Inspection · 2024-10-18
(757) 404-2575
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
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 10/18/2024, as a part of the licensure period. The inspection began at 11:00 AM and ended at 1:40 PM. The inspector reviewed compliance in the areas listed above. There were 37 children present and 6 staff. The inspector reviewed 5 children?s records and 5 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.
An unannounced, on-site (monitoring/renewal/focused) inspection was initiated and completed on (date), as a part of the licensure period. The on-site inspection began at (time) and ended at (time). The inspector reviewed compliance in the areas listed above. There were (#) children present and (#) staff. The inspector reviewed (#) children?s records and (#) staff records on site. This inspection included:
- document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms),
- tour of the facility,
- interviews,
- observations (this would include observations of photos, recordings, etc.), and
- measurements
The information gathered during the inspection determined no violations with applicable standards or law. No violations were issued.
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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on November 1, 2024. A POC submitted after this date will not appear on the public website.
Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to public disclosure.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to public disclosure.
Violations
10A search of the central registry was not requested until staff 1 had been employed for seven days.
Admin to check status is complete prior to scheduling first day of work.
Staff 4 was employed and with the children for 21 days prior to obtaining a tuberculosis screening.
Admin. now knows that hires need TB prior to work w/children.
The children in the Nido classrooms went directly from eating lunch to their cots without washing their hands.
The children in the Primary classroom ate their lunches on the playground and did not wash their hands before running and playing.
Children will wash hands with soap after eating. Wipes will be available if sink is not.
There was medication to be administered to child 5 in the event of an allergic reaction however there was no parent or physician authorization nor duration of authorization for the medication.
Parents were sent the model forms for authorization to be completed.
The first aid kit did not contain tweezers.
Added already
When centers provide snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) and a menu listing foods to be served for snacks during the current one-week period shall be dated and posted in a location conspicuous to parents or given to parents.
The snack menu for the Nido classroom did not have the snack items listed for Friday.
The afternoon snacks listed on the Nido menu contained foods from only one food group component and not the required two food group components.
The snack being offered the Primary children indicated apples and pita and did not include the grapes being offered.
Guides reminded to fill in snack menu for entire week + keep it for 2 weeks following.
When food is brought from home, the food must be labeled with the child's name and the date.
Several lunch boxes in the primary room were either not labeled with the date or had the wrong date on the boxes.
ATs to check each child's label that it is correctly dated.
Staff were observed standing and walking around the front playground eating their lunches while the children were eating lunch..
Staff were reminded to only move around while eating if urgent.
The children who ate lunch on the front playground were observed eating some lunch, standing and running around and returning to their lunches and eating another bite, then running around.
Children are reminded and practice daily to sit while eating (they get distracted!).
The center shall maintain a record for each child that includes a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected allergic reaction.
There was not a written care plan in the record for child 5 who has a documented food allergy.
Parents have been notified that additional documentation is needed to provide MAT care.