Inspection · 2022-02-23
Date
2022-02-23
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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.
8VAC20-770 Background Checks (22VAC40-191)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
This inspection was conducted by licensing staff using an alternate hybrid protocol, including telephone contacts, documents review, interviews, and an in person tour of the program.
A renewal inspection was conducted on 02/23/2022. The director was contacted by email to initiate the inspection. There were 6 children present and 2 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
10Standard 8VAC20-770-60-C-2
Based on record review and interview it was determined the center did not ensure that each employee had a central registry finding within 30 days of employment.
Evidence:
1. The record for staff #3 did not contain documentation of central registry findings. Staff #3 has been employed for more than 30 days.
2. Staff confirmed that this documentation was not available during this inspection.
Evidence:
1. The record for staff #3 did not contain documentation of central registry findings. Staff #3 has been employed for more than 30 days.
2. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction: Staff #3's central registry findings will be located or re-requested.
Standard 8VAC20-780-130-A
Based on record reviews and interviews it was determined the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record for child #1, child #2, and child #3 did not contain documentation of immunization records.
2. Staff confirmed that the records for child #1, child #2, and child #3 did not contain immunizations.
Evidence:
1. The record for child #1, child #2, and child #3 did not contain documentation of immunization records.
2. Staff confirmed that the records for child #1, child #2, and child #3 did not contain immunizations.
Plan of Correction: Staff will request documentation from parents.
Standard 8VAC20-780-140-A
Based on record reviews and interviews it was determined the center did not ensure each child had a physical examination by or under the direction of a physician within the required time frame.
Evidence:
1. The record for child #1, child #2, and child #3 did not contain documentation of a physical exam.
2. Staff confirmed that the records for child #1, child #2, and child #3 did not contain physical exams.
Evidence:
1. The record for child #1, child #2, and child #3 did not contain documentation of a physical exam.
2. Staff confirmed that the records for child #1, child #2, and child #3 did not contain physical exams.
Plan of Correction: Staff will request this documentation from parents.
Standard 8VAC20-780-280-B
Based on observation and interview it was determined the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There were several different chemicals in containers in an unlocked cabinet in the cafeteria where children were in care.
2. Staff confirmed that the lock does not work on the cabinet where chemicals are kept.
Evidence:
1. There were several different chemicals in containers in an unlocked cabinet in the cafeteria where children were in care.
2. Staff confirmed that the lock does not work on the cabinet where chemicals are kept.
Plan of Correction: Chemicals will be kept locked at all times.
Standard 8VAC20-780-340-D
Based on record review and interview it was determined the center did not ensure that there was a program leader qualified with each group of children in care.
Evidence:
1. Staff #2 and staff #3 were the only staff on duty during this inspection.
2. The records for staff #2 and staff #3 did not contain documentation to demonstrate program leader qualifications.
3. Staff confirmed that this documentation was not available during this inspection.
Evidence:
1. Staff #2 and staff #3 were the only staff on duty during this inspection.
2. The records for staff #2 and staff #3 did not contain documentation to demonstrate program leader qualifications.
3. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction: A qualified program director will be present at least 50 % of time and a qualified program leader will be present with each group of children.
Standard 8VAC20-780-550-A
Based on record review and interview it was determined the center did not have a site specific written emergency preparedness plan.
Evidence:
1. The emergency preparedness plan was not specific to the location, there were references to Maryland in the plan at the site.
2. Staff confirmed that this information was not site specific during this inspection.
Evidence:
1. The emergency preparedness plan was not specific to the location, there were references to Maryland in the plan at the site.
2. Staff confirmed that this information was not site specific during this inspection.
Plan of Correction: Center will updated emergency preparedness to be site specific.
Standard 8VAC20-780-60-A
Based on record review and interview it was determined the center did not ensure children's records contained all of the required documentation.
Evidence:
1. The record for child #2(enrolled 9/6/21) did not contain addresses for the two required emergency contacts.
2. The record for child #3 did not contain first date of attendance and addresses for the two required emergency contacts.
2. 3 of 3 children's records did not contain documentation of previous day care or schools attended by the child.
3. Staff confirmed this information was not available during this inspection.
(A-2 , Low likelihood / serious harm)
Evidence:
1. The record for child #2(enrolled 9/6/21) did not contain addresses for the two required emergency contacts.
2. The record for child #3 did not contain first date of attendance and addresses for the two required emergency contacts.
2. 3 of 3 children's records did not contain documentation of previous day care or schools attended by the child.
3. Staff confirmed this information was not available during this inspection.
(A-2 , Low likelihood / serious harm)
Plan of Correction: Staff will request this information from parents.
Standard 8VAC20-780-70
Based on record review it was determined the center did not ensure that each staff record contained documentation to demonstrate that the individual received the orientation and training as required in 8VAC20-780-240 and 8VAC20-780-245.
Evidence:
1. The record for staff #2(hired 3/23/21) did not contain signed and dated documentation of orientation.
2. The record for staff #3 did not contain date of hire and signed and dated documentation of orientation.
Evidence:
1. The record for staff #2(hired 3/23/21) did not contain signed and dated documentation of orientation.
2. The record for staff #3 did not contain date of hire and signed and dated documentation of orientation.
Plan of Correction: Documentation will be added to staff records.
Standard 8VAC20-780-90-A
Based on record review and interview it was determined the center did not ensure each child's record contained signed written agreements between the parent and the center by the child's first day of attendance as required.
Evidence:
1. The record for child #2 did not contain the required written agreements.
2. Child #2 was in attendance during this inspection.
3. Staff confirmed this information was not available during this inspection.
Evidence:
1. The record for child #2 did not contain the required written agreements.
2. Child #2 was in attendance during this inspection.
3. Staff confirmed this information was not available during this inspection.
Plan of Correction: The center will request this information from the parents.
Standard 8VAC20-820-120-E-2
Based on observation and interview it was determined the center did not ensure that the findings of the most recent inspection of the center were posted on the premises.
Evidence:
1. The results for the most recent inspection was not posted in the center.
2. Staff confirmed that the most recent inspection results were not posted.
Evidence:
1. The results for the most recent inspection was not posted in the center.
2. Staff confirmed that the most recent inspection results were not posted.
Plan of Correction: Center will post most recent inspection summary and violation notice.