Inspection · 2022-05-25
Date
2022-05-25
Complaint Related
Yes
Licensing Inspector
Leslie Perez
(703) 537-6013
(703) 537-6013
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 HEARINGS PROCEDURES.
? 8VAC20-770 Background Checks
? 20 Access to minor?s records
Inspector Notes
A complaint was received in the licensing office on 5/4/2022 regarding staffing concerns and food servings. On 5/25/2022 at approximately 4:30pm-6:25pm, an on-site investigation was conducted. Interviews were conducted and observations were made. At the time of this investigation, the preponderance of evidence supports some concerns reported and the complaint is deemed valid. A monitoring inspection was conducted at the same time as the complaint investigation and additional violations were found and can be viewed on the Violation Notice.
Should you have any questions, please email me at whitney.mcgrath@doe.virginia.gov with any questions or clarifications needed.
Violations
15Standard 8VAC20-780-245-L
Based on interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.
Evidence: When asked which staff present had completed daily health observation training, the program director confirmed that none of the staff had completed the required training.
Evidence: When asked which staff present had completed daily health observation training, the program director confirmed that none of the staff had completed the required training.
Plan of Correction: I'll have all the staff complete the training.
Standard 8VAC20-780-280-B
Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There was toilet bowl cleaner observed on the bottom shelf of a low cabinet in the preschool classroom. The cabinet had a lock, however the lock was not used.
2. There were various air fresheners observed on the bottom shelf of an unlocked low cabinet in the infant classroom.
Evidence:
1. There was toilet bowl cleaner observed on the bottom shelf of a low cabinet in the preschool classroom. The cabinet had a lock, however the lock was not used.
2. There were various air fresheners observed on the bottom shelf of an unlocked low cabinet in the infant classroom.
Plan of Correction: I will buy new locks and retrain the staff.
Standard 8VAC20-780-340-C
Based on observation, during the stated hours of operation and when children are present, there was not always one staff member who meets the qualifications of program leader or program director, and an immediately available staff member.
Evidence:
1. At approximately 4:30pm, Staff #1 was observed alone in the building with 4 infants.
2. Staff #2 arrived at approximately 4:45pm to change a child's diaper who had been playing outside, and then left the program after the diaper change.
3. Staff #3 arrived at approximately 5:00pm to assist Staff #1.
Evidence:
1. At approximately 4:30pm, Staff #1 was observed alone in the building with 4 infants.
2. Staff #2 arrived at approximately 4:45pm to change a child's diaper who had been playing outside, and then left the program after the diaper change.
3. Staff #3 arrived at approximately 5:00pm to assist Staff #1.
Plan of Correction: I'm having a staff meeting and letting the staff know that they need to schedule appointments outside of work hours, or If they're going to be running late, that they need to communicate with the staff so that we can make sure we always have appropriate staff coverage.
Standard 8VAC20-780-340-F
Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff.
Evidence:
1. Staff #1 was observed working alone with 4 infants in the infant classroom.
2. A parent was observed waiting outside of the program door waiting to be acknowledged by center staff.
3. Staff #1 was observed leaving the infant classroom to speak with the parent at the front door.
4. The children in the infant classroom were left unsupervised for approximately 45 seconds while Staff #1 spoke with the parent at the front door.
Evidence:
1. Staff #1 was observed working alone with 4 infants in the infant classroom.
2. A parent was observed waiting outside of the program door waiting to be acknowledged by center staff.
3. Staff #1 was observed leaving the infant classroom to speak with the parent at the front door.
4. The children in the infant classroom were left unsupervised for approximately 45 seconds while Staff #1 spoke with the parent at the front door.
Plan of Correction: They should not have been at the center by themselves. I will retrain the staff.
Standard 8VAC20-780-350-C
Based on observation and interview, staff-to-child ratios were not applicable to the youngest child in the group.
Evidence:
1. Two children were observed being picked up from their parents on the playground.
2. Ten children were observed returned to the classroom after playing on the playground.
3. The program director confirmed that the youngest child in the group is 23 months old.
4. The ratio for a 23 month old is 1:5.
5. While on the playground, there were 12 children with 2 staff.
Evidence:
1. Two children were observed being picked up from their parents on the playground.
2. Ten children were observed returned to the classroom after playing on the playground.
3. The program director confirmed that the youngest child in the group is 23 months old.
4. The ratio for a 23 month old is 1:5.
5. While on the playground, there were 12 children with 2 staff.
Plan of Correction: I will go over ratios with the staff again. Our app has alerts to notify staff if they are out of ratio. I plan to get the children color coded bibs so that the staff can easily identify which groups the children should be in.
Standard 8VAC20-780-40-M
Based on observation, the centers written list of children's allergies, sensitivities and dietary restrictions was not kept confidential.
Evidence: There is an 8X11 laminated list of children's full names, allergies and food restrictions post on the refrigerator door in the preschool classroom. The list is in view of anyone who enters the program.
Evidence: There is an 8X11 laminated list of children's full names, allergies and food restrictions post on the refrigerator door in the preschool classroom. The list is in view of anyone who enters the program.
Plan of Correction: I'll move the sign.
Standard 8VAC20-780-430-B
Based on observation and interview, equipment was not age and stage appropriate for the children.
Evidence: A toddler was observed sitting in a small, bouncing activity chair. Staff #1 stated that the child was 15 months old and that they were in the chair because they can't walk.
Evidence: A toddler was observed sitting in a small, bouncing activity chair. Staff #1 stated that the child was 15 months old and that they were in the chair because they can't walk.
Plan of Correction: I will retrain the staff on age appropriate equipment.
Standard 8VAC20-780-500-A
Based on observation, hand washing requirements were not met.
Evidence:
1. Child #2 was observed having their diaper changed by Staff #1. The child's hands were not washed after the diaper change was complete.
2. Staff #1 did not wash their hands after the completed the diaper change.
Evidence:
1. Child #2 was observed having their diaper changed by Staff #1. The child's hands were not washed after the diaper change was complete.
2. Staff #1 did not wash their hands after the completed the diaper change.
Plan of Correction: I'll retrain all the teachers this week.
Standard 8VAC20-780-500-B
Based on observation, diaper changing requirements were not met.
Evidence: The diaper changing mat was not cleaned and sanitized after use.
Evidence: The diaper changing mat was not cleaned and sanitized after use.
Plan of Correction: I'll retrain all the teachers this week.
Standard 8VAC20-780-530-A-1
Based on observation and interview, there was not at least one person trained in cardiopulmonary resuscitation (CPR) when children were present.
Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have CPR training.
Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have CPR training.
Plan of Correction: They are the only staff without CPR training. I'll get them trained.
Standard 8VAC20-780-530-A-2
Based on observation and interview, there was not at least one person trained in first aid when children were present.
Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have first aid training.
Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have first aid training.
Plan of Correction: They are the only staff without first aid training. I'll get them trained.
Standard 8VAC20-780-560-F
Based on interview, UDSA food requirements were not met when snacks were provided by the center.
Evidence: The program director confirmed that a child was served potato chips at the end of the day to keep the child occupied.
Evidence: The program director confirmed that a child was served potato chips at the end of the day to keep the child occupied.
Plan of Correction: I will retrain staff to not have food at the center that shouldn't get served to the children. If we ever serve a food that wasn't on the menu, we will update the parents in the app by the end of the day.
Standard 8VAC20-780-570-E
Based on observation, prepared infant bottles were not dated and labeled with the child's name.
Evidence:
1. 4 out of 4 bottles observed in the refrigerator did not labeled with a date.
2. 2 out of 4 bottles observed in the refrigerator were not labeled with a child's name.
Evidence:
1. 4 out of 4 bottles observed in the refrigerator did not labeled with a date.
2. 2 out of 4 bottles observed in the refrigerator were not labeled with a child's name.
Plan of Correction: I will send out an email to the parents tonight requesting for bottles to be labeled. If it is not done, I will retrain the teachers to do it.
Standard 8VAC20-780-60-A
Based on record review, the center did not maintain and keep at the center a separate record for each child enrolled.
Evidence:
1. There was no record available for Child #1.
2. There was no record available for Child #2.
Evidence:
1. There was no record available for Child #1.
2. There was no record available for Child #2.
Plan of Correction: Corrected during the inspection.
Standard 8VAC20-820-120-E-6
Based on observation, a copy of the centers special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.
Evidence: When asked about the issued special order, the program director pointed out the document which was underneath the most recently issued violation notice on a bulletin board behind the directors desk away from both school entrances.
Evidence: When asked about the issued special order, the program director pointed out the document which was underneath the most recently issued violation notice on a bulletin board behind the directors desk away from both school entrances.
Plan of Correction: I'll move it closer to the door.