Inspection · 2024-12-17
Licensing Inspector
Arlene Agustin
(804) 629-7519
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.
8VAC20-820 THE LICENSE. .
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above, to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on December 17, 2024. The on-site inspection began at 12:10pm and ended at 1:50pm. The inspector reviewed compliance in the areas listed above. There were 11 children present and 6 staff. The inspector reviewed 5 children?s records and 3 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.
Standard 8VAC20-780-160-C
At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Staff #1 tuberculosis screening expired on March 31, 2023.
Plan of Correction: The center responded with the following: Staff #1 will obtain a tuberculosis screening this week and place the results in their file.
Standard 8VAC20-780-210-A
Program leaders shall have fulfilled a high school program completion. All staff records reviewed were program leaders that did not have documentation of a high school program completion.
Plan of Correction: The center responded with the following: The program leaders will obtain a copy of their high school diploma and place it in their staff file.
Standard 8VAC20-780-440-E
There shall be at least 12 inches of space between occupied rest mats. In the preschool room, 3 children that were napping did not have 12 inches of space between them.
Plan of Correction: The provider responded with the following: Moving forward, all rest mats will be 12 inches apart.
Standard 8VAC20-780-440-G
Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Child #1 (age 17 months) was observed sleeping in a crib.
Plan of Correction: The provider responded with the following: The staff will obtain a letter from the pediatrician to allow the child to continue to sleep in a crib. Moving forward, staff will ensure that all children above the age of 12 months, will no longer sleep in cribs.