Inspection · 2024-10-03
Date
2024-10-03
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, on-site monitoring inspection was initiated and completed on 10/3/24. The on-site inspection began at 3:55pm and ended at 6:00pm. The inspector reviewed compliance in the areas listed above. There were 28 children present and 2 staff. The inspector reviewed 5 children?s records and 2 staff records on site. One staff record was viewed electronically on 10/21/24. This inspection included document review, tour of the facility, interviews and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/29/2024. A POC submitted after this date will not appear on the public website.
Violations
12Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises.
The inspection summary containing the violation notice from the most recent inspection, dated 1/31/2024, was not posted in a conspicuous place on the premises.
The current license to operate a child day center was not posted.
The inspection summary containing the violation notice from the most recent inspection, dated 1/31/2024, was not posted in a conspicuous place on the premises.
The current license to operate a child day center was not posted.
Plan of Correction: Most current licenses, and all current inspections, will be posted at the parent table.
Standard 8VAC20-770-60-C-2
Repeat Violation
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.
Staff #2 did not have central registry search results in the record and has been employed for over 8 months.
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.
Staff #2 did not have central registry search results in the record and has been employed for over 8 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.
Staff #2, who is working with children, has not yet completed this course which is overdue by 5 months.
Staff #2, who is working with children, has not yet completed this course which is overdue by 5 months.
Plan of Correction: All staff will complete the VDOE sponsored online orientation course within 90 days of hire. Site Director and Area Manager will follow up.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Awesome Bleach and disinfecting wipes were in unlocked cabinets in the cafeteria.
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Awesome Bleach and disinfecting wipes were in unlocked cabinets in the cafeteria.
Plan of Correction: All cleaning materials will be kept in locked cabinet away from children. Area manager/site director will ensure cabinet locks are workingand replace as needed.
Standard 8VAC20-780-540-E
Repeat Violation
One working, battery-operated flashlight is required on each floor of each building that is used by children.
The flashlight at the facility was not working.
One working, battery-operated flashlight is required on each floor of each building that is used by children.
The flashlight at the facility was not working.
Plan of Correction: Flashlight, batteries and backup batteries will be in emergency bag and checked monthly to ensure functionality.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill.
There was no documentation of monthly evacuation drills for September 2024.
There was no documentation of monthly evacuation drills for September 2024.
Plan of Correction: Evacuation drills will be performed at least monthly as well as documented and posted.
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year.
There was no documentation that the two shelter-in-place drills had been completed in the past 12 months.
There was no documentation that the two shelter-in-place drills had been completed in the past 12 months.
Plan of Correction: Shelter in place drills will be performed at twice a year as well as documented and posted.
Standard 8VAC20-780-550-F
Lockdown procedures shall be practiced at least annually.
There was no documentation that the annual lockdown drill had been completed in the past 12 months.
There was no documentation that the annual lockdown drill had been completed in the past 12 months.
Plan of Correction: Lockdown drills will be performed at least annually as well as documented and posted.
Standard 8VAC20-780-550-H
The center shall maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts.
There was no record for the previous 12 months of practice evacuation, shelter in place or lockdown drills.
There was no record for the previous 12 months of practice evacuation, shelter in place or lockdown drills.
Plan of Correction: All drills will be performed at least to the minimum requirement as well as documented and posted and kept for a minimum of 12 months.
Standard 8VAC20-780-550-I
A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.
The required emergency numbers were not posted.
The required emergency numbers were not posted.
Plan of Correction: Emergency Information sheet will be posted at the parent table.
Standard 8VAC20-780-60-A
Repeat Violation
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information.
The record for Child #1, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools, address of an emergency contact, 2nd emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #2, enrolled for 4 weeks, was missing the following required components: previously attended childcare or schools, address of an emergency contact, 2nd emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #3, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #4, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools, address of an emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #5, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools, 2nd emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information.
The record for Child #1, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools, address of an emergency contact, 2nd emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #2, enrolled for 4 weeks, was missing the following required components: previously attended childcare or schools, address of an emergency contact, 2nd emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #3, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #4, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools, address of an emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
The record for Child #5, enrolled for 5 weeks, was missing the following required components: previously attended childcare or schools, 2nd emergency contact and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90.
Plan of Correction: All students will have a completed file, to include previously attended child care or schools, all emergency contact information, written agreements.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall contain documentation of the name address, and telephone number of a person to be notified in an emergency. This information shall be kept at the center.
Staff #2 and staff #3 did not have any completed emergency contact information at the center.
Staff records shall contain documentation of the name address, and telephone number of a person to be notified in an emergency. This information shall be kept at the center.
Staff #2 and staff #3 did not have any completed emergency contact information at the center.
Plan of Correction: All staff files will have a completed emergency contact information sheet.