Inspection · 2022-04-28
Date
2022-04-28
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
(757) 334-4329
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
A monitoring inspection was conducted on 4/28/22 from 10:30am until 1:05pm. At the time of entrance, there were 9 children in care with 1 staff present. During the course of the inspection, 2 additional children and 2 additional staff arrived at the center. A sample of 5 children's records and 4 staff records were reviewed. Children were observed engaging in morning learning activities, eating lunch and resting quietly during nap time. Handwashing procedures and lunch service was also observed. First aid and emergency supplies, documentation of emergency practice drills, children's injury reports and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
9Standard 22.1-289.035-B-2
Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment.
Evidence:
1. Staff 1 has a hire date of 8/25/21. The results of the fingerprint based background check for staff 1 was not received until 9/3/21.
2. The center owner confirmed that staff 1 began employment prior to the results of the fingerprint background checks being received.
Evidence:
1. Staff 1 has a hire date of 8/25/21. The results of the fingerprint based background check for staff 1 was not received until 9/3/21.
2. The center owner confirmed that staff 1 began employment prior to the results of the fingerprint background checks being received.
Plan of Correction: The center responded with the following: Going forward, the center will ensure that all fingerprint based background checks will be obtained before new staff begin employment.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure that an employee of a licensed child day program must be denied continued employment if the licensed child day program does not have a central registry finding within 30 days of employment.
Evidence:
1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a central registry finding.
2. The center owner confirmed that the record for staff 1 is lacking documentation of a central registry finding.
Evidence:
1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a central registry finding.
2. The center owner confirmed that the record for staff 1 is lacking documentation of a central registry finding.
Plan of Correction: The center responded with the following: A new central registry search form will be sent off for staff 1. Once the results have been received, they will be placed in the staff record. Going forward, center management will ensure that background checks are completed in the required timeframe.
Standard 8VAC20-780-130-A
Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Health is obtained before the child can attend the center.
Evidence:
1. The record for child 1 does not contain documentation of immunizations. Child 1 was in care at the time of the inspection.
2. The center owner confirmed that the record for child 1 is lacking documentation of immunizations.
Evidence:
1. The record for child 1 does not contain documentation of immunizations. Child 1 was in care at the time of the inspection.
2. The center owner confirmed that the record for child 1 is lacking documentation of immunizations.
Plan of Correction: The center responded with the following: The immunization record for child 1 was given back to the parent per their request due the the child disenrolling. The center owner will request that a copy of child 1's immunization record be returned to the center for record retention per licensing standards.
Standard 8VAC20-780-140-A
Based on record review and interview, the center 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 one month after attendance.
Evidence:
1. The records for child 1 and child 3 (date of enrollment: 6/3/21) do not contain documentation of a physical examination.
2. The center owner confirmed that the records for child 1 and child 3 are lacking documentation of a physical examination.
Evidence:
1. The records for child 1 and child 3 (date of enrollment: 6/3/21) do not contain documentation of a physical examination.
2. The center owner confirmed that the records for child 1 and child 3 are lacking documentation of a physical examination.
Plan of Correction: The center responded with the following: Documentation of the physical for child 1 was given back to the parent per their request due the the child disenrolling. The center owner will request that a copy of child 1's physical be returned to the center for record retention per licensing standards.
The physical for child 3 was not obtained and the child will no longer be attending the center after 4/29/22. Going forward, the center will ensure that documentation of physical examinations are obtained within the required timeframe.
The physical for child 3 was not obtained and the child will no longer be attending the center after 4/29/22. Going forward, the center will ensure that documentation of physical examinations are obtained within the required timeframe.
Standard 8VAC20-780-160-A
Based on record review and interview, the center did not ensure each staff member shall submit documentation of a negative tuberculosis screening.
Evidence:
1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a negative tuberculosis screening.
a. Staff 1 was observed working with the children during the inspection.
2. The center owner confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.
Evidence:
1. The record for staff 1 (date of hire: 8/25/21) does not contain documentation of a negative tuberculosis screening.
a. Staff 1 was observed working with the children during the inspection.
2. The center owner confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.
Plan of Correction: The center responded with the following: Staff 1 will obtain a TB screening and documentation will be placed in the staff record.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.
Evidence:
1. The half door entrance into the child care area of the center has a broken door hinge.
2. The interior wall in the main child care area has a hole that is approximately 2 inches in circumference close to the base of the floor and is accessible to the children in care.
3. The rubber carpet transition strip separating the carpet from the wood flooring in the main classroom area is detached from the carpet, which poses a tripping hazard.
4. There is plastic netting protruding from under the pine straw on the outdoor play area, which poses a tripping hazard.
5. The center owner confirmed the areas listed above were not maintained in a safe and operable condition.
Evidence:
1. The half door entrance into the child care area of the center has a broken door hinge.
2. The interior wall in the main child care area has a hole that is approximately 2 inches in circumference close to the base of the floor and is accessible to the children in care.
3. The rubber carpet transition strip separating the carpet from the wood flooring in the main classroom area is detached from the carpet, which poses a tripping hazard.
4. There is plastic netting protruding from under the pine straw on the outdoor play area, which poses a tripping hazard.
5. The center owner confirmed the areas listed above were not maintained in a safe and operable condition.
Plan of Correction: The center responded with the following: The areas listed above will be repaired by Friday, 5/6/22.
Standard 8VAC20-780-450-A
Based on observation and interview, the center did not ensure that cots and mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.
Evidence:
1. Of the 11 children in care, 4 of the children did not have bottom covers and 2 did not have top covers during the designated rest period.
2. The center owner confirmed that not all of the children in care have the required top and bottom covers during nap time.
Evidence:
1. Of the 11 children in care, 4 of the children did not have bottom covers and 2 did not have top covers during the designated rest period.
2. The center owner confirmed that not all of the children in care have the required top and bottom covers during nap time.
Plan of Correction: The center responded with the following: The parents will be reminded to bring in both top and bottom covers for their children. The center will have extra clean linens on site in the event that a child does not have the required top and bottom cover.
Standard 8VAC20-780-60-A
Based on record review and interview, the center did not ensure that each child's record contains all the required information.
Evidence:
1. The record for child 1 does not contain the first date of attendance, the addresses of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age.
2. The record for child 2 (date of enrollment: 3/1/21) contains only one of the required two designated people to call in an emergency if a parent cannot be reached. The address for the listed emergency contact is also missing.
3. The record for child 3 (date of enrollment: 6/3/21) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain the phone number for one of the two emergency contacts.
4. The center owner confirmed that the records for child 1, child 2 and child 3 are lacking all the required information.
Evidence:
1. The record for child 1 does not contain the first date of attendance, the addresses of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age.
2. The record for child 2 (date of enrollment: 3/1/21) contains only one of the required two designated people to call in an emergency if a parent cannot be reached. The address for the listed emergency contact is also missing.
3. The record for child 3 (date of enrollment: 6/3/21) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain the phone number for one of the two emergency contacts.
4. The center owner confirmed that the records for child 1, child 2 and child 3 are lacking all the required information.
Plan of Correction: The center responded with the following: The missing information from child 1, child 2 and child 3's records will be obtained from the parents. Going forward, the center will ensure that children's records contain all the required information and that it is obtained within the required timeframe.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.
Evidence:
1. The record for staff 1 (date of hire: 8/25/21) does not contain the name, address and telephone number of a person to be notified in an emergency.
2. The record for staff 2 (date of hire: 5/5/19) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. The center owner confirmed that the records for staff 1 and staff 2 are lacking all the required information.
Evidence:
1. The record for staff 1 (date of hire: 8/25/21) does not contain the name, address and telephone number of a person to be notified in an emergency.
2. The record for staff 2 (date of hire: 5/5/19) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. The center owner confirmed that the records for staff 1 and staff 2 are lacking all the required information.
Plan of Correction: The center responded with the following: The missing information for staff 1 and staff 2 will be obtained and placed in their records.