Inspection · 2024-02-23
Licensing Inspector
Adrianna Walden
(757) 404-2487
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 renewal inspection was conducted on 02/23/2024. A tour of the facility was conducted, in addition to a record review and interviews with staff. The Inspector reviewed both children?s and staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. 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.
Standard 8VAC20-770-60-C-2
(Repeat Violation) Based on observation the center did not ensure all staff had the required background checks.
Evidence:
Staff #1, hired 10/14/2019 did not have documentation of the results of a central registry check.
Plan of Correction: The incorrect background check was sent by mistake. A search of the central registry check will be sent by this week.
Standard 8VAC20-780-160-A
Based on a record review, the center did not ensure that each staff member had documentation of a negative tuberculosis screening.
Evidence:
Staff #1 (hired 10/14/2019) did not have documentation of having a tuberculosis screening in the record.
Plan of Correction: Staff #1 will sent to get an updated tuberculosis screening and/or test.
Standard 8VAC20-780-270-A
Based on observation, the center did not ensure that all areas and equipment of the center, were maintained in a safe condition.
Evidence:
1. In the 2nd preschool room on the right there was a colorful shelf that was not secured, posing a tipping hazard.
2. In the same room there was a large green that was buckled, posing a tripping hazard.
2. The green rug in the 2nd preschool room on the right
Plan of Correction: The rug has been flattened out and shelf secured.
Standard 8VAC20-780-350-C
Based on observation the center did not ensure when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.
Evidence:
The center had 18 children ranging in age from 2-4 years-old in one class with 2 staff members. The youngest child in the group was 2 years-old. The ratio for 2 year-old children is 1 staff member for every 8 children.
Plan of Correction: A staff member call-out that morning , leaving the center out-of-ratio. A third staff was contacted to fill-in for the third staff member. The situation was resolved once the third staff arrived.
Standard 8VAC20-780-410-2
Based on observation the center did not ensure children were not enclosed in a small space in which they could not exit freely.
Evidence:
Three 2 year-old children were observed in high chairs, however, were not eating. They were in a room with a group of children watching television for approximately 75 minute.
Plan of Correction: The owner has called an all staff meeting to discuss the use of high chairs, television and strategies for when there is an emergency or staff call-out.
Standard 8VAC20-780-560-G
Based on observation, the center did not ensure that when food is brought from home, the food container was clearly dated.
Evidence:
1. Four lunchboxes belonging to children were not clearly labeled with the date.
Plan of Correction: The center uses tags on all food items brought from home. This was an oversight and staff forgot to check them as they came in that day.
Standard 8VAC20-780-60-A
Based on a record review the center did not ensure all required information was kept for each enrolled child.
Evidence:
Child #1 and #2 did not have documentation of a work phone number for both parents.
Plan of Correction: Work phone numbers will be obtained from the child's parents and documented in the record.