Inspection · 2023-07-24
Date
2023-07-24
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
(804) 840-8312
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
A renewal inspection was conducted on 07/24/2023 from approximately 10:25 a.m. to 2:15 p.m. There were 23 children present ranging from infant to school age and 5 staff supervising. The inspectors reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Seven child records and five staff records were reviewed.
The information gathered during the inspection determined a violation with applicable standards or law. A violation notice was issued. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 08/04/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Violations
14Standard 8VAC20-770-40-D-6
Based on record review, the provider failed to ensure that a staff record contained documentation of fingerprint results within required timeframes.
Evidence:
The record for S1, employed 04/12/2023 documented fingerprint results dated 05/09/2023 after the date of employment.
The record for S4, employed 04/04/2023 documented fingerprint results dated 11/16/2021 (more than 90 days prior to employment).
Evidence:
The record for S1, employed 04/12/2023 documented fingerprint results dated 05/09/2023 after the date of employment.
The record for S4, employed 04/04/2023 documented fingerprint results dated 11/16/2021 (more than 90 days prior to employment).
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on staff record review, the provider failed to have central registry findings within 30
days of employment.
Evidence:
The record for S3, employed 04/17/2023 did not contain findings of a central registry search within 30 days. The results are dated 06/15/2023.
days of employment.
Evidence:
The record for S3, employed 04/17/2023 did not contain findings of a central registry search within 30 days. The results are dated 06/15/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Based on staff record review, the provider failed to ensure that two of five shall obtain
and submit the results of a follow-up tuberculosis (TB) screening at least every two
years or more frequently if recommended.
Evidence:
The TB screenings for S2 were dated 07/11/2019 and 07/21/2023.
The TB screenings for S5 were dated 11/19/2019 and 01/14/2022.
and submit the results of a follow-up tuberculosis (TB) screening at least every two
years or more frequently if recommended.
Evidence:
The TB screenings for S2 were dated 07/11/2019 and 07/21/2023.
The TB screenings for S5 were dated 11/19/2019 and 01/14/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition.
Evidence:
Infant Room: The crib designated to be used in a center evacuation is missing a wheel; multiple crib mattresses had torn plastic protective covers.
Busy Bees Room: Carpet seam fraying in front of sink.
Playground: Wooden fence panel in sand box play area has exposed nails.
Hallway utility closet: Light switch shorting out/overhead light flickering.
Evidence:
Infant Room: The crib designated to be used in a center evacuation is missing a wheel; multiple crib mattresses had torn plastic protective covers.
Busy Bees Room: Carpet seam fraying in front of sink.
Playground: Wooden fence panel in sand box play area has exposed nails.
Hallway utility closet: Light switch shorting out/overhead light flickering.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing accessible by children.
Evidence:
Cleaning supplies were observed on a counter in the Turtles and under the sink in the Busy Bee classrooms. The hallway cleaning closet in the center was unlocked and accessible to children contained soap, fabric freshener, and hand sanitizer with warning labels to keep out of reach of children. Cleaning supplies were observed under the sink in the children?s bathroom located outside to the kitchen area.
Evidence:
Cleaning supplies were observed on a counter in the Turtles and under the sink in the Busy Bee classrooms. The hallway cleaning closet in the center was unlocked and accessible to children contained soap, fabric freshener, and hand sanitizer with warning labels to keep out of reach of children. Cleaning supplies were observed under the sink in the children?s bathroom located outside to the kitchen area.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-J
Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.
Evidence:
Program Director reported that the injury prevention procedures have not been updated.
Evidence:
Program Director reported that the injury prevention procedures have not been updated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-440-L
Based on observation, the provider failed to ensure that pillows shall not be used by children under two years of age.
Evidence:
Licensing inspector observed a yellow neck pillow in the crib with an infant under the age of 2 years.
Evidence:
Licensing inspector observed a yellow neck pillow in the crib with an infant under the age of 2 years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Based on observation, the provider failed to ensure that children?s hands shall be washed with soap and running water after toileting.
Evidence:
Licensing inspector observed staff member in the infant room diapering a child. The staff member failed to wash the child?s hands after diapering.
Evidence:
Licensing inspector observed staff member in the infant room diapering a child. The staff member failed to wash the child?s hands after diapering.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.
Evidence:
Licensing inspector observed staff member in the infant room changing the diaper of a child. The staff member cleaned the diapering surface with a cloth towel that had just been used to wipe the feeding table. The diapering surface was not observed to be sanitized.
Evidence:
Licensing inspector observed staff member in the infant room changing the diaper of a child. The staff member cleaned the diapering surface with a cloth towel that had just been used to wipe the feeding table. The diapering surface was not observed to be sanitized.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-B
Based on review of child injury reports and interview, the provider administered
nonprescription medication without written permission from parents.
Evidence:
A child injury reports dated 06/06/2023 documented staff administering Neosporin, an antibiotic ointment, for a minor injury sustained by a child in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointment.
nonprescription medication without written permission from parents.
Evidence:
A child injury reports dated 06/06/2023 documented staff administering Neosporin, an antibiotic ointment, for a minor injury sustained by a child in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Based on review of written record of children?s serious and minor injuries, the provider failed to ensure the record includes required information.
Evidence:
Injury reports dated 06/06/2022, 06/27/2022, and 07/13/2023 did not document the time when parents were notified of the injuries.
Injury reports dated 04/20/2023 and 07/13/2023 for three children did not document staff and parent signature or two staff signatures.
Evidence:
Injury reports dated 06/06/2022, 06/27/2022, and 07/13/2023 did not document the time when parents were notified of the injuries.
Injury reports dated 04/20/2023 and 07/13/2023 for three children did not document staff and parent signature or two staff signatures.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-E
Based on observation, the provider failed to ensure prepared infant formula was labeled and dated for each child.
Evidence:
Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children?s names and date.
Evidence:
Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children?s names and date.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on child record review, the provider failed to ensure that three of seven records contained required information.
Evidence:
The record for C4, enrolled 07/14/2021 did not document individuals authorized to pick the child up.
The record for C7 did not contain a second emergency contact for the child if the child?s parents could not be located.
Licensing inspector requested to review the record for C6. The center staff were unable to locate a file for C6.
Evidence:
The record for C4, enrolled 07/14/2021 did not document individuals authorized to pick the child up.
The record for C7 did not contain a second emergency contact for the child if the child?s parents could not be located.
Licensing inspector requested to review the record for C6. The center staff were unable to locate a file for C6.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on observation, the provider failed to ensure prepared infant formula was labeled and dated for each child.
Evidence:
Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children?s names and date.
Evidence:
Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children?s names and date.
Plan of Correction: Not available online. Contact Inspector for more information.