Inspection · 2023-08-14
(540) 309-2835
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced monitoring inspection was conducted on 08/14/2023. There were 23 children, 4 months- 4 years, and 7 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during free choice activities, in learning activities, in outside large motor play, and during lunch. Infants were observed sleeping on demand. A total of 5 children?s records and 5 staff records were reviewed. The inspector arrived for the inspection at 9:50 am and departed at 1:00 pm.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
Violations
5Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.
Evidence: The record for Child 5 contained a documented start date of 04/13/2022. Child 5 was determined to be 17 months old. The record for Child 5 contained two immunization records dated 03/11/2022 and 04/11/2023; additional immunizations were not obtained every 6 months between 03/11/2022 and 04/11/2023.
Evidence:
1. The record for Child 1 contained a documented start date of 06/05/2023; there was not a physical examination in the record.
2. The record for Child 3 contained a documented start date of 05/23/2022; there was not a physical examination in the record.
3. The record for Child 4 contained a documented start date of 06/23/2023; there was not a physical examination in the record.
Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence: The record for Staff 5 contained a documented hire date of 05/30/2023; the tuberculosis screening was dated 06/02/2023. The tuberculosis screening was not obtain prior to contact with children.
Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 3 did not contain the following information: the phone number of child?s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child?s record.
2. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses were not provided for the designated people).
Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.
Evidence:
1. The record for Staff 1 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.
2. The record for Staff 5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review).