Inspection · 2023-12-04
Date
2023-12-04
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
(571) 352-1453
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
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 12/4/2023 from 1:30pm-5:00pm and on 12/5/2023 from 3:15pm to 6:10pm. 92 children were observed directly supervised by 15 staff. The physical plant, 10 staff records, 5 children?s records, medications, and evacuation drills were inspected. Children were observed participating in free play and playing outside. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.
Violations
7Standard 22.1-289.035-A
Based on record review, the center did not obtain results of the check of the Virginia Central Registry every 5 years for 1 staff.
Evidence:
1. The most recent Central Registry Check results in the record for Staff #6 were dated 11/29/2022. The previous Central Registry Check results in the record for Staff #6 were dated 1/16/2017, more than 5 years prior.
Evidence:
1. The most recent Central Registry Check results in the record for Staff #6 were dated 11/29/2022. The previous Central Registry Check results in the record for Staff #6 were dated 1/16/2017, more than 5 years prior.
Plan of Correction: The background check was obtained for staff. The center will ensure repeated background checks are completed every 5 years.
Standard 8VAC20-780-160-A
Based on record review, the center did not ensure each staff member submitted documentation of a negative tuberculosis screening at the time of employment and within the last 30 calendar days of the date of employment.
Evidence:
1. Staff #1 began employment on 8/23/2023. The tuberculosis screening in the record for Staff #1 was dated 7/8/2023, more than 30 days prior to the date of employment.
2. Staff #2 began employment on 10/09/2023. The tuberculosis screening in the record for Staff #2 was dated 10/11/2023, after their first day of employment.
3. Staff #3 began employment on 10/11/2023. The tuberculosis screening in the record for Staff #1 was dated 10/23/2023, after their first day of employment.
4. Staff #4 began employment on 9/26/2023. The record for Staff #4 did not contain documentation of a tuberculosis screening.
5. Staff #5 began employment on 11/08/2023. The record for Staff #5 did not contain documentation of a tuberculosis screening.
Evidence:
1. Staff #1 began employment on 8/23/2023. The tuberculosis screening in the record for Staff #1 was dated 7/8/2023, more than 30 days prior to the date of employment.
2. Staff #2 began employment on 10/09/2023. The tuberculosis screening in the record for Staff #2 was dated 10/11/2023, after their first day of employment.
3. Staff #3 began employment on 10/11/2023. The tuberculosis screening in the record for Staff #1 was dated 10/23/2023, after their first day of employment.
4. Staff #4 began employment on 9/26/2023. The record for Staff #4 did not contain documentation of a tuberculosis screening.
5. Staff #5 began employment on 11/08/2023. The record for Staff #5 did not contain documentation of a tuberculosis screening.
Plan of Correction: The center will ensure tuberculosis screenings are obtained within 30 days before employment.
Standard 8VAC20-780-160-C
Based on record review, the center did not obtain an updated tuberculosis screening every two years for 1 of 10 staff.
Evidence:
1. The tuberculosis screening in the record for Staff #6 was dated 1/18/2023. The previous tuberculosis screening was obtained on 11/24/2020, more than two years prior.
Evidence:
1. The tuberculosis screening in the record for Staff #6 was dated 1/18/2023. The previous tuberculosis screening was obtained on 11/24/2020, more than two years prior.
Plan of Correction: The center will ensure repeat tuberculosis screenings are completed every two years.
Standard 8VAC20-780-240-A
Based on record review, 1 of 10 staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff #1 began employment on 8/23/2023. The record for Staff #1 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
Evidence:
1. Staff #1 began employment on 8/23/2023. The record for Staff #1 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
Plan of Correction: The center will ensure preservice training is completed within 90 days.
Standard 8VAC20-780-270-A
Based on observation, areas inside the center were not maintained in a safe condition.
Evidence:
1. Peeling paint was observed in the school age classroom.
Evidence:
1. Peeling paint was observed in the school age classroom.
Plan of Correction: The center will put in a work order to repair the peeling paint.
Standard 8VAC20-780-340-D
Based on observation and staff interview, the center did not ensure that there was one staff member who meets the qualifications of a program leader in each grouping of children.
Evidence:
1. Staff #11 and 12 were observed in the infant room providing care to 5 infants. The director identified Staff #11 and 12 as assistants. Staff #11 and 12 do not meet the qualifications of a program leader.
2. Staff #4 was observed providing care for 8 children in the recreation room. Staff #4 was identified as an assistant teacher. Staff #4 does not meet the qualifications of a program leader.
Evidence:
1. Staff #11 and 12 were observed in the infant room providing care to 5 infants. The director identified Staff #11 and 12 as assistants. Staff #11 and 12 do not meet the qualifications of a program leader.
2. Staff #4 was observed providing care for 8 children in the recreation room. Staff #4 was identified as an assistant teacher. Staff #4 does not meet the qualifications of a program leader.
Plan of Correction: The center will ensure a lead teacher is in each grouping of children.
Standard 8VAC20-780-420-E-3
Based on record review, the center did not request at least annually parent confirmation that the required information in the child's record is up to date and document the information.
Evidence:
1. The most recent documented update of information in the child's record for Child #4 ( start date 5/2/2022) was dated 4/15/2022.
2. The most recent documented update of information in the child's record for Child #5 ( start date 8/30/2021) was dated 8/22/2022.
Evidence:
1. The most recent documented update of information in the child's record for Child #4 ( start date 5/2/2022) was dated 4/15/2022.
2. The most recent documented update of information in the child's record for Child #5 ( start date 8/30/2021) was dated 8/22/2022.
Plan of Correction: The center will request a review of information from the parents and document the review.