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Kid's Cottage

Inspection · 2023-08-15

Date
2023-08-15
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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 08/15/2023 from approximately 10:01 a.m. ? 3:30 p.m. There were 26 children present ranging from 3 years old to 5 years and 5 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications, and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition, and transportation. A total of seven child records and seven staff records were reviewed. The information gathered during the inspection determined violations 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, sign and return to me within 5 business days from today, 08/24/2023. 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

8
Standard 8VAC20-780-160-C
Based on staff record review, the provider failed to ensure that one of seven staff 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 screening for S4 were dated 01/29/2021 and 04/20/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on record review, the provider did not ensure that one of seven staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment.

Evidence:
The record for S7, employed 03/04/2023 documented completion of the 10-hour VDOE orientation course 08/08/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Based on staff record review, the provider did not ensure completion of 16 hours of annual training appropriate to the age of children in care.
Evidence:
The record for S4 documented completion of 14.5 hours of training for the time period of 02/03/2022 - 02/03/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-I
Based on interview, the provider failed to document an annual review of the center?s emergency preparedness plan and each time the plan is updated.
Evidence:
Program Director reported the review had not been documented.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-A
Based on record review and interview, the provider did not ensure that at least one staff in each classroom or area where children are present have a current certification in cardiopulmonary resuscitation (CPR) and first aid.

Evidence:
The records for S5, employed 08/08/2023 and S6, employed 08/07/2023 did not document a current first aid and CPR certificate. Based on interview with the program director, S5 and S6 currently drive the bus and van for the school age children and have not completed first aid and CPR training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Based on review of written records of children?s serious and minor injuries, the provider did not ensure that records contained required documentation.
Evidence:
The written records for C2, dated 08/08/2023, C6, dated 07/19/2023, and C7, dated 06/13/2023 did not document the time when the parents were notified of the injuries.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Based on child record review, the provider failed to ensure that one of seven records contained required documentation.
Evidence:
Record for C5, enrolled 07/24/2023 did not document the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
REPEAT VIOLATION
Based on record review, the provider did not keep the required documentation for one of seven staff.
Evidence:
The record for S2, did not demonstrate the individual possessed the education required by the job position.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services