a review of staff files and interview, it was determined that orientation training did not cover all of the required areas for all staff.
Evidence:
Staff A was hired on 2/12/24, staff B was hired on 8/21/23 and staff C was hired on 9/25/23 and they were all missing the following orientation training components:
* Confidential treatment of information about the child and their families;
* Emergency preparedness to include human- caused events such as violence at a child care facility;
* Prevention of abusive head trauma , coping with crying babies or distraught children;
* Prevention and response to emergencies due to food and other allergic reactions.
Evidence:
Staff A was hired on 2/12/24, staff B was hired on 8/21/23 and staff C was hired on 9/25/23 and they were all missing the following orientation training components:
* Confidential treatment of information about the child and their families;
* Emergency preparedness to include human- caused events such as violence at a child care facility;
* Prevention of abusive head trauma , coping with crying babies or distraught children;
* Prevention and response to emergencies due to food and other allergic reactions.
Plan of Correction: From now on, we will be using the
orientation from use by Virginia Licensing
to make sure we cover all areas that are
needed during the orientation.
All teachers had a new orientation session
using the VDOE Orientations form to cover
all the missing components as required by
the licensing standards.
orientation from use by Virginia Licensing
to make sure we cover all areas that are
needed during the orientation.
All teachers had a new orientation session
using the VDOE Orientations form to cover
all the missing components as required by
the licensing standards.
Standard 8VAC20-780-260-A
Based on a review of recordkeeping, it was determined that the center had not obtained an annual fire inspection report as the last inspection report was dated 3/14/22
Plan of Correction: The Fire Marshall did conduct his
inspection. His recommendations were to
updated and inspect the emergency lights,
which was already done.
He also wanted the center to install a hood
above the stove
He wanted the center to conduct a check of
the water backflow valve.
1
inspection. His recommendations were to
updated and inspect the emergency lights,
which was already done.
He also wanted the center to install a hood
above the stove
He wanted the center to conduct a check of
the water backflow valve.
1
Standard 8VAC20-780-270-A
Based on observation, it was determined that the areas and equipment were not maintained in a clean, safe and operable condition.
Evidence:
1. Throughout the Pre-K playground the poured-in-place resilent surfacing was in disrepair with the top layer worn away.
2. On the two year old playground, there were bolts on the fence gate and fence which were more than 2 threads, these protrusions present a laceration hazard.
3. On the two year old playground, there was a head entrapment hazard between the fence posts and chain link fence.
4.The electrical closet was unlocked and contained accessible wires.
Evidence:
1. Throughout the Pre-K playground the poured-in-place resilent surfacing was in disrepair with the top layer worn away.
2. On the two year old playground, there were bolts on the fence gate and fence which were more than 2 threads, these protrusions present a laceration hazard.
3. On the two year old playground, there was a head entrapment hazard between the fence posts and chain link fence.
4.The electrical closet was unlocked and contained accessible wires.
Plan of Correction: 1.Repair kit for the playground was ordered
and work started but materials was not
enough. New kits was ordered
2. On the two year old and preschool side of
the playground, all fence repairs was
completed. Gates were adjusted and all
gabs between gate and fence were fixed
3. ?head entrapment? space was fixed by
adding another post.
4. We installed a lock on the electrical
closet.
and work started but materials was not
enough. New kits was ordered
2. On the two year old and preschool side of
the playground, all fence repairs was
completed. Gates were adjusted and all
gabs between gate and fence were fixed
3. ?head entrapment? space was fixed by
adding another post.
4. We installed a lock on the electrical
closet.
Standard 8VAC20-780-280-B
Based on observation, it was determined that hazardous substances were not kept locked.
Evidence:
There were unlocked hazardous substances in the cabinet in the two year old room and the toddler room. The hazardous substances were labeled with cautions and warnings.
Evidence:
There were unlocked hazardous substances in the cabinet in the two year old room and the toddler room. The hazardous substances were labeled with cautions and warnings.
Plan of Correction: The substances were not at reach of
children and were kept on an upper cabinet
that children can?t reach, however all
cabinets now have child proof locks, and
all bottles will be kept there after each use.
children and were kept on an upper cabinet
that children can?t reach, however all
cabinets now have child proof locks, and
all bottles will be kept there after each use.
Standard 8VAC20-780-290-A-3
Based on observation, it was determined that an outlet was uncovered near the diapering area in the Infant room.
Plan of Correction: Outlet is covered now.
Standard 8VAC20-780-330-B
Based on observation and measurements, it was determined that the play equipment did not maintain adequate use zones nor was the resilient surfacing maintained.
Evidence:
1. On the two year old playground the poured-in-place resilient surfacing contained divots, therefore was no longer an acceptable resilient surface. the three portable climbing/slide structures were on bare grass or located over the concrete, non of which are acceptable resilient surfaces.
2. There were divots at the end of the poured in place surfacing on the PreK playground in front of the slide.
Evidence:
1. On the two year old playground the poured-in-place resilient surfacing contained divots, therefore was no longer an acceptable resilient surface. the three portable climbing/slide structures were on bare grass or located over the concrete, non of which are acceptable resilient surfaces.
2. There were divots at the end of the poured in place surfacing on the PreK playground in front of the slide.
Plan of Correction: Repair kit was ordered from Trussing and
was delivered and after the repairs started,
we fell short on the materials. A new order
was placed and is expected to arrive this
weekend. Crew will complete the surface
repairs by mid-week April 1-5th.
was delivered and after the repairs started,
we fell short on the materials. A new order
was placed and is expected to arrive this
weekend. Crew will complete the surface
repairs by mid-week April 1-5th.
Standard 8VAC20-780-40-M
Based on a review of children's files and interview, it was determined that child A has a diagnosed allergy to formula, however that allergy was not posted on the allergy,sensitivity, dietary restrictions list.
Plan of Correction: We added the student?s name to our center
allergy, sensitivity, and dietary restrictions
list.
allergy, sensitivity, and dietary restrictions
list.
Standard 8VAC20-780-490-E
Based on observation, it was determined that a surface was contaminated with body fluids and it was not cleaned or sanitized.
Evidence:
The Licensing Inspector observed a two year old child being diapered while standing up. The teacher cleaned the two year old with wipes and then proceeded to place the soiled diaper and wipes on the floor in the bathroom. The teacher failed to clean or sanitize the bathroom floor.
Evidence:
The Licensing Inspector observed a two year old child being diapered while standing up. The teacher cleaned the two year old with wipes and then proceeded to place the soiled diaper and wipes on the floor in the bathroom. The teacher failed to clean or sanitize the bathroom floor.
Plan of Correction: Teachers were re ? trained in the proper
way of changing diapers as well as the
correct way of disposal of diapers and the
protocol and steps to clean contaminated
areas.
way of changing diapers as well as the
correct way of disposal of diapers and the
protocol and steps to clean contaminated
areas.
Standard 8VAC20-780-500-B
Based on observation, it was determined that a two year old child was diapered while standing up and the staff failed to use a nonabsorbent surface for diapering children younger than 3 years of age.
Plan of Correction: Teachers were re-trained in the right way of
changing diapers, and they will be using the
changing table from now on.
changing diapers, and they will be using the
changing table from now on.
Standard 8VAC20-780-510-E
Based on interview and a review of recordkeeping it was determined that the center failed to obtained authorization for administering medication.
Evidence:
There was no medication authorization for an emergency medication for child C. The authorization provided by the center was illegible.
Evidence:
There was no medication authorization for an emergency medication for child C. The authorization provided by the center was illegible.
Plan of Correction: After speaking to the mom to get an
updated form, she contacted the doctor,
and the child is not allergic to formula
anymore. Therefore, an updated health
inventory form will be sent to us.
updated form, she contacted the doctor,
and the child is not allergic to formula
anymore. Therefore, an updated health
inventory form will be sent to us.
Standard 8VAC20-780-510-L
Based on observation, it was determined that medication for child B was not kept locked. The emergency medication for child B was stored unlocked in a book bag in a cabinet in classroom Preschool 1.
Plan of Correction: The Medication was stored in our
?emergency backpack?, out of children
reach, in an upper cabinet , as this
medication is so important to keep close at
all times, we bought a medication locked
bag to place inside the emergency bag pack,
so we can keep this medication with us at
all times in case of a real emergency.
?emergency backpack?, out of children
reach, in an upper cabinet , as this
medication is so important to keep close at
all times, we bought a medication locked
bag to place inside the emergency bag pack,
so we can keep this medication with us at
all times in case of a real emergency.
Standard 8VAC20-780-550-F
Based on interview, it was determined that there was no lockdown procedures practiced at least annually.
Evidence:
There was no lockdown drill practiced for 2023.
Evidence:
There was no lockdown drill practiced for 2023.
Plan of Correction: Lockdowns drills will be practice every 3
months from now on.
Our first lock down for 2024 is schedule for
April 2024
months from now on.
Our first lock down for 2024 is schedule for
April 2024
Standard 8VAC20-780-550-P
Repeat Violation:
Based on a review of injury/accident reports and interview, it was determined that the center 's form does not contain and area to document ways to prevent recurrence of injuries/accidents.
Based on a review of injury/accident reports and interview, it was determined that the center 's form does not contain and area to document ways to prevent recurrence of injuries/accidents.
Plan of Correction: The correct form was printed the same day
of the inspection and provided to our
license inspector, as this one already
existed. Some teachers were using the latest
version of the form, and some weren?t,
that?s how the discrepancies occurred in the
forms. All teachers now have the correct
injury report forms, and any older versions
are obsolete
of the inspection and provided to our
license inspector, as this one already
existed. Some teachers were using the latest
version of the form, and some weren?t,
that?s how the discrepancies occurred in the
forms. All teachers now have the correct
injury report forms, and any older versions
are obsolete
Standard 8VAC20-780-70
Based on a review of staff records, it was determined that staff A ( hired 2/12/24) and staff B ( hired 8/21/23) did not have references on file at the time of hire.
Plan of Correction: References for these two teachers were
contacted and recorded in the references
forms now in their folders.
contacted and recorded in the references
forms now in their folders.