Inspection · 2023-07-27
Date
2023-07-27
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
(757) 404-2322
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
An unannounced renewal inspection was conducted on 7/27/2023 from 9:00am to 11:30am. At the time of the inspection there were 39 children in care and 7 staff members. Children were observed eating snack, playing on carpets, and playing with baby dolls. Records were reviewed for six children and five staff. Posting requirements and programming was discussed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit interview.
Violations
8Standard 8VAC20-780-245-H
Based on observation, record review and interview it was determined the facility did not ensure staff received training on the recommended care requirements related to the care and development of children with special needs.
Evidence:
1. Child #6 had documentation of special needs and ASD.
2. Staff #3 and Staff #6 who worked directly with the child stated the center had not provided training related to the care and development of child #6.
3.The Director confirmed staff had not received training related to the care and development of
child #6.
Evidence:
1. Child #6 had documentation of special needs and ASD.
2. Staff #3 and Staff #6 who worked directly with the child stated the center had not provided training related to the care and development of child #6.
3.The Director confirmed staff had not received training related to the care and development of
child #6.
Plan of Correction: All staff have received training for students with special needs and students that are developmentally delayed.
Standard 8VAC20-780-270-A
Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition.
Evidence:
1. In the two year old classroom a three tier toy shelf was leaning to the right and wobbled when touched creating a tipping hazard.
2. .In the toddler room a corner of the wooden toy cubby had broken wood that caused sharp edges creating a splinter/scratch hazard.
3. In the two year old classroom a sheet on a cot was torn in 2 places causing an entanglement hazard.
4. In the school age and the three and four year old classroom two carpets were dirty and frayed. Frayed carpets can cause a tripping hazard.
Evidence:
1. In the two year old classroom a three tier toy shelf was leaning to the right and wobbled when touched creating a tipping hazard.
2. .In the toddler room a corner of the wooden toy cubby had broken wood that caused sharp edges creating a splinter/scratch hazard.
3. In the two year old classroom a sheet on a cot was torn in 2 places causing an entanglement hazard.
4. In the school age and the three and four year old classroom two carpets were dirty and frayed. Frayed carpets can cause a tripping hazard.
Plan of Correction: Maintenance has replaced rugs in each classroom, removed unsafe toys and/or cubbies and purchased a new bookshelf for the Preschool classroom.
Standard 8VAC20-780-350-B-2
Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:5 for children ages 16-24 months was maintained.
Evidence:
1.From 9:50am to 10:00am on 7/27/023, Staff #5 was caring for 7 children ages 16 ? 24 months old alone. The number and ages of the children required two staff to be present. The Director confirmed the classroom ratio was not maintained.
Evidence:
1.From 9:50am to 10:00am on 7/27/023, Staff #5 was caring for 7 children ages 16 ? 24 months old alone. The number and ages of the children required two staff to be present. The Director confirmed the classroom ratio was not maintained.
Plan of Correction: All staff have been trained on ratio guidelines.
Standard 8VAC20-780-40-M
Based on observation and interview it was determined the center did not ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan was dated.
Evidence:
1 The posted allergy lists in four classrooms was not dated.
2. The Director confirmed a date was not on the allergy lists.
Evidence:
1 The posted allergy lists in four classrooms was not dated.
2. The Director confirmed a date was not on the allergy lists.
Plan of Correction: The date was placed on all allergy/food preference sheets in the classrooms.
Standard 8VAC20-780-400-A
A. Based on observation and interviews it was determined that the facility did not ensure staff shall interact with the child to provide needed help, comfort and support:.
Evidence:
1.In the toddler classroom with children ages 16-24 months, Staff #5 was heard repeatedly saying in a loud, hard tone ?stop?, ?no, no, no?, ?no stop doing that? , ?get out of your shirt?.
2. A child was following Staff #5 in distress and crying. Staff #5 responded to the crying child in a hard tone ?you?re just going to have to wait a minute?.
3. The child became more distressed and continued to cry.
Evidence:
1.In the toddler classroom with children ages 16-24 months, Staff #5 was heard repeatedly saying in a loud, hard tone ?stop?, ?no, no, no?, ?no stop doing that? , ?get out of your shirt?.
2. A child was following Staff #5 in distress and crying. Staff #5 responded to the crying child in a hard tone ?you?re just going to have to wait a minute?.
3. The child became more distressed and continued to cry.
Plan of Correction: Staff received the following trainings?classroom management, behavior observation, and early intervention.
Standard 8VAC20-780-440-I
Based on observation and interviews it was determined that the facility did not ensure that cribs are placed where objects outside the crib are not within reach of children.
Evidence:
1, A plastic gate/fence system used to divide two classrooms(approximately 12? long) was secured with packing tape to a crib.
2.Tape was stretched between 2-3 of the crib spindles inside the crib and within reach of children, creating a suffocation/choking hazard.
3.Staff # 1 confirmed the crib is used for Child #5 who was present during the inspection.
Evidence:
1, A plastic gate/fence system used to divide two classrooms(approximately 12? long) was secured with packing tape to a crib.
2.Tape was stretched between 2-3 of the crib spindles inside the crib and within reach of children, creating a suffocation/choking hazard.
3.Staff # 1 confirmed the crib is used for Child #5 who was present during the inspection.
Plan of Correction: The tape was immediately removed from the crib. Staff have been advised to not use tape on fixtures in the classroom.
Standard 8VAC20-780-500-A
Based on observation it was determined that the facility did not ensure that children?s hands are washed before and after meals and snacks.
Evidence:
In the toddler room a child came into the center with food. The child was seated at the table to eat without having washed hands.
Evidence:
In the toddler room a child came into the center with food. The child was seated at the table to eat without having washed hands.
Plan of Correction: Staff have been trained to enforce the policy of outside food being prohibited from the learning center. They have also received training on proper hand washing.
Standard 8VAC20-780-500-B
Based on observation and interviews it was determined that the facility did not ensure that diapers were disposed of in a storage system that is either foot operated or used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the disposal system.
Evidence:
1.In the infant room the lid of the foot operated diaper pail did not lift. Staff #1 confirmed that the system was not operating properly and that the lid would not lift unless a hand was used.
Evidence:
1.In the infant room the lid of the foot operated diaper pail did not lift. Staff #1 confirmed that the system was not operating properly and that the lid would not lift unless a hand was used.
Plan of Correction: New trash cans were purchased and placed in the infant and toddler classroom. The Director was advised to walk each classroom several times a day to ensure everything is properly working.