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Smiling Faces Daycare

Inspection · 2024-11-20

Date
2024-11-20
Complaint Related
Yes
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
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 Staffing and Supervision.

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced inspection was initiated on 11/20/24 and completed on 12/27/24 in response to a complaint received by the licensing office on 10/30/24 relating to allegations of supervision. The inspector reviewed three children?s records and three staff records electronically. This inspection included document review, interviews, and observations. The preponderance of evidence gathered during the investigation supports the allegation; therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 1/7/24. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
The sworn statement for Staff #1 (employed for two weeks) was dated one day after their first day of employment.
Plan of Correction: Onboarding policies are being reviewed for clarity. Staff will receive training on compliance requirements. Additional checks will ensure all documents are completed before employment begins by the director and administrator assistant.
Standard 22.1-289.035-B-2
The center must obtain a completed national criminal background check prior to the employee's first day of employment.
The record for Staff #1 did not have a completed national criminal background check. The criminal background check for Staff #3 was completed four months after the employee?s first day of employment. Both staff members were observed working on the day of the inspection.
Plan of Correction: We have reviewed and are currently enforcing policies requiring completed
background checks before employment begins. HR and administrative staff have
undergone additional training on pre-employment compliance requirements.
A tracking system has been implemented to ensure all background checks are
completed before any employee?s first day of work.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.
The record for Staff #1 (employed for two weeks) did not contain a central registry search request.
Plan of Correction: Staff #1 has been terminated immediately due to her inability to provide additional required documentation for employment. Onboarding procedures are being
updated to ensure compliance with this requirement.
Standard 8VAC20-780-160-A
The [tuberculosis] documentation shall have been completed within the last 30 calendar days of the date of employment.
The tuberculosis (TB) results in the record of Staff #1 (employed for two weeks) show that the TB test was not completed within 30 calendar days of their date of employment.
Plan of Correction: To ensure adherence to this requirement, all employee files have been audited
in accordance with the state's compliance in regard to the TB documentation. Hiring procedures have been updated to mandate verification of TB documentation
before an employee?s start date.
Standard 8VAC20-780-350-C
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.
On 10/29/24, one staff member was observed outside with 12 children. The youngest child in the group was 16 months, requiring the ratio to be 1:5. During an inspection on 11/20/24, the inspector observed one teacher alone for approximately six minutes, with six children. The youngest child in the group was seven months, requiring the ratio to be 1:4.
Plan of Correction: All staff members have had training to ensure compliance with ratio requirements, especially in mixed-age groups. Policies for maintaining appropriate ratios at all times are being reviewed and reinforced. Supervisory checks have been
increased to ensure adherence to ratios during all activities.
Standard 8VAC20-780-70
All the required information shall be kept for each staff person.
The record for Staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The documentation of references in the record of Staff #2 show that the staff member?s references were not checked before employment; the references were checked four months after their date of hire.
Plan of Correction: Reference checks for Staff #2 have been completed and properly documented in their records. Staff #1 has been terminated immediately due to her inability to provide additional required documentation for employment.