Inspection · 2024-06-26
Date
2024-06-26
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on June 26, 2024 and completed on June 26, 2024. The on-site inspection began at 12:59pm and ended at 3:10pm. The inspector reviewed compliance in the areas listed above. There were 67 children present and 11 staff. The inspector reviewed five children?s records and five 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
7Standard 22.1-289.035-B-2
Based on record review and interview, the center did not ensure that all staff have a criminal history records search prior to first day of employment.
Evidence:
1. The record for staff #4 (hired in 2022) and staff #6 (hired in 2023) currently working at the center did not contain documentation of a criminal history search.
2. The director, staff #1 confirmed that documentation of a criminal history search was not in the record for staff # 4 and staff #6
Evidence:
1. The record for staff #4 (hired in 2022) and staff #6 (hired in 2023) currently working at the center did not contain documentation of a criminal history search.
2. The director, staff #1 confirmed that documentation of a criminal history search was not in the record for staff # 4 and staff #6
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure that all staff have a central registry by the end of 30 days of employment.
Evidence:
1. The record for staff #4 (hired in 2023) and staff #5 (hired in 2023), currently working at the center did not contain documentation of central registry results.
2. The director, staff #1 confirmed that the records did not contain a central registry results for staff #4 and staff #5.
Evidence:
1. The record for staff #4 (hired in 2023) and staff #5 (hired in 2023), currently working at the center did not contain documentation of central registry results.
2. The director, staff #1 confirmed that the records did not contain a central registry results for staff #4 and staff #5.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review and interview, it was determined that the center did not ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence:
1. The record for staff #2 (hired in 2022) did not contain documentation of a negative tuberculosis screening and was in contact with children in the center.
2. The director, Staff #1 confirmed that the record for staff #2 did not contain documentation of a negative tuberculosis screening and was in contact with children in the center.
Evidence:
1. The record for staff #2 (hired in 2022) did not contain documentation of a negative tuberculosis screening and was in contact with children in the center.
2. The director, Staff #1 confirmed that the record for staff #2 did not contain documentation of a negative tuberculosis screening and was in contact with children in the center.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on record review and interview, the center did not ensure that the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
Evidence:
1. The record for staff #2 (hired in 2022) and #3 (hired in 2022) did not contain documentation of completion of the Virginia Preservice 10-hour training.
2. The director, staff #1 confirmed that there was no documentation of completion of the 10 hour training in the record for staff #2 and staff #3.
Evidence:
1. The record for staff #2 (hired in 2022) and #3 (hired in 2022) did not contain documentation of completion of the Virginia Preservice 10-hour training.
2. The director, staff #1 confirmed that there was no documentation of completion of the 10 hour training in the record for staff #2 and staff #3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Based on record review and interview, the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1. The record for #2 (hired in 2022) and #3 (hired in 2022) did not have any documented annual training hours for the year 2023 in their record.
2. The director, Staff #1 confirmed that the documentation for the annual minimum of 16 hours of training in 2023 was not in the record for staff #2 and #3.
Evidence:
1. The record for #2 (hired in 2022) and #3 (hired in 2022) did not have any documented annual training hours for the year 2023 in their record.
2. The director, Staff #1 confirmed that the documentation for the annual minimum of 16 hours of training in 2023 was not in the record for staff #2 and #3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
REPEAT VIOLATION
Based on record review and interview, the center did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. A bottle of air freshener spray with the label ?keep out of reach from children? was stored in an unlocked cabinet accessible to children.
2. The director Staff #1 confirmed that the air freshener bottle was unlocked and accessible.
Based on record review and interview, the center did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. A bottle of air freshener spray with the label ?keep out of reach from children? was stored in an unlocked cabinet accessible to children.
2. The director Staff #1 confirmed that the air freshener bottle was unlocked and accessible.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
REPEAT VIOLATION
Based on record review and interview, the center did not ensure that all required documentation was maintained in the staff records.
Evidence:
1. The records for staff #2, staff #3, staff #4, staff #5 and staff #6 who were currently working at the center did not contain two or more references.
2. The record for staff #2, staff #3, staff #4, staff #5 and staff #6 who are listed as program lead qualified did not have documentation of education.
3. The director, Staff #1 confirmed that the records were not maintained with all the required documentation for staff #2, staff #3, staff #4, staff #5 and staff #6.
Based on record review and interview, the center did not ensure that all required documentation was maintained in the staff records.
Evidence:
1. The records for staff #2, staff #3, staff #4, staff #5 and staff #6 who were currently working at the center did not contain two or more references.
2. The record for staff #2, staff #3, staff #4, staff #5 and staff #6 who are listed as program lead qualified did not have documentation of education.
3. The director, Staff #1 confirmed that the records were not maintained with all the required documentation for staff #2, staff #3, staff #4, staff #5 and staff #6.
Plan of Correction: Not available online. Contact Inspector for more information.