Inspection · 2023-09-05
Date
2023-09-05
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxid
Inspector Notes
An unannounced monitoring inspection was conducted on September 5, 2023 from 11:30am-2:00 pm. At the time of entrance, 32 children were in care with 6 staff members present. Additional staff was present to assist. The sample size consisted of 3 children?s records and 3 staff records. Children were
observed during nap time and in the infant room afternoon activities. Two medication were and documentation was reviewed.
Areas of non-compliance are identified on the violation notice.
Violations
11Standard 8VAC20-770-60-C-2
Based on record review, the licensee did not ensure staff have central registry finding within 30 days of employment.
Evidence:
The center was unable to provide documentation of Staff #1 Central registry. Staff #1 hire date in December 2022.
Evidence:
The center was unable to provide documentation of Staff #1 Central registry. Staff #1 hire date in December 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-B
REPEAT
Based on record review and staff interview, the licensee did not ensure children have physical before first date of attendance or with in 30 days from first date of attendance.
Evidence:The center was unable to provide a physical for Child #3 start date was 12/2022.
Based on record review and staff interview, the licensee did not ensure children have physical before first date of attendance or with in 30 days from first date of attendance.
Evidence:The center was unable to provide a physical for Child #3 start date was 12/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
REPEAT
Based on record review and staff interview, the licensee did not ensure the Virginia Department of Education-sponsored orientation course is completed within 90 calendar days of employment.
Evidence: Staff #1 date of employment 12/2022 did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 calendar.
Based on record review and staff interview, the licensee did not ensure the Virginia Department of Education-sponsored orientation course is completed within 90 calendar days of employment.
Evidence: Staff #1 date of employment 12/2022 did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 calendar.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
Based on record review, the licensee did not ensure annual health inspection was completed.
Evidence:
The most recent health inspection was August 22, 2022.
Evidence:
The most recent health inspection was August 22, 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-440-B
Based on observation and staff interview, the licensee did not ensure cribs, cots, rest mats, and beds shall be identified for use by a specific child.
Evidence:
There were two cribs occupied during the inspection but was not identified for use by a specific child. Staff confirmed .
Evidence:
There were two cribs occupied during the inspection but was not identified for use by a specific child. Staff confirmed .
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
REPEAT
Based on observation, the licensee did not ensure the diapering surface is nonabsorbent surface for diapering or changing .
Evidence:
In the two and three year old room, there was a tear in the diapering surface.
Based on observation, the licensee did not ensure the diapering surface is nonabsorbent surface for diapering or changing .
Evidence:
In the two and three year old room, there was a tear in the diapering surface.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-E
REPEAT
Based on interview with staff and document review, the center did not ensure there were center's procedure for administering medication including methods to prevent use of outdated medication.
Evidence: During inspection Staff # 5 was unable to provide written procedures for methods to prevent use of outdated medication. Staff #5 stated the center was working on the procedures.
Based on interview with staff and document review, the center did not ensure there were center's procedure for administering medication including methods to prevent use of outdated medication.
Evidence: During inspection Staff # 5 was unable to provide written procedures for methods to prevent use of outdated medication. Staff #5 stated the center was working on the procedures.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-I
Based on staff interview and record review, the licensee did not ensure the center has obtained written authorization from a parent or guardian.
Evidence:
Child #1 written medication authorization form expired on 06/16/2023 . Medication was administered 07/06/2023, 07/12/2023, 07/24/2023, and 07/26/2023.
Evidence:
Child #1 written medication authorization form expired on 06/16/2023 . Medication was administered 07/06/2023, 07/12/2023, 07/24/2023, and 07/26/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A
Based on observation and staff record review, the licensee did not ensure at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care and current certification in first aid.
Evidence:
Staff #2 was in the Pre-K/Preschool classroom during nap time alone.
Evidence:
Staff #2 was in the Pre-K/Preschool classroom during nap time alone.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-A
Based on observation and staff interview, the licensee did not ensure when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.
Evidence:
In the infant classroom, there was a child in a high chair not with a protective belt. Confirmed with staff.
Evidence:
In the infant classroom, there was a child in a high chair not with a protective belt. Confirmed with staff.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
REPEAT
Based on record review, the licensee did not ensure all staff records contained al required documents.
Evidence: Staff #1 record did not have documentation of orientation training being completed.
Based on record review, the licensee did not ensure all staff records contained al required documents.
Evidence: Staff #1 record did not have documentation of orientation training being completed.
Plan of Correction: Not available online. Contact Inspector for more information.