Inspection · 2023-05-10
Date
2023-05-10
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced monitoring inspection was conducted on 5/10/2023. The inspector arrived at 9:50am and departed 12:00pm. At the time of the inspection there were 42 children in care and 8 staff members. The Inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. The Inspector reviewed 6 children?s records and 5 staff records. The inspector observed children and staff throughout the inspection participating in story time, classroom activities, bottle feeding, and individual children napping.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program. During the exit interview the inspector discussed the violations with the owner/Director
Violations
12Standard 8VAC20-780-160-A
Based on record review and interview, it was determined that the center did not ensure that documentation of the Tuberculosis (TB) screening shall be completed within the last 30 calendar days of employment and prior to coming into contact with children.
Evidence:
1. The TB screening for staff #2 was obtained on 11/5/2022 which is more than 30 days before the hire date of 5/4/2022.
2. Staff #1 confirmed the TB screening for Staff #2 is dated more than 30 days before the hire date of 5/4/2022.
Evidence:
1. The TB screening for staff #2 was obtained on 11/5/2022 which is more than 30 days before the hire date of 5/4/2022.
2. Staff #1 confirmed the TB screening for Staff #2 is dated more than 30 days before the hire date of 5/4/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation and interview, it was determined that the center did not ensure that areas and equipment inside and outside, shall be maintained in a safe and operable condition.
Evidence:
1. The playhouse on the playground is cracked and broken around the window area, leaving jagged edges and pinch points. This poses injury and pinching hazards for the children in care.
a. Staff #1 confirmed that the plastic was broken and cracked around the window area of the playhouse.
2. The white plastic privacy fence on the playground has broken bottom edges and unsecured boards along the bottom of the fence leaving an 8? space that children could crawl under. This poses an injury and entrapment hazard for the children in care.
3. There were broken floor tiles in a bathroom near the 3-4year old classroom and a bathroom near the 1-2 year old classrooms.
4. The bathroom near the 3-4 year old classroom has 7 holes in the wall, approximately the diameter of a child?s where a toilet paper dispenser used to be. A child could put their finger through and get it stuck.
5. A trash can accessible and used by children is broken and had jagged edges in the 3-4 year old bathroom.
6. The safety gate at the door of the one year old classroom has a broken vertical rail with an exposed screw.
a.The licensing inspector observed a child was moving the broken rail with the exposed screw.
7. The 1-2 year old classroom and the infant room had loose fitting sheets on crib mattresses posing a suffocation safety hazard.
a. In the infant room there were four loose sheets on crib mattresses.
b.In the 1-2 year old room there were 9 cribs with loose fitting sheets.
8. The wooden cribs in the infant room have chipped or peeling paint on the cribs in areas accessible to children.
9. There was chipped paint on the walls in the hallways and in the classrooms.
10.Staff #1 confirmed the areas and equipment stated above, were not in safe and operable condition.
Evidence:
1. The playhouse on the playground is cracked and broken around the window area, leaving jagged edges and pinch points. This poses injury and pinching hazards for the children in care.
a. Staff #1 confirmed that the plastic was broken and cracked around the window area of the playhouse.
2. The white plastic privacy fence on the playground has broken bottom edges and unsecured boards along the bottom of the fence leaving an 8? space that children could crawl under. This poses an injury and entrapment hazard for the children in care.
3. There were broken floor tiles in a bathroom near the 3-4year old classroom and a bathroom near the 1-2 year old classrooms.
4. The bathroom near the 3-4 year old classroom has 7 holes in the wall, approximately the diameter of a child?s where a toilet paper dispenser used to be. A child could put their finger through and get it stuck.
5. A trash can accessible and used by children is broken and had jagged edges in the 3-4 year old bathroom.
6. The safety gate at the door of the one year old classroom has a broken vertical rail with an exposed screw.
a.The licensing inspector observed a child was moving the broken rail with the exposed screw.
7. The 1-2 year old classroom and the infant room had loose fitting sheets on crib mattresses posing a suffocation safety hazard.
a. In the infant room there were four loose sheets on crib mattresses.
b.In the 1-2 year old room there were 9 cribs with loose fitting sheets.
8. The wooden cribs in the infant room have chipped or peeling paint on the cribs in areas accessible to children.
9. There was chipped paint on the walls in the hallways and in the classrooms.
10.Staff #1 confirmed the areas and equipment stated above, were not in safe and operable condition.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-290-A-3
Based on observation and interview, it was determined the center did not ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers.
Evidence:
1 .In the infant classroom there was an electrical socket next to changing table that was not covered.
2. In the two Year old classroom (Classroom G) there was an electrical outlet at the sink. In the breast feeding room there was an electrical socket on the wall close to the floor that was not covered. In the main hallway there was an electrical outlet that did not have a cover.
3. Staff #1 confirmed that the electrical outlets in the above area were not covered.
Evidence:
1 .In the infant classroom there was an electrical socket next to changing table that was not covered.
2. In the two Year old classroom (Classroom G) there was an electrical outlet at the sink. In the breast feeding room there was an electrical socket on the wall close to the floor that was not covered. In the main hallway there was an electrical outlet that did not have a cover.
3. Staff #1 confirmed that the electrical outlets in the above area were not covered.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-3
Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratios for the age of 2 years olds is one staff to eight children.
Evidence:
1. In the two year old classroom there were 2 staff members for 18 children. The number of children, and their ages required 3 staff to be present.
2. Staff #1 confirmed that the 2 year old classroom was out of ratio.
Evidence:
1. In the two year old classroom there were 2 staff members for 18 children. The number of children, and their ages required 3 staff to be present.
2. Staff #1 confirmed that the 2 year old classroom was out of ratio.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Based on record review and interview it was determined that the center did not ensure that they shall maintain, in a way that is accessible to all staff who work with children, a dated, current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan.
Evidence:
1. An undated list of children with allergies or sensitivities was posted in the one year old classroom.
2. Staff #1 confirmed there was no date. Staff #1 stated the allergy list was old and the children on the list were no longer in the classroom.
Evidence:
1. An undated list of children with allergies or sensitivities was posted in the one year old classroom.
2. Staff #1 confirmed there was no date. Staff #1 stated the allergy list was old and the children on the list were no longer in the classroom.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-440-B
Based on evidence and interview the center did not ensure that cribs shall be identified for use by a specific child.
Evidence:
1. Child #7 was observed sleeping in a crib assigned to Child #8.
2. Staff #5 confirmed the child sleeping in the crib was not the child assigned to the crib.
Evidence:
1. Child #7 was observed sleeping in a crib assigned to Child #8.
2. Staff #5 confirmed the child sleeping in the crib was not the child assigned to the crib.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-440-G
Based on observation the center did not ensure that cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat
Evidence:
1.In the toddler classroom there were 7 children ages 12 months to 2 years old
2.Child #7 was over 12 months and was observed during the inspection sleeping in a crib.
3.Staff #5 confirmed the child was over 12 months of age.
Evidence:
1.In the toddler classroom there were 7 children ages 12 months to 2 years old
2.Child #7 was over 12 months and was observed during the inspection sleeping in a crib.
3.Staff #5 confirmed the child was over 12 months of age.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-450-B
Based on observation and interviews the center failed to ensure that linens shall be assigned for individual use.
Evidence:
1. A child was observed sleeping in a crib with linens assigned to another child.
2. Staff #5 confirmed the child sleeping in the crib was sleeping on linens assigned to another child.
Evidence:
1. A child was observed sleeping in a crib with linens assigned to another child.
2. Staff #5 confirmed the child sleeping in the crib was sleeping on linens assigned to another child.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-F
Based on observation and interview the center did not ensure that a menu listing the foods to be served during the current week is posted.
Evidence:
1.The menu posted was for the prior week.
2.When asked, Staff #6 was unable to tell the inspector what was on the menu for the current day.
Evidence:
1.The menu posted was for the prior week.
2.When asked, Staff #6 was unable to tell the inspector what was on the menu for the current day.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-G
Based on observation the center did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Evidence:
In the infant room a can of formula was in a child?s cubby but it was not labeled with the child?s name.
Evidence:
In the infant room a can of formula was in a child?s cubby but it was not labeled with the child?s name.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review and interview, it was determined that the center did not ensure that a record for each child enrolled shall contain all of the required information.
Evidence:
1.The record for Child #1 did not have a work phone number for the father.
2.The records for Child #1 and Child #5 did not contain an emergency contact address
3.Staff #1 confirmed the records did not contain the required information.
Evidence:
1.The record for Child #1 did not have a work phone number for the father.
2.The records for Child #1 and Child #5 did not contain an emergency contact address
3.Staff #1 confirmed the records did not contain the required information.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
Based on record review and interview, it was determined that the center did not ensure that there was written care plan for each child with a diagnosed food allergy, including written 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.
Evidence:
1. Child #2 has a peanut allergy that is documented on the child?s physical dated 9/14/2022.
2. There is no food allergy care plan on file for Child #2.
3. Staff #1 confirmed that the child has a peanut allergy and there is was no written care plan.
Evidence:
1. Child #2 has a peanut allergy that is documented on the child?s physical dated 9/14/2022.
2. There is no food allergy care plan on file for Child #2.
3. Staff #1 confirmed that the child has a peanut allergy and there is was no written care plan.
Plan of Correction: Not available online. Contact Inspector for more information.