Inspection · 2022-05-31
Date
2022-05-31
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
(804) 629-7519
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
An unannounced monitoring inspection was conducted on May 31, 2022. The inspectors arrived at 10:10 AM and departed at approximately 12:41PM. There were 11 children present and three staff. The Inspectors reviewed five children?s records and five staff records. The Inspectors observed staff and children?s interactions throughout the inspection. Children were observed during group activity, lunch, naptime, and diapering. First aid kits and emergency preparedness documents were observed. The transportation van was observed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the site manager at the exit interview.
Violations
7Standard 8VAC20-780-160-C
Based on record review and interview, it was determined that center did not ensure that at least every two years from the date of the initial screening or testing that a staff member obtain and submit the results of a follow-up tuberculosis screening.
Evidence:
1. The records for Staff #2 and Staff #3 contain tuberculosis screenings that are past due for update.
a. The most recent tuberculosis screening for Staff #2 was dated January 30, 2020.
b. The most recent tuberculosis screening for Staff #3 was dated October 3, 2018.
2. The provider acknowledged that a new TB screening was required two years from the date of the last screening and documents were not available in the records of Staff #2 and Staff #3 to indicate that they had been completed.
Evidence:
1. The records for Staff #2 and Staff #3 contain tuberculosis screenings that are past due for update.
a. The most recent tuberculosis screening for Staff #2 was dated January 30, 2020.
b. The most recent tuberculosis screening for Staff #3 was dated October 3, 2018.
2. The provider acknowledged that a new TB screening was required two years from the date of the last screening and documents were not available in the records of Staff #2 and Staff #3 to indicate that they had been completed.
Plan of Correction: Plan of Correction: Staff #2 and Staff #3 will obtain the required TB screening this week.
Standard 8VAC20-780-270-A
Based on observation and interview, it was determined that the center did not ensure that the areas and equipment of the center, inside and outside, be maintained in a safe and operable condition.
Evidence:
1. There is visible peeling paint along the exterior wall of the outdoor playground. Pieces of the paint were observed on the ground of the children?s play area and in reach of children.
2. There are three different areas on the floor in the toddler classroom, where the tile and carpet come together, where there is exposure of worn out carpet and broken tile. This poses a tripping hazard.
3. The center?s director, Staff #1, confirmed the peeling paint on the playground wall as well as the area of damage to the floor in the toddler room.
Evidence:
1. There is visible peeling paint along the exterior wall of the outdoor playground. Pieces of the paint were observed on the ground of the children?s play area and in reach of children.
2. There are three different areas on the floor in the toddler classroom, where the tile and carpet come together, where there is exposure of worn out carpet and broken tile. This poses a tripping hazard.
3. The center?s director, Staff #1, confirmed the peeling paint on the playground wall as well as the area of damage to the floor in the toddler room.
Plan of Correction: Plan of Correction: The center?s Director, Staff #1, will contact the building landlord to repair the peeling paint and damaged tile and carpet to the toddler room. All Staff will clean the peeling paint to the playground floor. Staff #1 will tape and secure the tile and carpet to prevent a tripping hazard until area of damage is fixed.
Standard 8VAC20-780-510-L
Based on observation and interview, it was determined that the center did not ensure that medications are kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. In the toddler room, with seven children present, there was a bottle of prescription medication that was in an unlocked cabinet in reach and accessible to the children.
2. Staff #1 confirmed it was medication and that it belonged to another staff member.
Evidence:
1. In the toddler room, with seven children present, there was a bottle of prescription medication that was in an unlocked cabinet in reach and accessible to the children.
2. Staff #1 confirmed it was medication and that it belonged to another staff member.
Plan of Correction: Plan of correction. The center responded with the following: Staff will ensure that all medications of staff be locked and not accessible to children.
Standard 8VAC20-780-570-A
8VAC20-780-570. A. 2.
Based on observation and interview, it was determined that the center did not ensure that when a child is placed in a high chair, the protective belt be fastened securely.
Evidence:
1. Child #1, age 7 months, was in an activity high chair without their protective belt fastened securely.
2. The center?s Director, Staff #4, confirmed the belt was not securely fastened.
Based on observation and interview, it was determined that the center did not ensure that when a child is placed in a high chair, the protective belt be fastened securely.
Evidence:
1. Child #1, age 7 months, was in an activity high chair without their protective belt fastened securely.
2. The center?s Director, Staff #4, confirmed the belt was not securely fastened.
Plan of Correction: The center responded with the following: Staff will ensure that when children are placed in an activity table or high chair, that the protective belts are securely fastened.
Standard 8VAC20-780-60-A
Based on record review and interview, it was determined that the center did not ensure that for a child enrolled they have addresses of two designated people to call in an emergency if a parent cannot be reached.
Evidence:
1. Child #1 (date of enrollment: 4/18/2022) did not have the street address for both of his designated people to call in case of an emergency.
2. Staff #1 confirmed that there was no listed addresses for both emergency contacts for Child #1.
Evidence:
1. Child #1 (date of enrollment: 4/18/2022) did not have the street address for both of his designated people to call in case of an emergency.
2. Staff #1 confirmed that there was no listed addresses for both emergency contacts for Child #1.
Plan of Correction: The center responded with the following: During pick up today, Staff #1 will obtain the emergency contact addresses for Child #1 and place it in their record.
Standard 8VAC20-780-60-A-8
Based on record review and interview, it was determined that the center did not ensure a written care plan for a child with a diagnosed food allergy included instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. Child #2 (age 2 years old) with documentation of allergies to milk, eggs, peanuts, and tree nuts, does not have instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.
2. The center?s Director, Staff #4, was not aware of Child #2 having an allergy to food.
3. The center?s owner, Staff #1, was not aware of Child #2 having an allergy to food and confirmed that there was no written care/allergy action plan to their record.
Evidence:
1. Child #2 (age 2 years old) with documentation of allergies to milk, eggs, peanuts, and tree nuts, does not have instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.
2. The center?s Director, Staff #4, was not aware of Child #2 having an allergy to food.
3. The center?s owner, Staff #1, was not aware of Child #2 having an allergy to food and confirmed that there was no written care/allergy action plan to their record.
Plan of Correction: The center responded with the following: The center will speak with the child?s parents to obtain the appropriate written care/allergy plan for their record.
Standard 8VAC20-820-120-E-2
8VAC20-820-120.E.2.
Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility.
Evidence:
1. The finding from the most recent monitoring inspection, dated September 27, 2021, was not posted in the facility.
2. The center?s owner, Staff #1, confirmed that there was no recent inspection posted in the facility.
Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility.
Evidence:
1. The finding from the most recent monitoring inspection, dated September 27, 2021, was not posted in the facility.
2. The center?s owner, Staff #1, confirmed that there was no recent inspection posted in the facility.
Plan of Correction: The center responded with the following: The center will post today?s acknowledgement of the inspection dated 5/31/2022. Moving forward, the center will ensure the most recent inspection is posted at all times.