Inspection · 2023-12-14
Date
2023-12-14
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
(540) 309-2494
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. .
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A mandated monitoring inspection was conducted on December 14, 2023 from 9:05 A.M.-12:15 P.M. There were 54 children present, ranging in ages from three months to five years of age, with 13 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and nine staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.
Violations
7Standard 22.1-289.035-B-4
Based on review of staff records, the center failed to complete all required out-of-state background checks.
Evidence:
1. Staff #3,date of employment 11/27/2023, indicated on a sworn disclosure statement dated 11/15/2023they had lived in one other state outside of Virginia within the past five years. There was not a completed sex offender name check in the record, that is required prior to the first date of employment.
2. Staff #4, date of employment, 08/15/2023, indicated on a sworn disclosure statement dated 08/03/2023, that they had lived in three other states outside of Virginia with in the past five years. There was not a criminal history background check completed for one of the states, that was required prior to employment. There was not sex offender name checks completed for three of the states. The sex offender name check is required prior to employment. There was not an out of state central registry check completed for three states. The central registry background check is required to be sent off within 30 days of employment.
3. Administrative staff verified that the out-of-state background checks had not been completed.
Evidence:
1. Staff #3,date of employment 11/27/2023, indicated on a sworn disclosure statement dated 11/15/2023they had lived in one other state outside of Virginia within the past five years. There was not a completed sex offender name check in the record, that is required prior to the first date of employment.
2. Staff #4, date of employment, 08/15/2023, indicated on a sworn disclosure statement dated 08/03/2023, that they had lived in three other states outside of Virginia with in the past five years. There was not a criminal history background check completed for one of the states, that was required prior to employment. There was not sex offender name checks completed for three of the states. The sex offender name check is required prior to employment. There was not an out of state central registry check completed for three states. The central registry background check is required to be sent off within 30 days of employment.
3. Administrative staff verified that the out-of-state background checks had not been completed.
Plan of Correction: All required out-of-state sex offender name checks were completed on 12/14/2023 for those that needed them.
All other required background checks were completed and sent off on 12/14/2023.
All other required background checks were completed and sent off on 12/14/2023.
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure that all areas inside the center shall be maintained in a clean, safe and operable condition.
Evidence:
1. The restrooms off of the Pre-K classrooms, the doorframes are grimy with dirt and debris.
2. In the Before and Afterschool building there is peeling paint in several areas that are accessible to children.
3. In the Two Year Old Classroom there is peeling paint near the rug area. The peeling paint is accessible to children.
Evidence:
1. The restrooms off of the Pre-K classrooms, the doorframes are grimy with dirt and debris.
2. In the Before and Afterschool building there is peeling paint in several areas that are accessible to children.
3. In the Two Year Old Classroom there is peeling paint near the rug area. The peeling paint is accessible to children.
Plan of Correction: The door frames were wiped down clean of dirt and debris on 12/14/2023. Classrooms with peeling paint will be repainted.
Standard 8VAC20-780-320-B
REPEAT
Based on a temperature check, the hot water temperature in the restroom exceeded 120 degrees Fahrenheit.
Evidence:
In the Toddler Classroom the handwashing sink recorded a temperature of 138.1 degrees Fahrenheit.
Based on a temperature check, the hot water temperature in the restroom exceeded 120 degrees Fahrenheit.
Evidence:
In the Toddler Classroom the handwashing sink recorded a temperature of 138.1 degrees Fahrenheit.
Plan of Correction: Temperature was turned down not to exceed 120 degrees Fahrenheit.
Standard 8VAC20-780-500-A
Based on observation, the center failed to wash children and staff hands at all the required times.
Evidence:
1. In Pre-K Classroom Staff #1 assisted a child with blowing their nose.
2. The child or staff member did not wash their hands after any contact with body fluids. Both the staff and child went back into activities within the classroom.
Evidence:
1. In Pre-K Classroom Staff #1 assisted a child with blowing their nose.
2. The child or staff member did not wash their hands after any contact with body fluids. Both the staff and child went back into activities within the classroom.
Plan of Correction: Hand sanitizing wipes were placed in the room for when the children don't have direct access to a sink.
Standard 8VAC20-780-500-B
Based on observation and interview, the center did not ensure that a nonabsorbent surface for diapering or changing shall be used.
Evidence:
1. In the Infant Classroom the diaper changing pad was torn and ripped in several places.
2. Staff #2 verified that the diaper changing table mat was torn and ripped in several places.
Evidence:
1. In the Infant Classroom the diaper changing pad was torn and ripped in several places.
2. Staff #2 verified that the diaper changing table mat was torn and ripped in several places.
Plan of Correction: A new diaper pad is being purchased.
Standard 8VAC20-780-520-A
Based on a review of over-the-counter products, the center failed to ensure that over-the-counter skin products were not kept beyond the expiration date of the product.
Evidence:
1. In Classroom 3A's red pack back there was a tube of Aquaphor Healing Ointment that expired in August 2023.
2. Staff verified that the over-the-counter skin product was expired.
Evidence:
1. In Classroom 3A's red pack back there was a tube of Aquaphor Healing Ointment that expired in August 2023.
2. Staff verified that the over-the-counter skin product was expired.
Plan of Correction: The over the counter product was disposed of immediately.
Standard 8VAC20-780-60-A-8
Based on review of medications and children records, the center failed to ensure that a written allergy care plan was on site for each child with a diagnosed food allergy.
Evidence:
1. Child #1 had an emergency medication, (Epi-Pen) at the center. The child has a food allergy. There was not a written allergy care plan on file for the child.
2. Administrative staff verified that they did not have a written allergy care plan for the child.
Evidence:
1. Child #1 had an emergency medication, (Epi-Pen) at the center. The child has a food allergy. There was not a written allergy care plan on file for the child.
2. Administrative staff verified that they did not have a written allergy care plan for the child.
Plan of Correction: A new allergy care form was given to the parents to have the physician complete and return.