Inspection · 2024-05-13
Date
2024-05-13
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced renewal inspection was conducted on 5/13/2024 from 11:30am-4:15pm. At the time of the inspection there were 46 children in care and 6 staff members. Children were observed participating in various activities including, center play, naptime, snack time and group choice games. Records were reviewed for 5 children and 8 staff members. Medication, 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
9Standard 8VAC20-780-140-A
Based on review of children?s records and interviews, it was determined that the center did not ensure that each child have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance.
Evidence:
1.There was no physical in the records for child #3.
2.The Director confirmed the physical was not in the record.
Evidence:
1.There was no physical in the records for child #3.
2.The Director confirmed the physical was not in the record.
Plan of Correction: The physical has been received and is in the child's record.
Standard 8VAC20-780-160-A
Based on record review and interview, it was determined the center did not ensure that each staff member had documentation of a negative tuberculosis screening that was completed within the last 30 calendar days of the date of employment.
Evidence:
1. The TB screening in the record for staff #5 was dated 3/14/2023. The TB screening was acquired more than 30 days prior to the employee?s start date of 4/29/2024.
2.The Director confirmed the screening was not current.
Evidence:
1. The TB screening in the record for staff #5 was dated 3/14/2023. The TB screening was acquired more than 30 days prior to the employee?s start date of 4/29/2024.
2.The Director confirmed the screening was not current.
Plan of Correction: The staff member has scheduled and is completing the TB screening.
Standard 8VAC20-780-270-A
Repeat Violation
Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a clean, safe, and operable condition.
Evidence:
1.In the two-three-year-old classroom:
a.the trim to the carpet was not attached, causing a trip hazard.
b.There was crumbling dry wall under the window.
c.There was a baseboard peeling off the wall behind the door of the bathroom.
2.In the three-four-year-old classroom:
a.The base boards were torn off in the cubby areas.
b.The walls in the boy?s cubby room had brown smears on it.
3.In the School age area:
a.There was rust on the top of a black file cabinet.
b.The inside of the unlocked lower cabinets had debris and dead cockroaches in them.
c.There were two sticky pest traps stuck to a soccer ball in the cabinet. The sticky traps had dead cockroaches on them.
d.The wood trim of the baseboard was dislodged from the wall.
e.There were nail heads protruding approximately ?? on the cubbies in the hallway.
f.The wall in the boy?s bathroom had debris and spill marks running down it.
g.In the boy?s bathroom there was dry urine on the toilet and under the lid. There was dirt, debris, and paper towels at the base and floor of the toilets.
h.There was crumbling drywall, finger size holes and peeling paint in the bathroom.
i.The girl?s bathroom door was dirty and had spill marks running from the door handle down to the bottom of the door.
Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a clean, safe, and operable condition.
Evidence:
1.In the two-three-year-old classroom:
a.the trim to the carpet was not attached, causing a trip hazard.
b.There was crumbling dry wall under the window.
c.There was a baseboard peeling off the wall behind the door of the bathroom.
2.In the three-four-year-old classroom:
a.The base boards were torn off in the cubby areas.
b.The walls in the boy?s cubby room had brown smears on it.
3.In the School age area:
a.There was rust on the top of a black file cabinet.
b.The inside of the unlocked lower cabinets had debris and dead cockroaches in them.
c.There were two sticky pest traps stuck to a soccer ball in the cabinet. The sticky traps had dead cockroaches on them.
d.The wood trim of the baseboard was dislodged from the wall.
e.There were nail heads protruding approximately ?? on the cubbies in the hallway.
f.The wall in the boy?s bathroom had debris and spill marks running down it.
g.In the boy?s bathroom there was dry urine on the toilet and under the lid. There was dirt, debris, and paper towels at the base and floor of the toilets.
h.There was crumbling drywall, finger size holes and peeling paint in the bathroom.
i.The girl?s bathroom door was dirty and had spill marks running from the door handle down to the bottom of the door.
Plan of Correction: The carpet, drywall and baseboard have been repaired in the two-three year old classrooms. The walls have been cleaned in the three-four year old classroom. The baseboard will be repaired 6/1/24.
In the school age classroom the file cabinet has been removed and will be disposed of. The cabinets have been cleaned out. The nails have been hammered back in on the cubbies. The walls, floors, and toilets in the bathrooms have been cleaned. The holes have been repaired and painted.
In the school age classroom the file cabinet has been removed and will be disposed of. The cabinets have been cleaned out. The nails have been hammered back in on the cubbies. The walls, floors, and toilets in the bathrooms have been cleaned. The holes have been repaired and painted.
Standard 8VAC20-780-290-A-3
Based on observation and interviews, it was determined that the facility did not ensure that
electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.
Evidence:
1.An outlet was uncovered in the two-three year- old classroom.
2.The teacher in the classroom confirmed theoutlet cover was off.
electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.
Evidence:
1.An outlet was uncovered in the two-three year- old classroom.
2.The teacher in the classroom confirmed theoutlet cover was off.
Plan of Correction: The teacher in the classroom immediately put the outlet cover back in the outlet.
Standard 8VAC20-780-40-M
Based on observation and interview it was determined the center did not ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions shall be dated and kept confidential in each room or area where children are present.
Evidence:
1.The allergy lists posted in the classrooms were not dated.
2.The allergy list posted in the two-three-year-old classroom was posted on the wall without a cover sheet. Anyone entering the classroom could see this confidential information.
3.The Director confirmed the allergy lists were not dated and not covered to ensure confidentiality.
Evidence:
1.The allergy lists posted in the classrooms were not dated.
2.The allergy list posted in the two-three-year-old classroom was posted on the wall without a cover sheet. Anyone entering the classroom could see this confidential information.
3.The Director confirmed the allergy lists were not dated and not covered to ensure confidentiality.
Plan of Correction: The allergy lists have been covered and dated.
Standard 8VAC20-780-540-C
Based on observation and interviews, it was determined the facility did not ensure that the first aid kit contain all the required supplies.
Evidence:
1.The first aid supplies in the center did not include adhesive tape.
2.The first aid supplies in the black van, used to transport children, did not contain tweezers or triangular bandages.
3.There were no first aid supplies in the white van, used to transport children.
4.The Director confirmed the supplies were not in the first aid kits.
Evidence:
1.The first aid supplies in the center did not include adhesive tape.
2.The first aid supplies in the black van, used to transport children, did not contain tweezers or triangular bandages.
3.There were no first aid supplies in the white van, used to transport children.
4.The Director confirmed the supplies were not in the first aid kits.
Plan of Correction: First aid supplies have been purchased and put into the kits in the center and both vans.
Standard 8VAC20-780-560-F
Based on observation, records reviewed and interviews, it was determined that the facility did not ensure that when providing food, the center meets all the requirements.
1.The center provided only one of the two snack components required by the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
a.The three-four-year-old classroom were served graham crackers and water.
b.The two-three-year-old classroom was served vanilla wafers and water.
c.The first children to arrive in the school age group were served cheese crackers and water.
2.The center did not list substituted food on the posted menus.
a.The snack listed on the menu for 5/13/2024 was strawberry and blueberry mix and whole wheat thins. This snack was not served, and substitutions of graham crackers, vanilla wafers, and cheese crackers were not documented until the inspector questioned staff.
b.The lunch listed on the posted menu (Steak Umm sandwiches and cheese, baked apple, diced potato, wheat bun) was not served. Staff reported that the following was served, turkey and cheese sandwiches, broccoli, oranges, and milk. The substitutions were not listed on the posted menu.
1.The center provided only one of the two snack components required by the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
a.The three-four-year-old classroom were served graham crackers and water.
b.The two-three-year-old classroom was served vanilla wafers and water.
c.The first children to arrive in the school age group were served cheese crackers and water.
2.The center did not list substituted food on the posted menus.
a.The snack listed on the menu for 5/13/2024 was strawberry and blueberry mix and whole wheat thins. This snack was not served, and substitutions of graham crackers, vanilla wafers, and cheese crackers were not documented until the inspector questioned staff.
b.The lunch listed on the posted menu (Steak Umm sandwiches and cheese, baked apple, diced potato, wheat bun) was not served. Staff reported that the following was served, turkey and cheese sandwiches, broccoli, oranges, and milk. The substitutions were not listed on the posted menu.
Plan of Correction: Staff will serve two components during snacks. Staff will document on the menu when food is substituted.
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 #2 did not include the address of the first emergency contact or the name, address, and phone number of a second emergency contact.
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 #2 did not include the address of the first emergency contact or the name, address, and phone number of a second emergency contact.
Plan of Correction: The emergency contact information has been added to the child's record.
Standard 8VAC20-780-70
Repeat Violation
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 with all the required information.
1.The record for staff #5 did not include the address of the emergency contact.
2.The Director confirmed the emergency contacts address was not in the record.
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 with all the required information.
1.The record for staff #5 did not include the address of the emergency contact.
2.The Director confirmed the emergency contacts address was not in the record.
Plan of Correction: The address of the emergency contact has been added to the record.