Inspection · 2023-12-18
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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 initiated on 12/18/2023 and concluded on 12/18/2023 from 10:00 AM to 1:15 PM. There were 67 children present, ranging in ages from infants to five, with 12 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of six children?s records and the five staff?s records were reviewed.
Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
Standard 8VAC20-780-130-A
Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The start date for child 1 was documented as 3/7/22. The documentation of immunizations in child 1's file was dated 6/14/23.
2. The start date for child 2 was documented as 1/20/23. The documentation of immunizations in child 1's file was dated 1/26/23.
3. The start date for child 4 was documented as 8/28/23. The documentation of immunizations in child 4's file was dated 11/1/23.
Plan of Correction: In the future the administration will ensure immunization records are obtained prior to the first date of attendance.
Standard 8VAC20-780-140-A
Based on record review, the center failed to obtain documentation of a physical examination before the child's attendance; or within 30 days after the first day of attendance.
Evidence:
1. The start date for child 3 was documented as 8/28/23. The documentation of physical examination in child 3's file was dated 10/6/23.
2. The start date for child 4 was documented as 8/28/23. The documentation of physical examination in child 4's file was dated 11/1/23.
Plan of Correction: In the future documentation of physicals will be required before the first date of attendance.
Standard 8VAC20-780-160-A
(REPEAT VIOLATION) Based on record review, the center failed to ensure each staff member submitted documentation of a negative tuberculosis (TB) screening that was completed within the last 30 days of the date of employment.
Evidence:
The TB documentation for staff 2 is dated 11/11/22. The start date for staff 2 is documented as 3/15/23.
Plan of Correction: Staff 2 will be required to provide an updated TB screening. In the future administration will review TB documentation more closely.
Standard 8VAC20-780-160-C
Based on record review, the center failed to ensure each staff member submit a follow-up tuberculosis (TB) screening at least every two years from the date of the previous test or screening.
Evidence:
The documentation for the TB for staff 1 is dated 11/14/2021.
Plan of Correction: Staff 1 will be required to obtain an updated TB screening. In the future administration will ensure TB screenings are updated every two years as required.
Standard 8VAC20-780-260-B
Based on record review and interview, the center failed to ensure an annual approval from the health department was provided.
Evidence:
The center provided documentation of the most recent health inspection which was dated 12/21/2021.
Plan of Correction: A health inspection has been scheduled for 1/8/23. In the future the director will ensure the health inspection is conducted yearly.
Standard 8VAC20-780-60-A
Based on record review and interview, the center failed to obtain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Evidence:
1. The record for child 2, start date 1/20/23, only contained one emergency contact that was not the parents.
2. The director verified they did not have any other emergency contacts for child 2.
Plan of Correction: An additional emergency contact will be obtained for child 2. In the future the administration will ensure that the parents are not listed as two of the three emergency contacts the facility obtains.