Inspection · 2023-07-17
Date
2023-07-17
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted from 11:45am-1:45pm. At the time of entrance, 35 children were in care with 6 staff members present. The sample size consisted of 5 children?s records and 5 staff records. Children were observed preparing for and during rest period.
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
7Standard 8VAC20-780-280-B
Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: Hazardous substances, (1 container of room deodorizer) and 1 containers of lotion) both were observed on a shelf in the unlocked restroom that was accessible to the children in the infant / toddler room. These items observed were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Evidence: Hazardous substances, (1 container of room deodorizer) and 1 containers of lotion) both were observed on a shelf in the unlocked restroom that was accessible to the children in the infant / toddler room. These items observed were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction: The owners removed the items and will ensure that staff knows to lock away all hazardous and personal belongings.
Standard 8VAC20-780-440-B
Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats shall be identified for use by a specific child.
Evidence: Child #1, Child #6 and Child #7 were observed sleeping cribs that were not identified for use by them.
Evidence: Child #1, Child #6 and Child #7 were observed sleeping cribs that were not identified for use by them.
Plan of Correction: Director and staff will make sure all cribs are labeled
Standard 8VAC20-780-440-E
Based on observation and staff interviews, the licensee did not ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats.
Evidence: In the preschool room there were 2 children observed during nap time and there was approximately 3 inches between their cots and a minimum of 12 inches between cots is required.
Evidence: In the preschool room there were 2 children observed during nap time and there was approximately 3 inches between their cots and a minimum of 12 inches between cots is required.
Plan of Correction: The Director will ensure that staff double check the distance between each child.
Standard 8VAC20-780-500-B
Based on observation and staff interviews, the licensee did not ensure the diapering area had all required items.
Evidence: Staff # 6 was observed conducting 2 diaper changes in the infant room and they washed their hands and the children hands after diapering however the sink did not have warm water not to exceed 120F. Only the cold-water handle was operating.
Evidence: Staff # 6 was observed conducting 2 diaper changes in the infant room and they washed their hands and the children hands after diapering however the sink did not have warm water not to exceed 120F. Only the cold-water handle was operating.
Plan of Correction: Maintenance on the sink will be completed ASAP
Standard 8VAC20-780-570-B
Based on observation and staff interviews, the licensee did not ensure bottles shall not be used while the child is in their designated sleeping location.
Evidence: Child #6 was observed in their crib sleeping with a bottle. Center Director confirmed the bottle had been given to child while they were in their crib and preparing to go to sleep.
Evidence: Child #6 was observed in their crib sleeping with a bottle. Center Director confirmed the bottle had been given to child while they were in their crib and preparing to go to sleep.
Plan of Correction: The owner will ensure proper trainings both verbal and by video training.
Standard 8VAC20-780-70
Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record
Evidence:
1. The record for Staff #3 did not include an updated TB screening as they are required every two years from the date of the last screening and the most recent screening available for review was dated 7-6-2021.
2. The record for Staff #4 did not have documentation of the required 16 hours of annual training as there was only 9 hours of training available for review.
Evidence:
1. The record for Staff #3 did not include an updated TB screening as they are required every two years from the date of the last screening and the most recent screening available for review was dated 7-6-2021.
2. The record for Staff #4 did not have documentation of the required 16 hours of annual training as there was only 9 hours of training available for review.
Plan of Correction: The Director will make sure the staff TB test is updated.
The Director will make sure all staff trainings are complete.
The Director will make sure all staff trainings are complete.
Standard 8VAC20-780-80-A
Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: The attendance list for the mini preschool room, (age range 2 to 3) and the preschool room, (age range 3-6) did not reflect the children?s arrival and departure as it occurred
1.In the preschool room there were 20 children observed however the class attendance list 22 children in attendance in the classroom. Classroom staff indicated there are some children who move between the preschool room and the mini preschool room based on staff and ratio.
2.In the mini preschool room there were 8 children observed however the class attendance list 12 children in attendance in the classroom. Classroom staff indicated that the second teach for the mini preschool classroom was out today and the some children were moved the preschool room.
Evidence: The attendance list for the mini preschool room, (age range 2 to 3) and the preschool room, (age range 3-6) did not reflect the children?s arrival and departure as it occurred
1.In the preschool room there were 20 children observed however the class attendance list 22 children in attendance in the classroom. Classroom staff indicated there are some children who move between the preschool room and the mini preschool room based on staff and ratio.
2.In the mini preschool room there were 8 children observed however the class attendance list 12 children in attendance in the classroom. Classroom staff indicated that the second teach for the mini preschool classroom was out today and the some children were moved the preschool room.
Plan of Correction: The Director ensured that the attendance sheets for classes mini preschool and preschool class were updated