Inspection · 2024-07-31
Date
2024-07-31
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.
8VAC20-790 Subsidy Regulations.
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, on-site monitoring inspection was initiated and completed on 7/30/24. The on-site inspection began at 8:15 am and ended at 11:30 am. The inspector reviewed compliance in the areas listed above.There were 23 children present and 6 staff. The inspector reviewed 8 children?s records and 7 staff records on-site. This inspection included document review, tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Violations
11Standard 22.1-289.011-F
The findings from the most recent inspection shall be posted in a conspicuous place on the licensed premises.
The most recent findings dated 3/13/24 was not posted on the premises.
The most recent findings dated 3/13/24 was not posted on the premises.
Plan of Correction: The findings were posted during the inspection.
Standard 22.1-289.035-B-2
Fingerprint background checks are required prior to employment.
The fingerprint background check was obtained 5 days after employment for staff A.
The fingerprint background check was obtained 5 days after employment for staff A.
Plan of Correction: We will remember to obtain this background check prior to hire.
Standard 8VAC20-770-60-C-2
Central registry background check findings are required within 30 days of employment.
There was no central registry background check on file for staff A, who has been employed approximately 80 days.
There was no central registry background check on file for staff A, who has been employed approximately 80 days.
Plan of Correction: I will check on the status of this background check.
Standard 8VAC20-780-280-B
Repeat Violation:
Hazardous substances shall be kept locked using a safe locking method to prevent access by children.
There were cleaning agents in an unlocked closet above the sink in the 4/5 year old classroom.
There were over 15 cleaning agents, insecticides and paints stored on shelves in reach of children in the unlocked laundry room.
Hazardous substances shall be kept locked using a safe locking method to prevent access by children.
There were cleaning agents in an unlocked closet above the sink in the 4/5 year old classroom.
There were over 15 cleaning agents, insecticides and paints stored on shelves in reach of children in the unlocked laundry room.
Plan of Correction: We will make sure hazardous substances are kept locked.
Standard 8VAC20-780-330-B
Repeat Violation:
Playground equipment must maintain use zones for equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles,
The 3 portable slides were between 1 to 5 feet from the concrete on the playground. The fall zones required for these slides are a minimum of 6 feet clearance.
Playground equipment must maintain use zones for equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles,
The 3 portable slides were between 1 to 5 feet from the concrete on the playground. The fall zones required for these slides are a minimum of 6 feet clearance.
Plan of Correction: We will remove the portable slides.
Standard 8VAC20-780-350-B-2
The ratio for children between 16 months to 23 months is 1 staff to 5 children.
On two occasions during the inspection, the Licensing inspector observed 6 children with 1 staff, the youngest child was 17 months of age for approximately 5 minutes on each occasion.
On two occasions during the inspection, the Licensing inspector observed 6 children with 1 staff, the youngest child was 17 months of age for approximately 5 minutes on each occasion.
Plan of Correction: We will make sure to follow the ratios.
Standard 8VAC20-780-40-M
Repeat Violation:
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy care plan. This list shall be dated and kept confidential in each room or area where children are present.
There was no current written list to include the egg and peanut allergy for child B or the penicillin allergy for child A.
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy care plan. This list shall be dated and kept confidential in each room or area where children are present.
There was no current written list to include the egg and peanut allergy for child B or the penicillin allergy for child A.
Plan of Correction: I will add this information to the allergy, sensitivity, dietary restriction list.
Standard 8VAC20-780-510-I
The center may administer prescription medication that would normally be administered by a parent to a child provided the center administers only those drugs that were dispensed forma pharmacy and maintained in the original abeled container.
The emergency medication for child A was not maintained in the original labeled container.
The emergency medication for child A was not maintained in the original labeled container.
Plan of Correction: We will get the original prescription box.
Standard 8VAC20-780-550-P
Repeat Violation:
The center shall maintain a written record of children's serious and minor injures and the record shall include the time of day parents were informed of those injuries.
The written injury record does not include the time of day parents are informed of injuries to their child(ren).
The center shall maintain a written record of children's serious and minor injures and the record shall include the time of day parents were informed of those injuries.
The written injury record does not include the time of day parents are informed of injuries to their child(ren).
Plan of Correction: Staff will be trained in the need to document time of day parents were informed of injuries.
Standard 8VAC20-780-60-A-8
A written care plan for each child with a diagnosed food allergy to include instructions from the physician regarding the food to which the child is allergic and the steps to be take in the event of a suspected or confirmed allergic reaction.
There were no allergy care plans on file for child A, who has a diagnosed peanut allergy., for child B who has a diagnosed egg and peanut allergy and for child C who has a diagnosed pineapple allergy.
There were no allergy care plans on file for child A, who has a diagnosed peanut allergy., for child B who has a diagnosed egg and peanut allergy and for child C who has a diagnosed pineapple allergy.
Plan of Correction: i will get the allergy care plans from the children's physicians.
Standard 8VAC20-780-80-A
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.
There was no attendance record maintained in the 4/5 year old classroom. There were 13 children present.
There was no attendance record maintained in the 4/5 year old classroom. There were 13 children present.
Plan of Correction: We will make sure attendance is being taken as children arrive.