Inspection · 2024-01-31
Date
2024-01-31
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced renewal inspection was conducted and concluded on 1/31/24 from 4:20pm to 6:15pm. At the time of the inspection there were 14 children in care and 3 staff members. Children were observed participating in snack time, homework, and free choice activities. Records were reviewed for five children and three staff members. Medication is not given at this facility. Evacuation drills, emergency supplies and other required records and postings were also reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit interview.
Violations
8Standard 8VAC20-770-60-C-2
Repeat Violation
Based on record review and interview, it was determined the facility did not ensure that an employee of a licensed child day program was denied continued employment if the program does not have a central registry finding within 30 days of employment or volunteer service.
Evidence:
1.The record for staff #1(hire date of 3/13/2023) and staff #2 (hire date of 9/18/2023) did not include documentation of the central registry finding. Both staff members were supervising children at the time of the inspection.
2.Staff #1 confirmed the central registry finding was not in the record.
Based on record review and interview, it was determined the facility did not ensure that an employee of a licensed child day program was denied continued employment if the program does not have a central registry finding within 30 days of employment or volunteer service.
Evidence:
1.The record for staff #1(hire date of 3/13/2023) and staff #2 (hire date of 9/18/2023) did not include documentation of the central registry finding. Both staff members were supervising children at the time of the inspection.
2.Staff #1 confirmed the central registry finding was not in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-200-B
Repeat Violation
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.Upon arrival at the facility the inspector asked to speak with the program director. Staff #1 stated they did not have a director. Staff #1 stated the previous director?s last day at the facility was 1/19/2023.
2. There was no documentation in the staff records to demonstrate that any of the staff met one of the Program Director qualifications.
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.Upon arrival at the facility the inspector asked to speak with the program director. Staff #1 stated they did not have a director. Staff #1 stated the previous director?s last day at the facility was 1/19/2023.
2. There was no documentation in the staff records to demonstrate that any of the staff met one of the Program Director qualifications.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-D
Based on observation and interview, it was determined the center did not ensure that cleaning and sanitizing materials were not located above food, food equipment, utensils, or single-serve articles and were not stored in an area physically separate from food.
Evidence:
1. In a storage cabinet there were containers of disinfectant wipes, Awesome cleaner and dish soap stored in the same area as snack foods.
2.Staff #1 (Site Director) confirmed the cleaning products were stored in the cabinet with snack foods.
Evidence:
1. In a storage cabinet there were containers of disinfectant wipes, Awesome cleaner and dish soap stored in the same area as snack foods.
2.Staff #1 (Site Director) confirmed the cleaning products were stored in the cabinet with snack foods.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-540-E
Repeat Violation
Based on observation and interviews, it was determined the facility did not ensure the required nonmedical emergency supplies were available on each floor of the building.
Evidence:
1.The flashlight included with the emergency equipment and first aid was not working.
2. Staff #1 confirmed the flashlight did not work.
Based on observation and interviews, it was determined the facility did not ensure the required nonmedical emergency supplies were available on each floor of the building.
Evidence:
1.The flashlight included with the emergency equipment and first aid was not working.
2. Staff #1 confirmed the flashlight did not work.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Repeat Violation
Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information.
Evidence
1.The record for child #1 did not contain documentation of the child?s first day of attendance, emergency contact addresses, documentation of annual updates, and documentation of health information (physical and immunizations).
2.The record for child #3 did not contain documentation of the child?s first day of attendance, and documentation of annual updates.
3.The record for child #4 did not contain documentation of the child?s first day of attendance, 2nd emergency contact person, documentation of annual updates, and proof of viewing documentation of child?s identity and age.
4.Staff #1 reviewed documentation and confirmed the required information listed above, was not in the available children?s records.
Based on review of children?s records and interviews, it was determined that the center did not ensure that each child?s record contains all required information.
Evidence
1.The record for child #1 did not contain documentation of the child?s first day of attendance, emergency contact addresses, documentation of annual updates, and documentation of health information (physical and immunizations).
2.The record for child #3 did not contain documentation of the child?s first day of attendance, and documentation of annual updates.
3.The record for child #4 did not contain documentation of the child?s first day of attendance, 2nd emergency contact person, documentation of annual updates, and proof of viewing documentation of child?s identity and age.
4.Staff #1 reviewed documentation and confirmed the required information listed above, was not in the available children?s records.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member.
Evidence:
1.There was no record at the facility for staff #3. Staff #3 was supervising children during the inspection.
2. Staff #1 confirmed the program did not have the record for staff #3.
Evidence:
1.There was no record at the facility for staff #3. Staff #3 was supervising children during the inspection.
2. Staff #1 confirmed the program did not have the record for staff #3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on record review and interviews, it was determined the facility failed to ensure a that a
written daily record of children?s daily attendance, including arrival and departure times were maintained.
Evidence:
1. The written attendance maintained by staff, did not include children?s arrival and departure times.
2. Staff #1 confirmed written arrival and departure times were not available.
written daily record of children?s daily attendance, including arrival and departure times were maintained.
Evidence:
1. The written attendance maintained by staff, did not include children?s arrival and departure times.
2. Staff #1 confirmed written arrival and departure times were not available.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
Repeat Violation
Based on record review it was determined the center did not have the required signed parental agreements between the parent and the center in each child's record by the first day of the child's attendance.
Evidence:
1. The record for child #1, child #3, and child #4 did not contain the required signed parental agreements.
2. Staff confirmed signed parental agreements were not in the children?s records.
Based on record review it was determined the center did not have the required signed parental agreements between the parent and the center in each child's record by the first day of the child's attendance.
Evidence:
1. The record for child #1, child #3, and child #4 did not contain the required signed parental agreements.
2. Staff confirmed signed parental agreements were not in the children?s records.
Plan of Correction: Not available online. Contact Inspector for more information.