Inspection · 2023-03-28
Date
2023-03-28
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on 03/28/2023. here were 28 children present and 5 staff. A tour of the facility was conducted, in addition to a record review and interviews with staff. 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
7Standard 22.1-289.035-B-4
Based on a record review the center did not ensure all staff had the required background checks.
Evidence:
Staff #2 (hired 06/03/2022) listed on her sworn disclosure statement as having lived outside the state of Virginia within the past 5 years. The center did not have documentation of the results of the out of state criminal record , child abuse and neglect or sex offender background checks from the state listed on the Sworn Statement.
Evidence:
Staff #2 (hired 06/03/2022) listed on her sworn disclosure statement as having lived outside the state of Virginia within the past 5 years. The center did not have documentation of the results of the out of state criminal record , child abuse and neglect or sex offender background checks from the state listed on the Sworn Statement.
Plan of Correction: The following corrective action was provided by the director:
The required documentation has been put in the staff?s file on site.
The director will ensure all required documents are on site and in the staff?s file.
The required documentation has been put in the staff?s file on site.
The director will ensure all required documents are on site and in the staff?s file.
Standard 8VAC20-780-270-A
Based on observation the center did not ensure areas and equipment of the center were maintained in a safe condition.
Evidence:
1. There were several areas of peeling paint on the 2 classroom walls, ranging from .5 inches to at least 6 inches wide. The patches of peeling paint were in reach of children.
2. There was a puddle of water at the base of the toilet in the 2nd classroom.
3. In areas of the first classroom, the black floor board was separated from the wall.
4. In the school-age room there were two tall wooden cubby shelves that were not anchored, posing a tipping hazard.
Evidence:
1. There were several areas of peeling paint on the 2 classroom walls, ranging from .5 inches to at least 6 inches wide. The patches of peeling paint were in reach of children.
2. There was a puddle of water at the base of the toilet in the 2nd classroom.
3. In areas of the first classroom, the black floor board was separated from the wall.
4. In the school-age room there were two tall wooden cubby shelves that were not anchored, posing a tipping hazard.
Plan of Correction: The following corrective action was provided by the director:
1.Peeling paint will be patched with new paint.
2. The water was removed by mop and toilet will be checked to ensure it is not leaking.
3. Floor base board will be secured to the wall.
4. 2 Cubby shelves will be anchored.
The director will ensure all building maintenance is up to code and poses no safety risk to the children.
1.Peeling paint will be patched with new paint.
2. The water was removed by mop and toilet will be checked to ensure it is not leaking.
3. Floor base board will be secured to the wall.
4. 2 Cubby shelves will be anchored.
The director will ensure all building maintenance is up to code and poses no safety risk to the children.
Standard 8VAC20-780-320-B
Based on observation the center did not ensure each restroom had all the required supplies.
Evidence:
Both bathrooms used by children did not have paper towels.
Evidence:
Both bathrooms used by children did not have paper towels.
Plan of Correction: The paper towels were moved from outside the bathroom doors to inside the bathroom doors. All staff will ensure the paper towels remain inside the bathroom.
Standard 8VAC20-780-330-B
Based on observation the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99.
Evidence:
The center's playground had 4 pieces of equipment requiring resilient surfacing. There was approximately 3 inches of surfacing in the fall zones, where 6 inches is required.
Evidence:
The center's playground had 4 pieces of equipment requiring resilient surfacing. There was approximately 3 inches of surfacing in the fall zones, where 6 inches is required.
Plan of Correction: Approved mulch will be added to the playground. The director will ensure the mulch maintains 6 inches in depth.
Standard 8VAC20-780-60-A
Based on a record review the center did not ensure all information was kept for each enrolled child.
Evidence:
1. Child #1 (enrolled 11/01/2019), Child #2 (enrolled 11/04/2022), Child #4 (enrolled 03/20/2023) and Child #45 (enrolled 01/12/2023) did not have documentation at least 2 complete emergency contacts to include name, address and phone number.
Evidence:
1. Child #1 (enrolled 11/01/2019), Child #2 (enrolled 11/04/2022), Child #4 (enrolled 03/20/2023) and Child #45 (enrolled 01/12/2023) did not have documentation at least 2 complete emergency contacts to include name, address and phone number.
Plan of Correction: The following corrective action was provided by the director:
Children's files will be updated with emergency contacts address.
The director will ensure all childrens files have required information for their emergency contacts.
Children's files will be updated with emergency contacts address.
The director will ensure all childrens files have required information for their emergency contacts.
Standard 8VAC20-780-70
Based on a record review the center did not ensure all required information was kept for each staff person.
Evidence:
1. Staff #1 (hired 06/16/2022) and Staff #2 (hired 06/03/2022) did not have the following required documentation:
a) a complete emergency contact to include name, address and phone number
b) at least 2 reference checked prior to employment
c) written information to demonstrate the individual possesses the education, certification,
and experience required by the job position, and orientation and training as required in
8VAC20-780-240 and 8VAC20-780-245
2. Staff #3 (hired 12/02/2019) did not have the following required documentation:
a) a complete emergency contact to include name, address and phone number.
b) written information to demonstrate the individual possesses the education, certification,
and experience required by the job position
Evidence:
1. Staff #1 (hired 06/16/2022) and Staff #2 (hired 06/03/2022) did not have the following required documentation:
a) a complete emergency contact to include name, address and phone number
b) at least 2 reference checked prior to employment
c) written information to demonstrate the individual possesses the education, certification,
and experience required by the job position, and orientation and training as required in
8VAC20-780-240 and 8VAC20-780-245
2. Staff #3 (hired 12/02/2019) did not have the following required documentation:
a) a complete emergency contact to include name, address and phone number.
b) written information to demonstrate the individual possesses the education, certification,
and experience required by the job position
Plan of Correction: The following corrective action was provided by the director:
1.a)The addresses of the staffs emergency contacts were added to their file.
b)The reference checks were added to their file on site.
c)Orientation was transferred from the FDH form and done on the CDC form. Education and wriiten information will be updated to the staff's file on site.
2.a) The address to the staffs emergency contact was added to the file.
b)the required documentation will be updated in the staffs file on site
The director will ensure all required documentation be in the staff?s files on site..
1.a)The addresses of the staffs emergency contacts were added to their file.
b)The reference checks were added to their file on site.
c)Orientation was transferred from the FDH form and done on the CDC form. Education and wriiten information will be updated to the staff's file on site.
2.a) The address to the staffs emergency contact was added to the file.
b)the required documentation will be updated in the staffs file on site
The director will ensure all required documentation be in the staff?s files on site..
Standard 8VAC20-780-90-A
Based on a record review the center did not ensure all required written agreements between the parent and the center were in each child's record and signed by the first day of the child's attendance.
Evidence:
1. Child #1 (enrolled 11/01/2019) and child #3 (enrolled 06/02/2022) did not have documentation of the following required agreement stating that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.
2. Child #1 (enrolled 11/01/2019) did not have documentation of the following required agreement stating, the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible.
Evidence:
1. Child #1 (enrolled 11/01/2019) and child #3 (enrolled 06/02/2022) did not have documentation of the following required agreement stating that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.
2. Child #1 (enrolled 11/01/2019) did not have documentation of the following required agreement stating, the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible.
Plan of Correction: The following corrective actions were provided by the director:
Parents signed required agreements. The director will ensure parents sign all required agreements.
Parents signed required agreements. The director will ensure parents sign all required agreements.