Inspection · 2022-02-01
Date
2022-02-01
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 remote protocol, including telephone contacts, documents review, interviews, and a on-site tour of the program.
A renewal inspection was initiated on 2/1/2022 and concluded on 2/9/2022. The director was contacted by email to initiate the inspection. There were 18 children present and 2 staff. The inspector emailed the director/provider 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 22.1-289.035-B-2
Based on record review and interview it was determined the center did not ensure that each employee submit to fingerprinting prior to first day of employment.
Evidence:
1. The record for staff #3(hired 8/27/21) did not contain documentation of fingerprinting.
2. Staff confirmed this documentation was not available during this inspection.
Evidence:
1. The record for staff #3(hired 8/27/21) did not contain documentation of fingerprinting.
2. Staff confirmed this documentation was not available during this inspection.
Plan of Correction: -
Standard 8VAC20-780-190-A
Based on record review and interview it was determined the center did not ensure that there was a qualified program director who meets one of the director qualifications who is regularly on site at least 50% of the center's hours or operation.
Evidence:
1. Staff #1 was identified as the assigned program director, there was no documentation of their qualification is the record.
2. Staff #4(program administrator) was unable to provide qualifications for staff #1 during this inspection or following the inspection as requested by inspector.
(A-2 , Low likelihood / serious harm)
Evidence:
1. Staff #1 was identified as the assigned program director, there was no documentation of their qualification is the record.
2. Staff #4(program administrator) was unable to provide qualifications for staff #1 during this inspection or following the inspection as requested by inspector.
(A-2 , Low likelihood / serious harm)
Plan of Correction: -
Standard 8VAC20-780-245-L
Based on record review and interview it was determined the center did not ensure that there was at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.
Evidence:
1. 3 of 3 staff records reviewed did not contain documentation of daily health observation training.
2. Staff could not confirm that they had completed daily health observation training when asked during this inspection.
Evidence:
1. 3 of 3 staff records reviewed did not contain documentation of daily health observation training.
2. Staff could not confirm that they had completed daily health observation training when asked during this inspection.
Plan of Correction: -
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 on the floor 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 on the floor 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: -
Standard 8VAC20-780-50-A
Based on observation and interview it was determined the center did not ensure that staff and children's records were treated confidentially.
Evidence:
1. The staff and children's records were stored in an unlocked plastic storage container in the cafeteria. The center operates in a public school, therefore multiple people are in this space during school days.
2. Staff confirmed that the locks on the cabinets do not work and there is no where at the center to lock the records.
Evidence:
1. The staff and children's records were stored in an unlocked plastic storage container in the cafeteria. The center operates in a public school, therefore multiple people are in this space during school days.
2. Staff confirmed that the locks on the cabinets do not work and there is no where at the center to lock the records.
Plan of Correction: -
Standard 8VAC20-780-540-C
Based on observation and interview it was determined the center did not ensure the first aid kit all of the minimum requirements.
Evidence:
1. There were no tweezers in the first aid kit.
2. Staff confirmed there were no tweezers available during this inspection.
Evidence:
1. There were no tweezers in the first aid kit.
2. Staff confirmed there were no tweezers available during this inspection.
Plan of Correction: -
Standard 8VAC20-780-550-A
Based on observation and interview it was determined the center did not ensure that there was a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown.
Evidence:
1. There was no emergency preparedness plan available during this inspection.
2. Staff confirmed that there was no emergency preparedness plan available during this inspection.
Evidence:
1. There was no emergency preparedness plan available during this inspection.
2. Staff confirmed that there was no emergency preparedness plan available during this inspection.
Plan of Correction: -
Standard 8VAC20-780-60-A
Based on record review and interview it was determined the center did not ensure that the record for each child enrolled contained all of the required components.
Evidence:
1. The record for child #1 (enrolled 9/14/21) did not contain one of the two required emergency contacts addresses.
2. The record for child #2 (enrolled 9/7/21) did not contain the last day of attendance, and proof of age and identification.
3. The record for child #3 (enrolled 9/6/21) did not contain one of the two required emergency contacts addresses.
4. 3 of 3 children's records did not contain documentation of previous or concurrent day care or schools attended by the child.
5. Staff confirmed this information was not available during this inspection.
(A-2 , Low likelihood / serious harm)
Evidence:
1. The record for child #1 (enrolled 9/14/21) did not contain one of the two required emergency contacts addresses.
2. The record for child #2 (enrolled 9/7/21) did not contain the last day of attendance, and proof of age and identification.
3. The record for child #3 (enrolled 9/6/21) did not contain one of the two required emergency contacts addresses.
4. 3 of 3 children's records did not contain documentation of previous or concurrent day care or schools attended by the child.
5. Staff confirmed this information was not available during this inspection.
(A-2 , Low likelihood / serious harm)
Plan of Correction: -
Standard 8VAC20-780-70
Based on record review and interview it was determined the center did not ensure that each staff record contained all of the required information.
Evidence:
1. 1 of 3 staff records reviewed did not contain documentation of emergency contact.
2. 3 of 3 staff records did not contain documentation of qualifications.
3. Staff confirmed that this information was not available during this inspection.
Evidence:
1. 1 of 3 staff records reviewed did not contain documentation of emergency contact.
2. 3 of 3 staff records did not contain documentation of qualifications.
3. Staff confirmed that this information was not available during this inspection.
Plan of Correction: -
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: -