Inspection · 2022-08-08
Date
2022-08-08
Complaint Related
No
Licensing Inspector
Margaret Allworth
(703) 209-3521
(703) 209-3521
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.
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was initiated on 8/8/2022 and concluded on 8/8/2022. There were a total of 33 children with 4 staff members present. Children were observed during play time, coloring and an outside walk. A total of 3 child records and 3 staff records were reviewed. Many repeat violations were cited from the last inspection. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please contact me if you have any questions at Margaret.allworth@doe.virginia.gov or 703-209-3521.
Violations
8Standard 8VAC20-780-140-A
Based on a review of children records and Director interview, each child does not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.
Evidence: Child #1, date of first attendance 5/3/2021 does not have documentation of a physical examination.
Evidence: Child #1, date of first attendance 5/3/2021 does not have documentation of a physical examination.
Plan of Correction: The Owner/Director will ask the parent by the end of this week to have the parent obtain a physical from the child's doctor.
Standard 8VAC20-780-160-A
Based on a review of staff records, each staff member has not summited documentation of a negative tuberculosis screening at the time of employment or within the last 30 days of the date of employment.
Evidence: Staff #1, date of hire 4/1/2022 has a documented TB screening that was dated 4/11/2022. It was not completed within the last 30 days of the date of hire.
Evidence: Staff #1, date of hire 4/1/2022 has a documented TB screening that was dated 4/11/2022. It was not completed within the last 30 days of the date of hire.
Plan of Correction: All future hires will obtain a TB screening within 30 days of the first day of hire.
Standard 8VAC20-780-245-L
Based on record review and Director interview, there is not always 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: There is currently no staff trained in Daily Health Observation. This was cited as a violation during the 2/23/2022 inspection and has yet to be corrected.
Evidence: There is currently no staff trained in Daily Health Observation. This was cited as a violation during the 2/23/2022 inspection and has yet to be corrected.
Plan of Correction: The Director/Owner will complete this online training this week and have the other staff complete the training by the end of the month.
Standard 8VAC20-780-260-A
Based on a review of records and Director interview, The center could not provide to the licensing representative an annual fire inspection report from the appropriate fire official.
Evidence: The Director could not provide the updated annual fire inspection. The last fire inspection was dated 3/10/2021.
Evidence: The Director could not provide the updated annual fire inspection. The last fire inspection was dated 3/10/2021.
Plan of Correction: The Director/Owner will call the fire Marshall to schedule an annual fire inspection.
Standard 8VAC20-780-350-B-4
Based on observation and staff interview, the 3 year old and up to school age program was not within ratio.
Evidence: At 10:08am there were 13 children, ages 3-7 years old with one staff member. At 10:33 am there were 15 children, ages 3-9 years old with the same one staff member.
Evidence: At 10:08am there were 13 children, ages 3-7 years old with one staff member. At 10:33 am there were 15 children, ages 3-9 years old with the same one staff member.
Plan of Correction: The Director/Owner will ensure the classrooms are not out of ratio. The Director/Owner pulled a staff from her other location for the day.
Standard 8VAC20-780-350-F
Based or a review of center procedures and Director interview, the center has not developed and implemented a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.
Evidence: The Director has not developed a policy for consistent staff. This standard was cited as a violation during the 2/23/2022 inspection and has yet to be corrected.
Evidence: The Director has not developed a policy for consistent staff. This standard was cited as a violation during the 2/23/2022 inspection and has yet to be corrected.
Plan of Correction: The Owner/Director will write the consistent staff policy.
Standard 8VAC20-780-40-K
Based on a review of center policies and Director interview, The center has not developed written procedures for prevention of abusive head trauma.
Evidence: There is no written procedure for prevention of abusive head trauma. This was cited a s a violation during the 2/23/2022 inspection and has yet to be corrected.
Evidence: There is no written procedure for prevention of abusive head trauma. This was cited a s a violation during the 2/23/2022 inspection and has yet to be corrected.
Plan of Correction: The Owner/Director will write the abusive head trauma procedure and review with all staff.
Standard 8VAC20-780-550-D
Based on a review of emergency drills, The center has not implemented monthly practice evacuation drill.
Evidence: The emergency drill log was reviewed, there was no drill documented for the month of July 2022.
Evidence: The emergency drill log was reviewed, there was no drill documented for the month of July 2022.
Plan of Correction: Monthly fire drills will be conducted and documented on the emergency drill form.