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Inspection · 2024-05-20

Date
2024-05-20
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Inspector Notes

An unannounced monitoring inspection was conducted on May 20, 2024 from approximately 12:40 pm to 2:30 pm. Three staff were present supervising twenty-five children ranging in age from infants through preschool age. Children were observed during nap time and infant feeding. Standards related to recordkeeping, supervision, activities, equipment, napping, special feedings, inspection reports and emergency supplies were reviewed. Violations found are noted on the violation notice.

Violations

4
Standard 22.1-289.035-A
Based on review, facility did not ensure 2 staff have updated background checks every 5 years.

Evidence: The following was found during record review:
1. The record for staff #2 had a sworn statement dated 6/30/2018, a national fingerprinting determination letter dated 10/10/18 and a central registry search dated 8/22/2018.
2. The record for staff #5 had a sworn statement dated 1/17/2019, a national fingerprinting determination letter dated 10/24/2018 and a central registry search dated 5/3/2019.
3. Staff #2 confirmed the background checks were dated beyond 5 years and updated background checks were not available.
Plan of Correction: Staff will complete new sworn statements today. Fingerprinting appointments will be scheduled for staff today. Central registry searches have been mailed.
Standard 8VAC20-780-140-A
Based on review and interview, facility did not ensure 1 of 5 child records has documentation of a physical examination within 30 days of beginning attendance.

Evidence: The record for child #1 (start date 1/23/2023) did not have a physical. Staff #2 confirmed physical was not available during inspection.
Plan of Correction: Program Director will request physical again from the parent and place in file.
Standard 8VAC20-780-440-J
Based on observation, facility did not ensure there is at least 12" of space between occupied cribs and 30" of space between the service sides of occupied cribs for staff to gain access to any occupied crib.

Evidence: Three infants were observed sleeping in cribs in the infant room. The cribs were placed side by side with 2" - 4" of space between each of the them. Staff #2 confirmed cribs were too close and did not allow for 12" of free space between them and 30" of space for staff to gain access.
Plan of Correction: Cribs will be arranged to allow required amount of space when in use.
Standard 8VAC20-780-70
Repeat Violation
Based on observation and interview, facility did not ensure 1 of 5 staff records has documentation of required information.

Evidence: The record for staff #3 (start date 3/18/2024) did not have documentation of two references. Staff #2 confirmed information was not available during inspection.
Plan of Correction: Program Director will make sure references are completed and placed in file.
View original record on Virginia Department of Social Services