Inspection · 2024-06-18
Date
2024-06-18
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
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced monitoring inspection was conducted on 06/18/2024 between the hours of 09:15am-12:30pm. 92 children were observed directly supervised by 16 staff. The physical plant, 5 staff records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing outside and eating snack. 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
9Standard 22.1-289.035-B-4
Based on record review, the center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided for 2 staff members.
Evidence:
1. Staff #2 (start date 3/21/2022) has resided outside of the state of Virginia in the past 5 years. The results of a criminal history record check, child abuse and neglect check, and sex offender registry check for the state of Rhode Island were not obtained.
2. Staff #3 (start date 12/27/2022) has resided outside of the state of Virginia in the past 5 years. The results of a sex offender registry check for the state of Connecticut were not obtained.
3. A request for the results of a child abuse and neglect check for the state of Connecticut were requested on 12/16/2022 for Staff #3. There was no documentation of follow up regarding the request within 45 days.
Evidence:
1. Staff #2 (start date 3/21/2022) has resided outside of the state of Virginia in the past 5 years. The results of a criminal history record check, child abuse and neglect check, and sex offender registry check for the state of Rhode Island were not obtained.
2. Staff #3 (start date 12/27/2022) has resided outside of the state of Virginia in the past 5 years. The results of a sex offender registry check for the state of Connecticut were not obtained.
3. A request for the results of a child abuse and neglect check for the state of Connecticut were requested on 12/16/2022 for Staff #3. There was no documentation of follow up regarding the request within 45 days.
Plan of Correction: The background checks will be requested within the next 10 business days.
Standard 8VAC20-780-130-A
Based on record review, the center did not obtain documentation for 2 of 5 children, that the child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. Child #1 began attending the center on 03/08/2024. The immunizations in the record for Child #1 were dated 03/14/2024.
2. Child #4 began attending the center on 01/29/2024. The immunizations in the record for Child #4 were dated 01/30/2024
Evidence:
1. Child #1 began attending the center on 03/08/2024. The immunizations in the record for Child #1 were dated 03/14/2024.
2. Child #4 began attending the center on 01/29/2024. The immunizations in the record for Child #4 were dated 01/30/2024
Plan of Correction: The center will have immunizations before the child's first day.
Standard 8VAC20-780-240-A
Based on record review, the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of employment for one staff member.
Evidence:
1. Staff #4 began employment on 12/14/2023. The record for Staff #4 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
Evidence:
1. Staff #4 began employment on 12/14/2023. The record for Staff #4 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
Plan of Correction: the orientation training will be completed.
Standard 8VAC20-780-240-C
Based on record review, orientation training for 1 staff member did not include facility specific topics.
Evidence:
1. The orientation in the record for Staff #2 was completed at another site.
Evidence:
1. The orientation in the record for Staff #2 was completed at another site.
Plan of Correction: Transfer staff will receive orientation training specific to this location.
Standard 8VAC20-780-240-E
Based on record review, the center did not ensure that 1 of 5 staff members completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of employment.
Evidence:
1. Staff #1 began employment on 12/14/2023.
2. The record for Staff #1 did not contain documentation of CPR and first aid orientation training.
Evidence:
1. Staff #1 began employment on 12/14/2023.
2. The record for Staff #1 did not contain documentation of CPR and first aid orientation training.
Plan of Correction: The training will be completed
Standard 8VAC20-780-40-G
Based on record review, the center did not meet the proof of child identity and age requirements as stated in the Code of Virginia.
Evidence:
1. Child #5 began attending the center on 01/29/2024. The record for Child #1 did not contain documentation that the child's proof of age and identity were viewed.
2. Child #1 began attending the center on 03/08/2024. The documentation of viewing proof of age and identity did not include the date the proof of age and identity information was viewed and the person viewing the information.
3. . Child #2 began attending the center on 09/01/2022. The documentation of viewing proof of age and identity did not include the date the proof of age and identity information was viewed and the person viewing the information.
4. Child #1 began attending the center on 07/30/2018. The documentation of viewing proof of age and identity did not include the date the proof of age and identity information was viewed and the person viewing the information.
Evidence:
1. Child #5 began attending the center on 01/29/2024. The record for Child #1 did not contain documentation that the child's proof of age and identity were viewed.
2. Child #1 began attending the center on 03/08/2024. The documentation of viewing proof of age and identity did not include the date the proof of age and identity information was viewed and the person viewing the information.
3. . Child #2 began attending the center on 09/01/2022. The documentation of viewing proof of age and identity did not include the date the proof of age and identity information was viewed and the person viewing the information.
4. Child #1 began attending the center on 07/30/2018. The documentation of viewing proof of age and identity did not include the date the proof of age and identity information was viewed and the person viewing the information.
Plan of Correction: Dates proof of identity documents are viewed will be documented and signed by the person viewing the documents.
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.
Evidence:
1. The most recent parent confirmation of information in the record for Child #2 was dated 09/12/2022.
2. The most recent parent confirmation of information in the record for Child #3 was dated 08/16/2022.
Evidence:
1. The most recent parent confirmation of information in the record for Child #2 was dated 09/12/2022.
2. The most recent parent confirmation of information in the record for Child #3 was dated 08/16/2022.
Plan of Correction: Will request the parent to review the information.
Standard 8VAC20-780-60-A
Based on record review, 1 of 5 children's records did not contain all required information.
Evidence:
1. The record for Child #5 did not contain documentation of phone numbers of two designated people to call in an emergency if a parent cannot be reached
2. The phone numbers identified for the emergency contact persons were the parent's phone numbers.
Evidence:
1. The record for Child #5 did not contain documentation of phone numbers of two designated people to call in an emergency if a parent cannot be reached
2. The phone numbers identified for the emergency contact persons were the parent's phone numbers.
Plan of Correction: Will request additional contact information from the parent.
Standard 8VAC20-780-70
Based on record review, 1 of 5 staff records did not contain all required information.
Evidence:
1. The record for Staff #2 did not contain date of hire.
2. The references in the record for Staff #2 were not dated.
Evidence:
1. The record for Staff #2 did not contain date of hire.
2. The references in the record for Staff #2 were not dated.
Plan of Correction: Dates of references and employment dates will be documented.