Inspection · 2022-12-20
Date
2022-12-20
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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on 12/20/22 from 11:10am until 12:30pm. At the time of entrance, there were 10 children in care with 2 staff present. A third staff arrived during the inspection. A sample of 5 children's records and 5 staff records were reviewed. Children were observed engaging in free play, participating in learning activities, eating lunch and resting quietly during nap time. Lunch service and restroom and handwashing procedures were also observed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations are listed on the violation notice issued to the center and were discussed with the center owner during the exit interview.
Violations
9Standard 22.1-289.035-B-2
Based on record review and interview, the center did not ensure that the results of a
national fingerprint search are received for each staff member before employment.
Evidence:
1. Staff 1 has a documented date of hire of 5/18/22. The results of the national fingerprint search were not received by the center until 6/23/22.
2. The center owner confirmed that staff 1 began employment at the center prior to receiving the results of a national fingerprint search.
national fingerprint search are received for each staff member before employment.
Evidence:
1. Staff 1 has a documented date of hire of 5/18/22. The results of the national fingerprint search were not received by the center until 6/23/22.
2. The center owner confirmed that staff 1 began employment at the center prior to receiving the results of a national fingerprint search.
Plan of Correction: The center responded with the following: Going forward, center management will ensure fingerprint results for new staff have been received prior to employment.
Standard 8VAC20-770-60-B
Based on record review and interview, the center did not ensure that an employee of a licensed registered child day program must not be employed until the agency has the person's completed sworn statement or affirmation.
Evidence:
1. The record for staff 1 (date of hire: 5/18/22) does not contain a sworn statement or affirmation. Staff 1 was working on the date of the inspection.
2. The center owner confirmed that the record for staff 1 is lacking a sworn statement or affirmation.
Evidence:
1. The record for staff 1 (date of hire: 5/18/22) does not contain a sworn statement or affirmation. Staff 1 was working on the date of the inspection.
2. The center owner confirmed that the record for staff 1 is lacking a sworn statement or affirmation.
Plan of Correction: The center responded with the following: Staff 1 will complete a sworn statement or affirmation and documentation will be placed in her record.
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 30 days after the first day of attendance.
Evidence:
1. The records for child 1 (date of enrollment: 10/25/22), child 2 (date of enrollment: 10/31/22), child 3 (date of enrollment: 9/20/22) and child 4 (date of enrollment: 9/20/22) do not contain documentation of a physical examination.
2. The center owner confirmed that the records for child 1, child 2, child 3 and child 4 are lacking documentation of a physical examination.
Evidence:
1. The records for child 1 (date of enrollment: 10/25/22), child 2 (date of enrollment: 10/31/22), child 3 (date of enrollment: 9/20/22) and child 4 (date of enrollment: 9/20/22) do not contain documentation of a physical examination.
2. The center owner confirmed that the records for child 1, child 2, child 3 and child 4 are lacking documentation of a physical examination.
Plan of Correction: The center responded with the following: Child 1 and child 2 have appointments scheduled for physicals. Once obtained, documentation will be placed in their records. The parent of child 3 and child 4 will be contacted to obtain a copy of their physicals.
Standard 8VAC20-780-160-A
Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.
Evidence:
1. The record for staff 4 (date of hire: 5/18/22) does not contain documentation of a negative tuberculosis screening. Staff 4 was working with children on the day of the inspection.
2. The center owner confirmed that the record for staff 4 is lacking documentation of a negative tuberculosis screening.
Evidence:
1. The record for staff 4 (date of hire: 5/18/22) does not contain documentation of a negative tuberculosis screening. Staff 4 was working with children on the day of the inspection.
2. The center owner confirmed that the record for staff 4 is lacking documentation of a negative tuberculosis screening.
Plan of Correction: The center responded with the following: Staff 4 will obtain a TB screening as soon as possible and documentation will be placed in her record.
Standard 8VAC20-780-160-C
Based on record review and interview, the center did not ensure that staff members shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening.
Evidence:
1. The most recent tuberculosis screening for staff 5 (date of hire: 5/5/19) is dated 2/15/19. Staff 5 was due for an updated tuberculosis screening in February 2021.
2. The center owner confirmed that the tuberculosis screening for staff 5 is expired.
Evidence:
1. The most recent tuberculosis screening for staff 5 (date of hire: 5/5/19) is dated 2/15/19. Staff 5 was due for an updated tuberculosis screening in February 2021.
2. The center owner confirmed that the tuberculosis screening for staff 5 is expired.
Plan of Correction: The center responded with the following: Staff 5 will obtain an updated TB screening and documentation will be placed in her record.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas of the center, inside and outside, shall be maintained in a safe condition.
Evidence:
1. The wooden fence on the outside play area has several boards that are warped and bent. One board has 2 protruding nails within reach of the children in care.
2. Staff 2 confirmed that the wooden fence on the outside play area has not been maintained in a safe condition.
Evidence:
1. The wooden fence on the outside play area has several boards that are warped and bent. One board has 2 protruding nails within reach of the children in care.
2. Staff 2 confirmed that the wooden fence on the outside play area has not been maintained in a safe condition.
Plan of Correction: The center responded with the following: Staff 2 hammered the protruding nails back into place during the inspection. The center owner will contact the landlord regarding the warped fencing.
Standard 8VAC20-780-280-B
Based on observation and interview, the center did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There are 8 cans of paint in an unlocked cabinet under a sink used by children. During the inspection, children were observed washing their hands at the sink.
2. Staff 2 confirmed that the cabinet containing the cans of paint was unlocked.
Evidence:
1. There are 8 cans of paint in an unlocked cabinet under a sink used by children. During the inspection, children were observed washing their hands at the sink.
2. Staff 2 confirmed that the cabinet containing the cans of paint was unlocked.
Plan of Correction: The center responded with the following: The paint cans will be moved today to a locked place.
Standard 8VAC20-780-550-G
Based on a review of the emergency drill log and interview, the center did not ensure that documentation of shelter-in-place and lockdown drills contain all the required elements.
Evidence:
1. The shelter-in-place and lockdown drill log for the center does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, the time it took to complete the drill or problems encountered, if any.
2. The center director confirmed that the center's shelter-in-place and lockdown drill log does not contain the above required elements.
Evidence:
1. The shelter-in-place and lockdown drill log for the center does not include the method used for notification of the drill, the number of staff participating, any special conditions simulated, the time it took to complete the drill or problems encountered, if any.
2. The center director confirmed that the center's shelter-in-place and lockdown drill log does not contain the above required elements.
Plan of Correction: The center responded with the following: Going forward, the center will ensure the shelter-in-place and lockdown drill log will contain all the required information.
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: 5/18/22) does not contain documentation of her job title or documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for staff 2 (date of hire: 1/1/20) does not contain documentation of his job title.
3. Staff 3 (date of hire: 8/25/21) has a documented job title of program leader. The record for staff 3 does not contain documentation to demonstrate that she possesses the experience and training required for the job position of program leader.
4. The record for staff 4 (date of hire: 5/18/22) does not contain the name, address and telephone number of a person to be notified in an emergency.
5. The record for staff 5 (date of hire: 5/5/19) does not contain documentation of her job title and contains documentation that only one of the two required references as to character and reputation as well as competency were checked before employment.
6. The center owner confirmed that the records for staff 1, staff 2, staff 3, staff 4 and staff 5 are lacking the above missing items.
Evidence:
1. The record for staff 1 (date of hire: 5/18/22) does not contain documentation of her job title or documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for staff 2 (date of hire: 1/1/20) does not contain documentation of his job title.
3. Staff 3 (date of hire: 8/25/21) has a documented job title of program leader. The record for staff 3 does not contain documentation to demonstrate that she possesses the experience and training required for the job position of program leader.
4. The record for staff 4 (date of hire: 5/18/22) does not contain the name, address and telephone number of a person to be notified in an emergency.
5. The record for staff 5 (date of hire: 5/5/19) does not contain documentation of her job title and contains documentation that only one of the two required references as to character and reputation as well as competency were checked before employment.
6. The center owner confirmed that the records for staff 1, staff 2, staff 3, staff 4 and staff 5 are lacking the above missing items.
Plan of Correction: The center responded with the following: Staff 1, staff 2 and staff 5's position title of program assistant has been documented in their records. The reference checks for staff 1 and staff 5 will be obtained and placed in their records. The emergency contact for staff 4 has been obtained and documented in her record. Staff 3 was promoted to program leader in May 2022 and documentation of her training and experience will be documented in her record.