Inspection · 2023-09-07
Date
2023-09-07
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 renewal inspection was conducted on 9/7/23 from 10:45am until 12:20pm At the time of entrance, there were 7children in care with 2 staff present. Two additional children arrived during the inspection, for a total of 9 children. A sample of 5 children's records and 6 staff records were reviewed. Children were observed participating in story time, eating lunch and resting quietly during nap. 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
6Standard 8VAC20-780-140-A
Repeat Violation
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 record for child 1 (date of enrollment: 7/13/23) does not contain documentation of a physical examination.
2. Staff 3 (center owner) confirmed that the record for child 1 is lacking documentation of a physical examination.
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 record for child 1 (date of enrollment: 7/13/23) does not contain documentation of a physical examination.
2. Staff 3 (center owner) confirmed that the record for child 1 is lacking documentation of a physical examination.
Plan of Correction: The center responded with the following: Child 1's parent was contacted and a copy of the child's most recent physical was requested. Once received, documentation of the physical will be placed in child 1's record.
Standard 8VAC20-780-160-C
Repeat Violation
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 3 is dated 8/25/21. Staff 3 was due for an updated tuberculosis screening in August 2023.
2. The most recent tuberculosis screening for staff 4 is dated 4/17/21. Staff 4 was due for an updated tuberculosis screening in April 2023.
2. Staff 3 (center owner) confirmed that the TB screenings for herself and staff 4 are overdue.
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 3 is dated 8/25/21. Staff 3 was due for an updated tuberculosis screening in August 2023.
2. The most recent tuberculosis screening for staff 4 is dated 4/17/21. Staff 4 was due for an updated tuberculosis screening in April 2023.
2. Staff 3 (center owner) confirmed that the TB screenings for herself and staff 4 are overdue.
Plan of Correction: The center responded with the following: Staff 3 and staff 4 will obtain updated TB screening as soon as possible. Going forward, center management will ensure that staff files are routinely audited to ensure that updated TB screenings are obtained within the required timeframes.
Standard 8VAC20-780-260-B
Based on a review of the most recent health inspection and interview, the center did not ensure that annual approval from the health department is provided.
Evidence:
1. Documentation of the most recent health inspection for the center is dated 5/11/22.
2. Staff 3 (center owner) confirmed that the most recent health inspection is expired.
Evidence:
1. Documentation of the most recent health inspection for the center is dated 5/11/22.
2. Staff 3 (center owner) confirmed that the most recent health inspection is expired.
Plan of Correction: The center responded with the following: The health department will be contacted to request an updated inspection.
Standard 8VAC20-780-280-B
Based on observation and interview, the center did not unsure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There was a can of Lysol and a spray bottle containing bleach water on an unlocked open shelf in the children's bathroom.
2. Staff 3 (center owner) confirmed that there were unlocked cleaning materials in the children's bathroom.
Evidence:
1. There was a can of Lysol and a spray bottle containing bleach water on an unlocked open shelf in the children's bathroom.
2. Staff 3 (center owner) confirmed that there were unlocked cleaning materials in the children's bathroom.
Plan of Correction: The center responded with the following: The unlocked cleaning materials were removed during the inspection. A cabinet with a locking mechanism will be purchased and placed in the bathroom.
Standard 8VAC20-780-560-F
Based on observation and interview, the center did not ensure that a menu listing foods to be served for meals and snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents.
Evidence:
1. There was no menu for the current week posted in the center or in the online application used by parents.
2. Staff 3 (center owner) confirmed that the current menu for the week was not posted in the center or made available to parents.
Evidence:
1. There was no menu for the current week posted in the center or in the online application used by parents.
2. Staff 3 (center owner) confirmed that the current menu for the week was not posted in the center or made available to parents.
Plan of Correction: The center responded with the following: The center has recently begun using an online application for parents that includes weekly menus; however, this week's current menu was not posted. Going forward, the current weeks menu will be posted in the online application for parents to view.
Standard 8VAC20-780-70
Repeat Violation
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 that two or more references as to character and reputation as well as competency were checked before employment.
2. Staff 2 (date of hire: 5/18/22) has a documented position title of program leader. The record for staff 2 does not contain documentation that she possesses the education required by the job position.
3. Staff 3 (center owner) confirmed that the records for staff 1 and staff 2 do not contain all the information required by the standards.
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 that two or more references as to character and reputation as well as competency were checked before employment.
2. Staff 2 (date of hire: 5/18/22) has a documented position title of program leader. The record for staff 2 does not contain documentation that she possesses the education required by the job position.
3. Staff 3 (center owner) confirmed that the records for staff 1 and staff 2 do not contain all the information required by the standards.
Plan of Correction: The center responded with the following: References for staff 1 will be obtained and documentation will be placed in the record. Staff 2's high school diploma will be obtained and placed in the record. Going forward, center management will ensure staff records contain all the required information upon hire.