Inspection · 2023-10-18
Date
2023-10-18
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 started in the center on October 18, 2023 from 12:30 PM until 2:15 PM and concluded on October 18, 2023. At the time of entrance, 14 children were in care with 4 staff members present. The sample size consisted of 5 children?s records and 5 staff records. Children were observed during rest period and preparing for afternoon routine to include snack and play time.
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.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations
8Standard 8VAC20-770-60-C-2
Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.
Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results.
Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results.
Plan of Correction: The Director has mailed the background check and awaiting the results.
Standard 8VAC20-780-160-A
Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) 30 days prior to employment and coming in contact with children.
Evidence: The following TB screenings were not conducted in the required timeframe.
1.Staff #1?s TB screening was dated 9-14-2022 and hire date was 7-24-2023 which is more than 30 days prior to hire.
2. Staff #3 (hire date 10-16-2023) did not have documentation of a TB screening. Staff #3 was observed working on the day of the inspection.
Evidence: The following TB screenings were not conducted in the required timeframe.
1.Staff #1?s TB screening was dated 9-14-2022 and hire date was 7-24-2023 which is more than 30 days prior to hire.
2. Staff #3 (hire date 10-16-2023) did not have documentation of a TB screening. Staff #3 was observed working on the day of the inspection.
Plan of Correction: The Director will ensure that each staff will have their tb test prior to hire date.
Standard 8VAC20-780-160-C
Based on record review and staff interviews, the licensee did not ensure each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.
Evidence: Staff #4 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 9-30-2021.
Evidence: Staff #4 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 9-30-2021.
Plan of Correction: Staff #4 has schedule an appt with the health department
Standard 8VAC20-780-280-B
Repeat
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 bleach water spry and disinfectant spray) were observed on a wire shelf in two?s and three?s room.
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 bleach water spry and disinfectant spray) were observed on a wire shelf in two?s and three?s room.
Plan of Correction: The spray bottles were stored away immediately
Standard 8VAC20-780-340-D
Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.
Evidence. Staff #1 and Staff #3 were observed as the only staff supervising 7 children ages 2-3 Staff #5, Center Director confirmed there was not documentation available for review that Staff #1 or Staff #3 meets the qualification for program lead.
Evidence. Staff #1 and Staff #3 were observed as the only staff supervising 7 children ages 2-3 Staff #5, Center Director confirmed there was not documentation available for review that Staff #1 or Staff #3 meets the qualification for program lead.
Plan of Correction: The lead qualified staff was on her lunch break. Staff 1 and 3 are in training for lead qualifications
Standard 8VAC20-780-40-H
Based on documentation review and staff interviews, the licensee did not ensure they shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate.
Evidence:
The liability insurance available for review expired 10-9-2023.
Evidence:
The liability insurance available for review expired 10-9-2023.
Plan of Correction: The owner renewed the insurance.
Standard 8VAC20-780-60-A
Based on review of 5 children?s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.
Evidence: The following information is missing from 2 out of 5 of the children?s records reviewed.
1.Child #1?s record does not have 1 of 2 required emergency contacts(name, address, phone number), the employment information (location, phone number) or home information (address, phone number) for one parent.
2. Child # 1 has a diagnosed food allergy (egg yolk) and the record did not include a written allergy action/care plan, to include instructions from a physician.
3. Child #2?s record does not have the employment information (location, phone number) for both parents. and the city, state and zip code for both emergency contacts listed.
4. Child #3?s record does not have the doctors name or phone number listed and does not have the home address for 1 emergency contact listed.
Evidence: The following information is missing from 2 out of 5 of the children?s records reviewed.
1.Child #1?s record does not have 1 of 2 required emergency contacts(name, address, phone number), the employment information (location, phone number) or home information (address, phone number) for one parent.
2. Child # 1 has a diagnosed food allergy (egg yolk) and the record did not include a written allergy action/care plan, to include instructions from a physician.
3. Child #2?s record does not have the employment information (location, phone number) for both parents. and the city, state and zip code for both emergency contacts listed.
4. Child #3?s record does not have the doctors name or phone number listed and does not have the home address for 1 emergency contact listed.
Plan of Correction: The Director will ensure that parents complete their child's registration in its entirety.
Standard 8VAC20-780-70
Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.
Evidence: The following information was missing from the staff records.
1.Staff #1, designated as program leader/ lead teacher did not have documentation they have the experience required by the job position.
2.Staff #3 did not have documentation of 2 required references.
Evidence: The following information was missing from the staff records.
1.Staff #1, designated as program leader/ lead teacher did not have documentation they have the experience required by the job position.
2.Staff #3 did not have documentation of 2 required references.
Plan of Correction: The Director had staff complete application stating their qualifications. The Director completed the staff references.