Inspection · 2023-10-12
Date
2023-10-12
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
(757) 404-5261
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 LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 10/12/2023 from 1:05 pm to 4:40 pm. At the time of entrance, 19 children, ages 2 to 5 years of age, were in care with 3 staff members present. The sample size consisted of 5 children?s records and 8 staff records. Children were observed resting quietly on cots during nap time and having an afternoon snack. Hand washing, table sanitizing and diapering procedures were observed. A sampling of 3 incident reports were reviewed. The outdoor play area was viewed and technical assistance was provided regarding 2 pieces of spring- mounted play equipment. Medication is not being administered to children in care at this time and no transportation is being provided by the program. Areas of non-compliance are identified on the violation notice.
Violations
6Standard 8VAC20-770-60-B
Based on a review of records and interview, the licensee did not obtain a signed, completed sworn statement or affirmation for each employed staff.
Evidence:
Eight staff records were reviewed.
The record for staff #8, whose date of employment was documented as 7/19/2023, did not contain a signed, completed sworn statement or affirmation. The program director confirmed that this documentation was not in staff #8's file and was not available at the time of inspection.
Evidence:
Eight staff records were reviewed.
The record for staff #8, whose date of employment was documented as 7/19/2023, did not contain a signed, completed sworn statement or affirmation. The program director confirmed that this documentation was not in staff #8's file and was not available at the time of inspection.
Plan of Correction: The program director will provide staff #8 with a sworn statement or affirmation form to be completed and signed by the end of the week.
Standard 8VAC20-770-60-C-2
Based on a review of records and interview, the licensee was unable to demonstrate that the results of a Search of the Central Registry was obtained for each staff within 30 days of employment.
Evidence:
Eight staff records were reviewed.
The record for staff #6, whose date of employment was documented as 12/1/2022, did not contain the result s of a search of the central registry.
The program director confirmed that the Central Registry findings for staff #6 was not in the staff record and was not available at the time of the inspection.
Evidence:
Eight staff records were reviewed.
The record for staff #6, whose date of employment was documented as 12/1/2022, did not contain the result s of a search of the central registry.
The program director confirmed that the Central Registry findings for staff #6 was not in the staff record and was not available at the time of the inspection.
Plan of Correction: The program director contacted the office of background investigations during the inspection to request a copy of the result s of the search of the central registry.
The program director will obtain a copy of these results or complete and submit a new request within 5 days.
A copy of the request and payment confirmation will be sent to the licensing inspector within 5 days and the results of the search will be forwarded to the licensing inspector upon receipt.
The program director will obtain a copy of these results or complete and submit a new request within 5 days.
A copy of the request and payment confirmation will be sent to the licensing inspector within 5 days and the results of the search will be forwarded to the licensing inspector upon receipt.
Standard 8VAC20-780-140-A
Based on a review of records and interview, the licensee was unable to demonstrate that each enrolled child has a physical examination by or under the direction of a physician.
Evidence:
Five children's records were reviewed.
The records for child #2 (enrolled 8/24/2023), child #3 (enrolled 6/19/2023) and child #4 (enrolled 4/15/2023) did not contain the results of a physical examination.
The program director confirmed that the records for child #2, #3 and #4 did not contain this documentation and that the documentation was not available at the time of the inspection.
Evidence:
Five children's records were reviewed.
The records for child #2 (enrolled 8/24/2023), child #3 (enrolled 6/19/2023) and child #4 (enrolled 4/15/2023) did not contain the results of a physical examination.
The program director confirmed that the records for child #2, #3 and #4 did not contain this documentation and that the documentation was not available at the time of the inspection.
Plan of Correction: The program director will speak with the parent s of child #2, child #3 and child #4 this week and ask that they submit the results of a physical examination for their children within 2 weeks.
Standard 8VAC20-780-160-A
Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening.
Evidence:
Eight staff records were reviewed.
The records for staff #8, employed 7/19/2023, did not contain the results of a tuberculosis screening.
Staff #8 works in a capacity that requires contact with the children in care.
The program director confirmed that this documentation was not in staff #8's record and was unable to locate this documentation during the inspection.
Evidence:
Eight staff records were reviewed.
The records for staff #8, employed 7/19/2023, did not contain the results of a tuberculosis screening.
Staff #8 works in a capacity that requires contact with the children in care.
The program director confirmed that this documentation was not in staff #8's record and was unable to locate this documentation during the inspection.
Plan of Correction: The program director will speak with staff #8 today and request that the results of a tuberculosis screening be obtained and submitted within 2 weeks..
Standard 8VAC20-780-240-A
Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
Eight staff records were reviewed.
The record for staff #1 whose date of employment was documented as 3/20/2023 did not contain documentation of Virginia Department of Education-sponsored orientation course.
The record for staff #5 whose date of employment was documented as 4/3/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
The record for staff #7 whose date of employment was documented as 4/4/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
The program director confirmed that the records for staff #1, staff #5 and staff #7 did not contain documentation of the Virginia Department of Education-sponsored orientation course and that this documentation was not available at the time of the inspection.
Evidence:
Eight staff records were reviewed.
The record for staff #1 whose date of employment was documented as 3/20/2023 did not contain documentation of Virginia Department of Education-sponsored orientation course.
The record for staff #5 whose date of employment was documented as 4/3/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
The record for staff #7 whose date of employment was documented as 4/4/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course.
The program director confirmed that the records for staff #1, staff #5 and staff #7 did not contain documentation of the Virginia Department of Education-sponsored orientation course and that this documentation was not available at the time of the inspection.
Plan of Correction: The program director will request that staff #1, staff #5 and Staff #7 complete the Virginia Department of Education-sponsored orientation course and submit a copy of their certificate within 2 weeks.
Standard 8VAC20-780-90-A
Based on a review of records and interview, the licensee did not maintain the required written agreements between the parent and the center, in each child's record.
Evidence:
Five children?s records were reviewed.
The record for #2 did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.
The record for #2 did not contain an agreement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately
The program director was asked for this documentation but was unable to locate these written agreements for child #2 during the inspection.
Evidence:
Five children?s records were reviewed.
The record for #2 did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.
The record for #2 did not contain an agreement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately
The program director was asked for this documentation but was unable to locate these written agreements for child #2 during the inspection.
Plan of Correction: The program director will request that the parents sign the required written agreements between the parent and the center for child #2 and submit it within 5 days.