Inspection · 2024-07-02
Date
2024-07-02
Complaint Related
No
Licensing Inspector
Laura Brindle
(540) 905-2062
(540) 905-2062
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
8VAC20-820 THE LICENSE
8VAC20-770 BACKGROUND CHECKS (8VAC20-770)
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted from 2:00 pm - 4:00 pm. There were 61 children in care being supervised by 11 staff. The children were observed participating in cooperative activities. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of six child records and six staff records 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. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.
Violations
10Standard 22.1-289.011-F
Based on observation it was determined that not all required documents were posted in a conspicuous place. Evidence: The most recent inspection was not posted in a conspicuous place.
Plan of Correction: Report was posted.
Standard 22.1-289.035-B-4
Based on review of six staff records it was determined that not all out of state background checks were completed as required for staff who have lived outside of Virginia within the last five years. Evidence: The record for Staff A (start date: 05/15/2024) who has lived outside of Virginia within the last five years did not contain an out of state central registry check, out of state criminal history check, or out of state sex offender checks on file as required.
Plan of Correction: Background checks were ran on 07/18/24. One left and will be ran by 07/24/24.
Standard 8VAC20-780-130-A
Based on review of six children's records it was determined that not all records contained documentation of immunizations by the first day of attendance. Evidence: The record for Child D (start date: 06/04/2024) did not have documentation of immunizations on file.
Plan of Correction: Received immunizations record from parents.
Standard 8VAC20-780-245-L
Based on review of six staff records and interview it was determined that there was not always one staff person on site who has current daily health observation training. Evidence: There are no staff on site who have received current daily health observation training.
Plan of Correction: All staff did 10 hour training and all supervisors. Senior camp counselors did DHO.
Standard 8VAC20-780-510-E
REPEAT VIOLATION
Based on review of medication it was determined that not all procedures for medication were followed. Evidence: The emergency medication on site for child C did not have a prescription label.
Based on review of medication it was determined that not all procedures for medication were followed. Evidence: The emergency medication on site for child C did not have a prescription label.
Plan of Correction: Medication sent home and prescription label was brought back.
Standard 8VAC20-780-510-I
Based on review of medication it was determined that not all procedures regarding medication were followed. Evidence: 1.) The long term medication authorization form for child A was not signed by a physician. 2.) The emergency medication on site for child B and child C were not accompanied by a medication authorization form.
Plan of Correction: Medication was sent home, form sent home or a copy sent home and will be returned with medication before holding.
Standard 8VAC20-780-510-L
Based on observation it was determined that medication was not kept locked preventing access by children. Evidence: The box that contains medication was observed in an unlocked closet in the gym.
Plan of Correction: A lock was purchased and put on.
Standard 8VAC20-780-550-D
Based on review of the emergency practice drill log it was determined that emergency evacuation drills were not conducted monthly as required. Evidence: There was not an emergency evacuation drill conducted for the month of June 2024.
Plan of Correction: Started July drills and recorded.
Standard 8VAC20-780-60-A-8
Based on review of the facilities allergy list and review of six children's records it was determined that not all children with food allergies had a written care plan on file. Evidence: Child B, child D, and child E were documented on the food allergy list and did not have written care plans on file as required.
Plan of Correction: Plan of correction for this violation was not provided by the facility.
Standard 8VAC20-780-80-A
Based on review of attendance records it was determined that the arrival and departure of each child was not documented as it occurred. Evidence: 1.) The Coding group had seven children in attendance but six children were marked present on the attendance record. 2.) The yoga group had four children in attendance but six children were signed in on the attendance record. 3.) The sports sampler group had eleven children present but twelve children were signed in on the attendance record. 4.) The art group had 24 children in attendance but 21 children were signed in on the attendance record. 5.) The pickle ball group had 16 children in attendance but 17 children were signed in on the attendance record.
Plan of Correction: We have made elective rosters for each camp counselor to have, write time and absent to those who aren't there.