Inspection · 2022-02-18
Date
2022-02-18
Complaint Related
No
Licensing Inspector
Nanette Roberts
(757) 404-2322
(757) 404-2322
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)
22.1 Early Childhood Care and Education
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a in-person tour of the program A renewal inspection was initiated on 1/31/22 and concluded on 2/8/22. The provider was contacted by telephone to initiate the inspection. There were 17 children present and 2 staff. The inspector emailed the director/provider a list of items required to complete the inspection. The Inspector reviewed 4 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
9Standard 8VAC20-770-60-C-2
Based on a review of three staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.
Evidence:
1. The record for staff #2 did not contain documentation of a completed search of the central registry finding.
2. Staff #2 reviewed her record, and confirmed that the search of the central registry finding has not been received.
Evidence:
1. The record for staff #2 did not contain documentation of a completed search of the central registry finding.
2. Staff #2 reviewed her record, and confirmed that the search of the central registry finding has not been received.
Plan of Correction: The facility responded: Will follow up with the state on requested background checks/fingerprinting that had been previously requested, once received, will forward to licensing and place in staff folder for
record-keeping.
record-keeping.
Standard 8VAC20-780-130-A
Based on a review of four children's records, it was determined that the facility did not ensure that the center obtains 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, present during the inspection, did not contain documentation of an immunization record.
2. The record for child #2, present during the inspection, did not contain documentation of an immunization record.
3. The record for child #3, present during the inspection, did not contain documentation of an immunization record.
4. The record for child #4, present during the inspection, did not contain documentation of an immunization record.
5. Staff #2 reviewed the records for all four children, and confirmed there was no immunization record available for viewing during the inspection.
Evidence:
1. The record for child #1, present during the inspection, did not contain documentation of an immunization record.
2. The record for child #2, present during the inspection, did not contain documentation of an immunization record.
3. The record for child #3, present during the inspection, did not contain documentation of an immunization record.
4. The record for child #4, present during the inspection, did not contain documentation of an immunization record.
5. Staff #2 reviewed the records for all four children, and confirmed there was no immunization record available for viewing during the inspection.
Plan of Correction: The facility responded: Have staff continue following up with parents in order to obtain physical, immunization, and birth certificates by having parents sign a release so that AlphaBEST Site Director will be able to retrieve documents from the school nurse. Redirect staff to obtain emergency contact
information and previous childcare providers if any on children?s registration.
information and previous childcare providers if any on children?s registration.
Standard 8VAC20-780-140-A
Based on a review of four children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance.
Evidence:
1. The record for child #1 did not contain a physical examination.
2. The record for child #2 did not contain a physical examination.
3. The record for child #3 did not contain a physical examination.
4. The record for child #4 did not contain a physical examination.
5. Staff #2 confirmed that the records for all children did not contain a physical examination, and had been enrolled for more than 30 days.
Evidence:
1. The record for child #1 did not contain a physical examination.
2. The record for child #2 did not contain a physical examination.
3. The record for child #3 did not contain a physical examination.
4. The record for child #4 did not contain a physical examination.
5. Staff #2 confirmed that the records for all children did not contain a physical examination, and had been enrolled for more than 30 days.
Plan of Correction: The facility responded: Have staff continue following up with parents in order to obtain physical, immunization, and birth certificates by having parents sign a release so that AlphaBEST Site Director will be able to retrieve documents from the school nurse. Redirect staff to obtain emergency contact
information and previous childcare providers if any on children?s registration.
information and previous childcare providers if any on children?s registration.
Standard 8VAC20-780-200-B
Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that the has a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation.
Evidence:
1. None of the two staff records reviewed had documentation to demonstrate that any of the staff met one of the Program Director qualifications.
2. Staff #4 (Program Administrator) was asked to provide documentation to demonstrate there was at least one staff working at the center who met one of the Program Director qualifications. However, staff #3 did not provide any documentation.
Evidence:
1. None of the two staff records reviewed had documentation to demonstrate that any of the staff met one of the Program Director qualifications.
2. Staff #4 (Program Administrator) was asked to provide documentation to demonstrate there was at least one staff working at the center who met one of the Program Director qualifications. However, staff #3 did not provide any documentation.
Plan of Correction: The facility responded: Have all staff members who either have college degrees or some college
forward a copy of their transcripts for records and licensing. Qualifying Program/Site Directors
have been re-evaluated to stay within licensing requirements.
forward a copy of their transcripts for records and licensing. Qualifying Program/Site Directors
have been re-evaluated to stay within licensing requirements.
Standard 8VAC20-780-530-C
Based on a review of three staff records and interviews, it was determined that the licensee did not ensure that there shall be at least two staff members trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care.
Evidence:
1. Staff #2 and staff #3 were working at the facility during the inspection.
2. The records for staff #2 and staff #3 did not contain a current certification in CPR and First Aid.
3. Staff #2 confirmed that no staff working during the inspection had a current certification in CPR and First Aid.
Evidence:
1. Staff #2 and staff #3 were working at the facility during the inspection.
2. The records for staff #2 and staff #3 did not contain a current certification in CPR and First Aid.
3. Staff #2 confirmed that no staff working during the inspection had a current certification in CPR and First Aid.
Plan of Correction: The facility responded: The First Aid/CPR course will be completed on 2/18/2022 for staff members.
Standard 8VAC20-780-540-C
Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that all first kits contain all of the required items.
Evidence:
1. The first aid kit for the facility did not include tweezers.
2. Staff #2 confirmed the facility's first aid kit did not include all of the required items.
Evidence:
1. The first aid kit for the facility did not include tweezers.
2. Staff #2 confirmed the facility's first aid kit did not include all of the required items.
Plan of Correction: The facility responded: New First Aid kits will be ordered and delivered to the site in order to stay within compliance with licensing requirements.
Standard 8VAC20-780-550-A
Based on observation and interviews, it was determined that the facility did not ensure that the center shall have 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. The Licensing Inspector was not able to view the facility's emergency preparedness plan during the inspection.
2. Staff #2 confirmed that the facility's emergency preparedness plan was not available for viewing during the inspection.
Evidence:
1. The Licensing Inspector was not able to view the facility's emergency preparedness plan during the inspection.
2. Staff #2 confirmed that the facility's emergency preparedness plan was not available for viewing during the inspection.
Plan of Correction: The facility responded: Emergency Preparedness Plan to be generated and delivered to site as requested.
Standard 8VAC20-780-60-A
Based on a review of four children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.
Evidence
1. The record for child #1 did not indicate whether or not the child had previously attended child care, only had one emergency contact.
2. The record for child #2 did not indicate whether or not the child had previously attended child care.
3. The record for child #3 did not indicate whether or not the child had previously attended child care.
4. The record for child #4 did not indicate whether or not the child had previously attended child care.
5. Staff #1 confirmed that the records for child #1, child #2, and child #3 did not contain all of the required information.
Evidence
1. The record for child #1 did not indicate whether or not the child had previously attended child care, only had one emergency contact.
2. The record for child #2 did not indicate whether or not the child had previously attended child care.
3. The record for child #3 did not indicate whether or not the child had previously attended child care.
4. The record for child #4 did not indicate whether or not the child had previously attended child care.
5. Staff #1 confirmed that the records for child #1, child #2, and child #3 did not contain all of the required information.
Plan of Correction: The facility responded: Have staff continue following up with parents in order to obtain physical, immunization, and birth certificates by having parents sign a release so that AlphaBEST Site Director will be able to retrieve documents from the school nurse. Redirect staff to obtain emergency contact
information and previous childcare providers if any on children?s registration.
information and previous childcare providers if any on children?s registration.
Standard 8VAC20-820-120-E-2
Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises.
Evidence:
1. The results from the most recent inspection (12/9/21) was not posted anywhere in the facility.
2. When asked if the results from the most recent inspection were posted, staff #2 confirmed that the results were not posted.
Evidence:
1. The results from the most recent inspection (12/9/21) was not posted anywhere in the facility.
2. When asked if the results from the most recent inspection were posted, staff #2 confirmed that the results were not posted.
Plan of Correction: The facility responded: Inspections for the site are posted on the parent board and are current and up to date