Inspection · 2023-09-05
Date
2023-09-05
Complaint Related
No
Licensing Inspector
Keesha Minor
(571) 596-3660
(571) 596-3660
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
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted today per the protocol for a Provisional License.
All rooms were in ratio during the inspection.
Children were observed playing on the playground, painting, during circle time, during a diaper change and sleeping in cribs.
Emergency evacuation drills, Shelter-in-place drills, lockdown drill, first aid supplies, emergency supplies, infant bottles labeled and dated, were all in compliance today.
The Health Department has issued a Health Certificate to the facility. Pease forward me, the inspection report as soon as possible.
2 staff and 5 child records, medications, playground equipment and resilient surfacing were reviewed or inspected.
See Violation Notice for non-compliances cited. If you have questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
Licensing Inspector Sarah Marbert and Licensing Administrator Cynthia Ford were present today from 10:51am ? 1:25pm.
Violations
12Standard 22.1-289.011-F
Based on observation, the most recently issues license and most recently issued inspection paperwork were not posted.
Evidence:
1. The most recently issued license was a Provisional License issued on July 18, 2023. No license was posted.
2. The inspection paperwork posted was dated 2/16/23. The most recent inspection was conducted on 6/21/23.
Evidence:
1. The most recently issued license was a Provisional License issued on July 18, 2023. No license was posted.
2. The inspection paperwork posted was dated 2/16/23. The most recent inspection was conducted on 6/21/23.
Plan of Correction: Current provisional license was posted on-site
Standard 8VAC20-780-270-A
Based on observation, the center was not maintained in a clean, safe and operable condition.
Evidence:
The toilet tank lid in the handicapped stall (hallway bathroom) does not sit securely on the tank. It is the wrong shape for the tank. The stall was not blocked off or closed.
Evidence:
The toilet tank lid in the handicapped stall (hallway bathroom) does not sit securely on the tank. It is the wrong shape for the tank. The stall was not blocked off or closed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation, hazardous materials were not stored locked when not in use.
Evidence:
Cleaners/Sanitizing solutions in the Sky Room were not stored locked after a diaper change.
Evidence:
Cleaners/Sanitizing solutions in the Sky Room were not stored locked after a diaper change.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-290-A-3
Based on observation, an outlet in the Sky room did not have a protective cover.
Evidence:
One outlet in the Sky room did not have a protective cap installed.
Evidence:
One outlet in the Sky room did not have a protective cap installed.
Plan of Correction: Capped during the inspection.
Standard 8VAC20-780-330-B
Based on observation, playground climbing equipment did not have a fall zone free of hazardous obstacles.
Evidence:
The plastic climber?s fall zone included the barrier (wooden timbers) used to contain the resilient surfacing material for the slide.
Evidence:
The plastic climber?s fall zone included the barrier (wooden timbers) used to contain the resilient surfacing material for the slide.
Plan of Correction: Equipment was moved to a new location during the inspection.
Standard 8VAC20-780-440-J
Based on observation, occupied cribs did not have enough space between occupied cribs.
Evidence:
1. There were 2 occupied cribs that had less than 6? of space between the cribs. Cribs were in the corner of the infant room, perpendicular to each other.
2. Child #1?s crib did not have 30 inches of space on the service side of the crib. There was less than 6 inches of space available.
Evidence:
1. There were 2 occupied cribs that had less than 6? of space between the cribs. Cribs were in the corner of the infant room, perpendicular to each other.
2. Child #1?s crib did not have 30 inches of space on the service side of the crib. There was less than 6 inches of space available.
Plan of Correction: Crib placement was adjusted as discussed with inspector.
Standard 8VAC20-780-500-A
Based on observation, hands were not washed after toileting.
Evidence:
1. A child?s hands were not washed after a diaper change in the Sky room. LI reminded the staff person to wash the child?s hands before leaving the room. (Child 3)
2. Staff member in the Sky room failed to wash their hands after completing a diaper change.
LI reminded the staff person to wash their hands before leaving the room.
Evidence:
1. A child?s hands were not washed after a diaper change in the Sky room. LI reminded the staff person to wash the child?s hands before leaving the room. (Child 3)
2. Staff member in the Sky room failed to wash their hands after completing a diaper change.
LI reminded the staff person to wash their hands before leaving the room.
Plan of Correction: The employee involved in this violation no longer is employed by the T.E.A.
Center. Training involving the proper diapering procedure was provided on Sept 4, 2023, July 12, 2023, April 14, 2023. Such training will continue to be provided by the T.E.A. Center to its staff.
Center. Training involving the proper diapering procedure was provided on Sept 4, 2023, July 12, 2023, April 14, 2023. Such training will continue to be provided by the T.E.A. Center to its staff.
Standard 8VAC20-780-500-B
Based on observation, staff did not follow proper procedures for diaper changes.
Evidence:
1. A staff person in the Sky room did not clean and sanitize the diapering surface after completing a diaper change for a child.
2. a staff member in the Sky room was observed using their hand to open the disposal container to throw away a diaper, instead of the foot pedal on the container.
Evidence:
1. A staff person in the Sky room did not clean and sanitize the diapering surface after completing a diaper change for a child.
2. a staff member in the Sky room was observed using their hand to open the disposal container to throw away a diaper, instead of the foot pedal on the container.
Plan of Correction: The employee involved in this violation no longer is employed by the T.E.A.
Center. Training involving the proper diapering procedure was provided on Sept 4, 2023, July 12, 2023, April 14, 2023. Such training will continue to be provided regularly by the T.E.A. Center to its staff.
Center. Training involving the proper diapering procedure was provided on Sept 4, 2023, July 12, 2023, April 14, 2023. Such training will continue to be provided regularly by the T.E.A. Center to its staff.
Standard 8VAC20-780-510-E
Repeat Violation
Based on a review of medications, a medication authorization was not available for review.
Evidence:
1. A long-term, as needed medication (Epi-pen) on site did not have an appropriate authorization form available for review. The authorization form gave permission for a different entity to administer medication. (Child 2)
2. A long-term, as needed medication on site (Childrens Benadryl) did not have an appropriate authorization form available for review. The form available did not give permission of the TEA Center to administer the medication. (Child 5)
Based on a review of medications, a medication authorization was not available for review.
Evidence:
1. A long-term, as needed medication (Epi-pen) on site did not have an appropriate authorization form available for review. The authorization form gave permission for a different entity to administer medication. (Child 2)
2. A long-term, as needed medication on site (Childrens Benadryl) did not have an appropriate authorization form available for review. The form available did not give permission of the TEA Center to administer the medication. (Child 5)
Plan of Correction: T.E.A. Center requested that parents remove the long-term, as needed
medications and such medications were removed by the respective parents.
medications and such medications were removed by the respective parents.
Standard 8VAC20-780-510-I
Based on a review of medications, medication present at the center did not have prescription labels attached.
Evidence:
1.Child #2?s Epi-pen did not have a prescription label attached.
Evidence:
1.Child #2?s Epi-pen did not have a prescription label attached.
Plan of Correction: Child is no longer enrolled in the T.E.A. Center. Thus, out of compliance paperwork is no longer relevant. Furthermore, the parent removed the epi-pen from the premise.
Standard 8VAC20-780-60-A
Repeat Violation
Based on a review of records, child records did not contain all required information.
Evidence:
5 records reviewed.
1 of 5 reviewed did not contain documentation of acceptable emergency contacts. The mother was listed as one of the emergency contacts. (Child 2)
Based on a review of records, child records did not contain all required information.
Evidence:
5 records reviewed.
1 of 5 reviewed did not contain documentation of acceptable emergency contacts. The mother was listed as one of the emergency contacts. (Child 2)
Plan of Correction: Child is no longer enrolled in the T.E.A. Center. Thus, out of compliance paperwork is no longer relevant. Furthermore, the parent removed the epi-pen from the premises.
Standard 8VAC20-780-70
Repeat Violation
Based on a review of records, one staff record did not have all required information documented.
Evidence:
1 of 2 staff records reviewed was missing documentation of a second reference having been conducted. (Staff A)
Based on a review of records, one staff record did not have all required information documented.
Evidence:
1 of 2 staff records reviewed was missing documentation of a second reference having been conducted. (Staff A)
Plan of Correction: The employee in question no longer works at the T.E.A. Center.