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Highland Children's House

Inspection · 2023-05-18

Date
2023-05-18
Complaint Related
Yes
Licensing Inspector
Beth Orebaugh
(540) 847-9173
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 Staffing and Supervision.
8VAC20-780 Programs.
63.2 Child Abuse & Neglect

Inspector Notes

A complaint inspection was conducted with a partnering local agency on site on May 18, 2023 from 10:40 A.M.-3:30 P.M., telephone interviews were conducted on May 19 & 25, 2023, June 6, 2023 and the inspection concluded on July 14, 2023. A complaint was received in the Office of Child Care Health & Safety (Valley), on May 16, 2023 in regards to supervision, physical abuse, forbidden actions, and staff qualifications. The inspector reviewed compliance in the areas of administration, staff records, staffing, ratios, and supervision. Two staff records were reviewed, fifteen staff/parents/board members were interviewed, and three children's records were also reviewed.

Information gathered during the inspection supports at least one of the allegations and the complaint was determined to be valid.

Two complaint related violations and four non-complaint violation were documented on the violation notice issued to the program.

Violations

6
Standard 8VAC20-780-240-A
Based on a review of staff records and interview, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

Evidence:
1. The record of Staff 6 (hired on 03/11/2022) contained documentation of completed sponsored orientation on 03/09/2023.
Plan of Correction: See Intensive Plan of Correction
Standard 8VAC20-780-240-B
Based on record review, the center did not ensure that all staff completed orientation training prior to staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

Evidence:
1. The records of Staff 6 (DOH 03/11/2022) did not contain documentation of orientation.
2. Administration confirmed that there was no orientation.
Plan of Correction: See Intensive Plan of Correction
Standard 8VAC20-780-240-E
Based on record review, the center failed to ensure that within the first 30 days of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of children in care.

Evidence:
1. The record of Staff 6 had no documentation of first aid and cardiopulmonary resuscitation training within 30 days of employment.
Plan of Correction: See Intensive Plan of Correction
Standard 8VAC20-780-245-A
Based on record review, the center shall ensure that staff complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence:
1. The record of Staff 6 only had documentation of 10 hours of training for 2022-2023.
2. Administration confirmed that was the only training the employee received for the year.
Plan of Correction: See Intensive Plan of Correction
Standard 8VAC20-780-340-F
Based on interviews, the center failed to ensure children under 10 years of age always shall be within actual sight supervision of staff.

Evidence:
1. Staff 2 stated that Child 1 was in a crib with a blanket over the side rail, preventing the child from seeing out of the crib and the staff seeing the child.
2. During staff interviews, Staff 1, Staff 3, Staff 4, Staff 7, and Staff 8 confirmed that there was a blanket placed over the side railing of Child 1's crib.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-E
Based on a review of records, the center failed to comply with the center's own policies and procedures for safe sleeping practices.

Evidence:
1. Staff in Infant classroom hung a receiving blanket over the side railing of the crib of Child 1.
2. The center's safe sleeping policy states that "NO blankets, stuffed toys or pillows should ever be placed in a crib".
3. During interviews, Staff 1, Staff 2, Staff 3, Staff 4, Staff 7 and Staff 8 confirmed that a blanket was hanging over the side railing of the crib of Child 1.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services