Inspection · 2024-04-09
Date
2024-04-09
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 April 9, 2024 from 11:45 AM until 2:15 PM and concluded on April 10, 2024. At the time of entrance, 23 children were in care with 4 staff members. The sample size consisted of 5 children?s records and 5 staff records. Children were observed during diaper changes, eating snack and preparing for naptime.
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
15Standard 22.1-289.058
Based on observation and provider interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector.
Evidence: Staff #6 confirmed they did not have information that indicates the center has a carbon monoxide detector.
Evidence: Staff #6 confirmed they did not have information that indicates the center has a carbon monoxide detector.
Plan of Correction: A new carbon monoxide detector will be purchased
Standard 8VAC20-770-60-C-2
Repeat
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 (hire date 7-24-2023) did not have documentation of CPS results.
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 (hire date 7-24-2023) did not have documentation of CPS results.
Plan of Correction: Staff #1's CPS background check was sent to the staff email instead of the facilities. The background results are dated August 1, 2023.
Standard 8VAC20-780-160-A
Repeat
Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence: Staff #2?s TB screening was dated 2-3-2024 and first day of employment was 3-19-2024. TB screening was more than 30 days prior to hire
Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence: Staff #2?s TB screening was dated 2-3-2024 and first day of employment was 3-19-2024. TB screening was more than 30 days prior to hire
Plan of Correction: Moving forward Staff #6 will make sure all new hire have their documentation within the timed allowed
Standard 8VAC20-780-240-A
Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE) -sponsored orientation course within 90 calendar days of employment.
Evidence: Staff #1, date of hire was 7-24-2023 and their record did not include documentation of completing the VDOE orientation.
Evidence: Staff #1, date of hire was 7-24-2023 and their record did not include documentation of completing the VDOE orientation.
Plan of Correction: Staff #6 will ensure documentation will be complete
Standard 8VAC20-780-260-B
Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department.
Evidence: Staff #6 confirmed the most recent copy of the health inspection available for review was dated 12-14-2022.
Evidence: Staff #6 confirmed the most recent copy of the health inspection available for review was dated 12-14-2022.
Plan of Correction: The owner and Staff #6 will call the health department to schedule inspection
Standard 8VAC20-780-270-A
Based on observation and staff interviews, the licensee did not ensure. Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.
Evidence: The outside play space had three areas where the outdoor carpet was peeling a part from the ground and was posing as tripping hazard.
Evidence: The outside play space had three areas where the outdoor carpet was peeling a part from the ground and was posing as tripping hazard.
Plan of Correction: The owner will continue to apply carpet to the needed areas.
Standard 8VAC20-780-280-B
Repeat
Based on observation, the licensee did not ensure hazardous substances and other harmful agents 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 chemicals were found stored in an unlocked manner in the following rooms
1. The two-year-old room had a container of bleach/water spray solution, disinfectant spray and room deodorizer in an unlocked cabinet.
2. The three-year old room had a container of bleach/water spray solution and disinfectant spray.
The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Based on observation, the licensee did not ensure hazardous substances and other harmful agents 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 chemicals were found stored in an unlocked manner in the following rooms
1. The two-year-old room had a container of bleach/water spray solution, disinfectant spray and room deodorizer in an unlocked cabinet.
2. The three-year old room had a container of bleach/water spray solution and disinfectant spray.
The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".
Plan of Correction: Staff #6 will ensure that staff lock their cabinets immediately after use.
Standard 8VAC20-780-340-D
Repeat
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: There were not qualified staff for two out of three of the classrooms.
1.Staff #3 was the only staff observed supervising 5 children in the two- to three-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #3 meets the qualification for program lead.
2. Staff #1 and Staff #2 were the only staff observed supervising 10 children in the two-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #1 or Staff #2 meet the qualifications for program lead.
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: There were not qualified staff for two out of three of the classrooms.
1.Staff #3 was the only staff observed supervising 5 children in the two- to three-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #3 meets the qualification for program lead.
2. Staff #1 and Staff #2 were the only staff observed supervising 10 children in the two-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #1 or Staff #2 meet the qualifications for program lead.
Plan of Correction: Staff #3, #1 and #2 will complete the remaining of the lead qualifications needed to be lead qualified.
Standard 8VAC20-780-350-B-1
Based on observation, staff interview and record review, the licensee did not ensure to
follow the required ratio of 1 staff for every 4 infants in care.
Evidence: In the infant room there were 8 children, youngest age 7 weeks, observed with only 1 staff. The ratio of 1 staff to every 4 children was not followed.
follow the required ratio of 1 staff for every 4 infants in care.
Evidence: In the infant room there were 8 children, youngest age 7 weeks, observed with only 1 staff. The ratio of 1 staff to every 4 children was not followed.
Plan of Correction: The staff #6 will make sure the second teacher be replaced before leaving for lunch even during naptime
Standard 8VAC20-780-40-M
Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.
Evidence: The written list of all children's allergies, sensitivities, and dietary restrictions were not maintained as required.
1. The list in the two-year-old room did not include the dietary restrictions (no pork, no eggs) for Child #3.
2.The list in three out of three classrooms was not dated.
Evidence: The written list of all children's allergies, sensitivities, and dietary restrictions were not maintained as required.
1. The list in the two-year-old room did not include the dietary restrictions (no pork, no eggs) for Child #3.
2.The list in three out of three classrooms was not dated.
Plan of Correction: #6 will update each classes allergy list
Standard 8VAC20-780-500-A
Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
Evidence: In the infant room there were 5 children observed eating snack and they did not wash their hands prior to eating snack..
Evidence: In the infant room there were 5 children observed eating snack and they did not wash their hands prior to eating snack..
Plan of Correction: Staff #6 will ensure teachers follow all health regimen.
Standard 8VAC20-780-500-B
Based on observation and staff interviews, the licensee did not ensure diapering requirements were followed.
Evidence: Three out of three rooms had diaper pads that were torn and were no longer nonabsorbent.
Evidence: Three out of three rooms had diaper pads that were torn and were no longer nonabsorbent.
Plan of Correction: Techers and staff #6 will alert owner to replace as needed
Standard 8VAC20-780-550-G
Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.
Evidence: Staff #6 confirmed they did not have documentation of evacuation drills conducted in March 2024
Evidence: Staff #6 confirmed they did not have documentation of evacuation drills conducted in March 2024
Plan of Correction: Drill documentation was completed immediately after each drill
Standard 8VAC20-780-570-E
Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name.
Evidence: Child #1 was observed drinking a bottle and it was not labeled or dated.
Evidence: Child #1 was observed drinking a bottle and it was not labeled or dated.
Plan of Correction: Staff #6 will ensure all staff follow all the health regimens
Standard 8VAC20-780-70
Repeat
Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation.
Evidence: The following records were determined incomplete
1.The records for Staff #1, Staff #2 and Staff #3 did not include information about any health problems that may interfere with fulfilling the job responsibilities.
2. References for Staff #3 were not available for review
Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation.
Evidence: The following records were determined incomplete
1.The records for Staff #1, Staff #2 and Staff #3 did not include information about any health problems that may interfere with fulfilling the job responsibilities.
2. References for Staff #3 were not available for review
Plan of Correction: All staff will complete the new staff information form that include health conditions and the lack of.
References are complete
References are complete