Inspection · 2024-02-26
Date
2024-02-26
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 2/26/2024 from 10:30am to 1:15pm. At the time of the inspection there were 24 children in care and 5 staff members. Children were observed playing with manipulatives, eating lunch, and preparing for nap time. Records were reviewed for 5 children and 4 staff members. The classrooms and playground were observed. Evacuation drills, required postings, and other required documents were also reviewed. The 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
9Standard 8VAC20-780-140-A
Based on record review and interview, it was determined that the facility did not ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for child #4 (date of enrollment 1/3/2024) did not contain documentation of a physical.
2.The record for child #5 (date of enrollment 1/3/2023) did not contain documentation of a physical.
3.The owner confirmed the physical was not in the record.
Evidence:
1. The record for child #4 (date of enrollment 1/3/2024) did not contain documentation of a physical.
2.The record for child #5 (date of enrollment 1/3/2023) did not contain documentation of a physical.
3.The owner confirmed the physical was not in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Repeat Violation
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 toddler room the plexi glass window of an activity board was cracked, posing a pinch hazard. There was broken drywall on a wall accessible to children.
2.There was a 4? hole in the wall of the preschool 3?4-year-old classroom.
3. In the two-year-old classroom the door handle on a partial door between the two-year-old and 3-4 year old classrooms was loose and posed a pinch hazard.
4. In the two-year-old classroom the door on a changing table was coming off the hinge, posing a pinch hazard.
5. Four blue chairs in the classrooms were cracked, posing pinch hazards.
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 toddler room the plexi glass window of an activity board was cracked, posing a pinch hazard. There was broken drywall on a wall accessible to children.
2.There was a 4? hole in the wall of the preschool 3?4-year-old classroom.
3. In the two-year-old classroom the door handle on a partial door between the two-year-old and 3-4 year old classrooms was loose and posed a pinch hazard.
4. In the two-year-old classroom the door on a changing table was coming off the hinge, posing a pinch hazard.
5. Four blue chairs in the classrooms were cracked, posing pinch hazards.
Plan of Correction: The owner removed the broken chairs during the inspection.
Standard 8VAC20-780-280-B
Repeat Violation
Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
In the kitchen there were containers of Ajax scrub and dish soap in a low cabinet and Clorox and a can of Lysol were on the floor. These substances were labeled ?Keep out of reach of children?. The kitchen door was not locked and was adjacent to the two-year-old classroom.
Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
In the kitchen there were containers of Ajax scrub and dish soap in a low cabinet and Clorox and a can of Lysol were on the floor. These substances were labeled ?Keep out of reach of children?. The kitchen door was not locked and was adjacent to the two-year-old classroom.
Plan of Correction: The door was locked during the inspection.
Standard 8VAC20-780-350-B-1
Repeat Violation
Based on observation, record review and interviews it was determined that the facility failed to ensure that the staff-to-child ratio of 1:4 for children ages birth to 16 months was maintained.
Evidence:
1.Upon entering the infant and toddler classroom there were 8 children ages 6 months to 24 months and 1 staff member. The number and ages of the children required two staff to be present.
2.Staff #4 entered the classroom and stated she had taken the trash out.
Based on observation, record review and interviews it was determined that the facility failed to ensure that the staff-to-child ratio of 1:4 for children ages birth to 16 months was maintained.
Evidence:
1.Upon entering the infant and toddler classroom there were 8 children ages 6 months to 24 months and 1 staff member. The number and ages of the children required two staff to be present.
2.Staff #4 entered the classroom and stated she had taken the trash out.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-420-E-3
Based on observation and interviews it was determined that the facility did not ensure that staff shall request at least annually parent confirmation that the required information is the child?s record is up to date.
Evidence:
1.The record for Child #5 (start date of 1/3/2023) did not contain documentation that the parent confirmed the information in the record was up to date.
2.The owner confirmed the record did not have documentation of an update.
Evidence:
1.The record for Child #5 (start date of 1/3/2023) did not contain documentation that the parent confirmed the information in the record was up to date.
2.The owner confirmed the record did not have documentation of an update.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-450-E
Based on observation and interviews, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized.
Evidence:
1. Four crib mattresses in the infant room did were not covered with a waterproof material that could be cleaned and sanitized.
2.The mattresses had a cloth covering that had stains on it.
Evidence:
1. Four crib mattresses in the infant room did were not covered with a waterproof material that could be cleaned and sanitized.
2.The mattresses had a cloth covering that had stains on it.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation and interviews, it was determined the center did not ensure that the diapering surface shall only be used for diapering or cleaning children.
Evidence:
1.In the two-year-old classroom, there was a container of toys placed on the diaper changing table.
2.The owner confirmed the toys were on the changing table.
Evidence:
1.In the two-year-old classroom, there was a container of toys placed on the diaper changing table.
2.The owner confirmed the toys were on the changing table.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on record review and interviews, it was determined the facility failed to ensure a that a written daily record of children?s daily attendance, including arrival and departure times, was maintained.
1.In the two-year-old classroom there were 8 children however, only three children?s arrival times were documented on the written daily record.
2.In the Infant-Toddler classroom there were no children?s arrival times documented on the written daily record. There were 8 children in the classroom.
1.In the two-year-old classroom there were 8 children however, only three children?s arrival times were documented on the written daily record.
2.In the Infant-Toddler classroom there were no children?s arrival times documented on the written daily record. There were 8 children in the classroom.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Based on record review and interview, it was determined that the facility did not ensure a written and signed agreement between the parent and the center shall be in the child?s record by the first day of attendance.
1. The authorization for child #5 was not signed for the following: emergency medical care, notification of parent for an ill child and a statement that the parent will inform the center within 24 hours of a communicable disease.
2. The owner confirmed the authorizations were not signed.
1. The authorization for child #5 was not signed for the following: emergency medical care, notification of parent for an ill child and a statement that the parent will inform the center within 24 hours of a communicable disease.
2. The owner confirmed the authorizations were not signed.
Plan of Correction: Not available online. Contact Inspector for more information.