Inspection · 2024-10-23
Licensing Inspector
Sharon Allen
(540) 272-2941
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
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 monitoring inspection was initiated on 10/23/2024 and completed on 10/23/2024. The on-site inspection began at 10:15am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 121 children present and 21 staff. The inspector reviewed 5 children?s records and 5 staff records on-site on 10/23/2024. This inspection included document review, a tour of the facility, interviews, observations, and measurements. 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 11/7/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings (violation notice) from the most recent inspection, dated 4/17/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
(Repeat Violation) (Systemic) Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. Child #3, enrolled for over a year, did not have documentation of a physical examination.
Plan of Correction: Child #3 has up to date vaccination records available @ time of inspection.
Standard 8VAC20-780-160-C
(Systemic) A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 3 weeks ago and Staff #2 updated screening was due 4 months ago. The updated screenings have not yet been completed.
Plan of Correction: TB to be updated.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There were 3 bottles of sanitizing solution, 2 cannisters of disinfecting wipes, disinfectant spray and a bottle of bleach in an unlocked cabinet in room D. There was disinfectant, a bottle of sanitizing solution and 2 cans of disinfectant spray in an unlocked cabinet in room G. There was disinfectant, a gallon of bleach, air freshener, sanitizing wipes and 2 bottles of sanitizing solution in an unlocked cabinet in room F.
Plan of Correction: All cabinets are confirmed working. All cabinets w/hazardous materials are locked.
Standard 8VAC20-780-500-B
A nonabsorbent surface for diapering/changing shall be used. For children younger than 3 years, this surface shall be a changing table. The children in the toddler classes have their diapers/pullups changed standing up in the bathroom. Children in the toddler class range from 16 months to 3 years of age, and staff confirmed that there were not any 3 year olds in attendance.
Plan of Correction: Changing tables have been cleared of debris, available for use.
Standard 8VAC20-780-510-E
(Repeat Violation) The center?s medication procedures allow long term prescription and over-the-counter medication with written authorization from the child?s physician and parent. The record for child #6 did not contain written authorization from the child's parent and physician for medication that was observed on site.
Plan of Correction: Medication sent home.
Standard 8VAC20-780-510-I
Medication shall be maintained in the original, labeled container.
The medication for child #6 was not in the original container, labeled with the child?s name.
Plan of Correction: This medication was sent home.
Standard 8VAC20-780-520-B
Sunscreen shall be kept in the original container and labeled with the child?s name.
Sunscreen was observed without a specific child?s name, and not in the original container. Staff stated that it was for the class.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-C
(Repeat Violation) Diaper ointment shall be kept in the original container and labeled with the child?s name. Diaper ointment was observed without a specific child?s name. Staff stated that it was for the class.
Plan of Correction: Tenured teacher misspoke. All diaper ointment is individually labeled.
Standard 8VAC20-780-60-A
(Repeat Violation) (Systemic) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for Child #4, enrolled for 4 months, was missing the addresses for two emergency contacts. The record for Child #5, enrolled for 4 months, was missing the address for one emergency contact and the name, address and phone number for a second emergency contact.
Plan of Correction: Parents notified.
Standard 8VAC20-780-60-A-8
(Repeat Violation) (Systemic) A written care plan is required 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 or confirmed allergic reaction. Child #4 and child #5, both enrolled for 4 months, have a diagnosed food allergy and did not have a written care plan, with instructions from a physician, in their file.
Plan of Correction: Child #5's allergy downgraded to preference. They will update forms.
Standard 8VAC20-780-70
(Systemic) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been working at the center for the past 14 months, did not have two completed reference verifications on file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
(Repeat Violation) (Systemic) For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
The attendance record was kept on a tablet that required internet and a passcode, and did not have an accurate list for each group of children. In room C, 20 children were observed, and 21 were listed on the electronic attendance record.
Plan of Correction: Written/paper attendance created for each class and group nap rooms. Kindergarten Ipads unlocked.