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Always Sonshine Learn and Play

Inspection · 2024-09-12

Date
2024-09-12
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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
20 Access to minor's records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 09/12/24 and completed on 09/13/24, as a part of the licensure period. The on-site inspection began at 11:45am and ended at 2:10pm. The inspector reviewed compliance in the areas listed above. There were 34 children present and nine staff. The inspector reviewed five children?s records and five staff records on-site. Additional documentation was reviewed electronically on 09/13/24. 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

7
Standard 8VAC20-770-60-B
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The record of Staff #4, who has been employed at the center for over five months, did not have a completed sworn statement.
Plan of Correction: The missing sworn statement was requested to be completed by 9/17/2024. In the future, staff will complete a sworn statement at the time of employment.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of employment.

The central registry search results in the record of Staff #1, who is currently employed, was dated three months after their first day of employment.

The central registry search results in the record of Staff #2, who is currently employed, was dated two months after their first day of employment.

Staff #4 did not have central registry search results during the inspection and has been employed for over five months.
Plan of Correction: Management will ensure to verify communication for documentation of timeliness moving forward.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

The TB screening in the record of Staff #3 was completed two days after the date of employment.

Staff #4 has been employed for over five months and does not have documentation of a negative TB screening.
Plan of Correction: The missing TB was obtained on 09/17/24.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

Staff #2's updated TB screening was due three months ago. The updated screening has not yet been completed.
Plan of Correction: The repeat TB was obtained on 09/18/24.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of employment.

Staff #2 completed the course five months late.

Staff #4 has not completed the course and has been employed for over five months.
Plan of Correction: The missing DOE orientation will be completed no later than 9/27/24.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

Staff #3 was alone with a group of seven, three-year-old children and was not certified in CPR or first aid.
Plan of Correction: Staff #3 will be accompanied by another staff member with current CPR and first aid certification. Staff #3 is signed up for a class on 10/12/24.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #1, who has been actively working at the center for the past 3 months, did not have any completed reference verifications on file.
Plan of Correction: The missing references were obtained on 09/18/24.
View original record on Virginia Department of Social Services