Inspection · 2024-03-25
Date
2024-03-25
Complaint Related
No
Licensing Inspector
Nicole Scott
(804) 588-2372
(804) 588-2372
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
8VAC20-820 THE LICENSE PROCESS
8VAC20-820 HEARING PROCEDURES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced monitoring inspection was initiated and completed on 03/25/2024. The inspector was on site from 12:15pm until 3:00pm.
There were 18 children, ages 5 to 10 years old under the supervision of four staff. Children were observed during indoor free play and outdoor time. Five children's records and four staff records were reviewed.
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.
If you have any questions about this inspection, please contact
Nicole Scott, Licensing Inspector
Phone-804.588.2372
Email- nicole.scott@doe.virginia.gov.
Violations
8Standard 22.1-289.035-B-2
Based on record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia.
Evidence:
1.Staff #1, hire date of 8/16/2023 had fingerprint eligibility letter was dated 8/23/2023.
2. Staff #4, hire date of 2/21/2024 had fingerprint eligibility letter was dated 2/26/2024.
Evidence:
1.Staff #1, hire date of 8/16/2023 had fingerprint eligibility letter was dated 8/23/2023.
2. Staff #4, hire date of 2/21/2024 had fingerprint eligibility letter was dated 2/26/2024.
Plan of Correction: Will have completed fingerprints and background check by start date.
Standard 8VAC20-770-60-B
Based on record review, the center failed to obtain a completed Sworn Statement prior to first day of employment for staff member.
Evidence: Staff # 1 with a hire date of 8/16/2023, had a sworn statement in the record dated for 8/22/2023 during the inspection on3/25/2024.
Evidence: Staff # 1 with a hire date of 8/16/2023, had a sworn statement in the record dated for 8/22/2023 during the inspection on3/25/2024.
Plan of Correction: Will have completed Sworn Statement by start date.
Standard 8VAC20-780-160-A
Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children.
Evidence:
1.Staff #1, which was hired on 8/16/2023 had a TB screening on file dating 8/21/2023 during the inspection on 3/25/2024.
2. Staff #2, which was hired on 2/21/2024 had a TB screening on file dating 2/26/2024 during the inspection on 3/25/2024.
Evidence:
1.Staff #1, which was hired on 8/16/2023 had a TB screening on file dating 8/21/2023 during the inspection on 3/25/2024.
2. Staff #2, which was hired on 2/21/2024 had a TB screening on file dating 2/26/2024 during the inspection on 3/25/2024.
Plan of Correction: We will make sure TB test and results received before start date.
Standard 8VAC20-780-245-J
Based on interview and observation, the center failed to ensure any child with emergency medications shall always be in the care of a staff member who is MAT certified.
Evidence: Child 6,7,8,9 and 10 has emergency medication on site. During interview staff #5 state they are the only staff member Mat trained. They stated they work the hours of 9am ton 5:30pm and the children with emergency medication are there when the center opens at 7am to 5:30pm.
Evidence: Child 6,7,8,9 and 10 has emergency medication on site. During interview staff #5 state they are the only staff member Mat trained. They stated they work the hours of 9am ton 5:30pm and the children with emergency medication are there when the center opens at 7am to 5:30pm.
Plan of Correction: Staff member with 7am-3:30pm scheduled to be MAT certified.
Standard 8VAC20-780-245-L
Based on record review and staff interviews, the center failed to ensure that there shall be at
least one staff member on duty who has obtained within the last three years instruction
in performing the daily health observation of children.
Evidence:
There was not a staff member on duty from the hours of 7am to 9am that has obtained instruction in performing the daily health observation of children during the inspection on 03/25/2024
least one staff member on duty who has obtained within the last three years instruction
in performing the daily health observation of children.
Evidence:
There was not a staff member on duty from the hours of 7am to 9am that has obtained instruction in performing the daily health observation of children during the inspection on 03/25/2024
Plan of Correction: Staff member with 7am-3:30pm scheduled to be Daily Health Observation Certified.
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
In the cafeteria/ main room area there was a broken seat at the table. The seat had a plastic bag over it. This causes a suffocation hazard to children. Children were observed on this area.
Evidence:
In the cafeteria/ main room area there was a broken seat at the table. The seat had a plastic bag over it. This causes a suffocation hazard to children. Children were observed on this area.
Plan of Correction: Bag was removed immediately.
Standard 8VAC20-780-510-I
Based on review of medication the center
failed to obtain written authorization from a
parent or guardian for prescription medication. The center administers only medication that is maintained in the original, labeled container.
Evidence:
1.Child #10 had medication on site
during the inspection on 12/13/2023. There was no authorization from parent, to administer.
2.Medication for child #10 was found locked in a first aid kit. There was no box or label with the medication.
failed to obtain written authorization from a
parent or guardian for prescription medication. The center administers only medication that is maintained in the original, labeled container.
Evidence:
1.Child #10 had medication on site
during the inspection on 12/13/2023. There was no authorization from parent, to administer.
2.Medication for child #10 was found locked in a first aid kit. There was no box or label with the medication.
Plan of Correction: Returned medication to mother.
Standard 8VAC20-780-510-P
Based on medication review, the center failed to notify the parent of expired medication for pick-up or the parent to renew the authorization.
Evidence:
1.Child #6 had medication site during the inspection on 3/25/2024. This medication had no authorization from the parent or doctor.
2. Child #10 had medication on site during the inspection on 3/25/2024. This medication had no authorization from the parent or doctor.
Evidence:
1.Child #6 had medication site during the inspection on 3/25/2024. This medication had no authorization from the parent or doctor.
2. Child #10 had medication on site during the inspection on 3/25/2024. This medication had no authorization from the parent or doctor.
Plan of Correction: Child no longer enrolled. Discarded- mom did not want.