Inspection · 2022-11-01
Date
2022-11-01
Complaint Related
No
Licensing Inspector
Tara Barton
(804) 381-8487
(804) 381-8487
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
X 8VAC20-780 Administration.
X 8VAC20-780 Staff Qualifications and Training.
X 8VAC20-780 Physical Plant.
X 8VAC20-780 Staffing and Supervision.
X 8VAC20-780 Programs.
X 8VAC20-780 Special Care Provisions and Emergencies
X 8VAC20-780 Special Services.
X 8VAC20-820 THE LICENSE.
X 8VAC20-820 THE LICENSING PROCESS.
X 8VAC20-820 HEARINGS PROCEDURES.
X 8VAC20-770 Background Checks
X 20 Access to minor?s records
X 22.1 Early Childhood Care and Education
X 63.2 Child Abuse & Neglect
Inspector Notes
An unannounced renewal inspection was conducted on 11/01/2022. The inspector was on site at the center from approximately 10:25am to 2:17pm. There were 11 children in attendance and a total of 6 staff present. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The center?s van, playground and all classrooms were inspected today. Five children?s records and five employee records were reviewed during this inspection. The center does not administer medication. There were violations found during today?s inspection. See the violation notice for more details.
If you have any questions regarding this inspection, please contact the licensing inspector at (804) 929-3771.
Violations
7Standard 8VAC20-770-60-C-2
Based on record review, the provider did not ensure one of five staff records had documentation of central registry results within 30 days of employment.
Evidence:
The record of staff #2 (employment date: 9/19/2022) did not have documentation of central registry results.
Evidence:
The record of staff #2 (employment date: 9/19/2022) did not have documentation of central registry results.
Plan of Correction: 1. Staff # 2 central registry was sent 1 day after hiring. In future the central
registries will be sent as soon as it is confirmed the employee will be hired. In
addition to being more consistent with following up with OBI so the central
registry can be received within the 30-day timeframe. This will be maintained by
the center director.
registries will be sent as soon as it is confirmed the employee will be hired. In
addition to being more consistent with following up with OBI so the central
registry can be received within the 30-day timeframe. This will be maintained by
the center director.
Standard 8VAC20-780-130-A
Based on record review, the center did not ensure one of five children?s records had documentation of immunizations prior to the child's enrollment.
Evidence:
The record of child #2 (enrollment date: 4/11/2022) did not have documentation of the child?s immunizations.
Evidence:
The record of child #2 (enrollment date: 4/11/2022) did not have documentation of the child?s immunizations.
Plan of Correction: 2. Child #2 will have updated immunization records on 11/11/22. The center director
has made a new checklist to indicate what is needed on day one of
registration. No one will be permitted to start without immunization records. The
center director will manage this task.
has made a new checklist to indicate what is needed on day one of
registration. No one will be permitted to start without immunization records. The
center director will manage this task.
Standard 8VAC20-780-140-A
Based on record review, the center did not ensure two of five children?s records had documentation of a physical exam within 30 days of enrollment.
Evidence:
1. The record of child #4 (enrollment date: 8/15/2022) did not have documentation of a physical exam.
2. The record of child #3 (enrollment date: 4/6/2021) had documentation of a physical exam dated 5/20/2021.
Evidence:
1. The record of child #4 (enrollment date: 8/15/2022) did not have documentation of a physical exam.
2. The record of child #3 (enrollment date: 4/6/2021) had documentation of a physical exam dated 5/20/2021.
Plan of Correction: 3. Child # 4 has an upcoming physical 11/15/22. Moving forward, those whose
parents have not submitted a physical examination to the center will be
disenrolled on the 30 th day. A system has been created to remind us 14, 7,3, and
1 day of their approaching deadline. As a backup, the date will be written on the
calendar to remind staff. The center director will be responsible for making sure
this compliance is done.
parents have not submitted a physical examination to the center will be
disenrolled on the 30 th day. A system has been created to remind us 14, 7,3, and
1 day of their approaching deadline. As a backup, the date will be written on the
calendar to remind staff. The center director will be responsible for making sure
this compliance is done.
Standard 8VAC20-780-290-A-3
Based on observation the center did not ensure electrical outlets had protective covers in areas used by children of preschool age or younger.
Evidence:
1. The two year old classroom had two uncovered electrical outlets located on an extension cord within the reach of children in care.
2. The two year old diapering area had an uncovered electrical outlet.
Evidence:
1. The two year old classroom had two uncovered electrical outlets located on an extension cord within the reach of children in care.
2. The two year old diapering area had an uncovered electrical outlet.
Plan of Correction: All uncovered sockets have been covered. The extension cord has been
removed as well. Going forward making sure sockets are covered has been
added to the end of the day cleaning check off list. It will be checked at the start,
during and at the end of the day. All staff are responsible for this task as it is a
team effort.
removed as well. Going forward making sure sockets are covered has been
added to the end of the day cleaning check off list. It will be checked at the start,
during and at the end of the day. All staff are responsible for this task as it is a
team effort.
Standard 8VAC20-780-430-B
Based on observation, the center did not ensure materials and equipment available to the two year old children were age and stage appropriate.
Evidence:
The two year old children were observed playing with several small toys approximately ? inch wide by 1 inch long which presented a choking hazard.
Evidence:
The two year old children were observed playing with several small toys approximately ? inch wide by 1 inch long which presented a choking hazard.
Plan of Correction: All toys in the two-year-old room that were not stage and age appropriate were
removed from the classroom. In the future the center director and staff will
recognize that toys should be large enough, at least 1?' (3 centimeters) in
diameter and 2?' (6 centimeters) in length so that they can't be swallowed or
lodged in the windpipe. In addition to completely reading the manufacturer?s
instructions, a small-parts tester been purchased to determine if a toy is too
small. The tester is designed to be about the same diameter as a child's
windpipe. If an object fits inside the tube, then it's too small for a young child.
removed from the classroom. In the future the center director and staff will
recognize that toys should be large enough, at least 1?' (3 centimeters) in
diameter and 2?' (6 centimeters) in length so that they can't be swallowed or
lodged in the windpipe. In addition to completely reading the manufacturer?s
instructions, a small-parts tester been purchased to determine if a toy is too
small. The tester is designed to be about the same diameter as a child's
windpipe. If an object fits inside the tube, then it's too small for a young child.
Standard 8VAC20-780-530-A
Based on record review and an interview, the center did not ensure at least one staff in each classroom or area where children are present have current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training should include an in-person competency demonstration.
Evidence:
1. The infant, toddler, and preschool groups did not have at least one staff supervising with a current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.
2. The center director stated that the supervising staff completed an online first aid and CPR training which did not include an in-person competency demonstration.
Evidence:
1. The infant, toddler, and preschool groups did not have at least one staff supervising with a current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.
2. The center director stated that the supervising staff completed an online first aid and CPR training which did not include an in-person competency demonstration.
Plan of Correction: CPR recertifications will no longer be taken online. In the future the center
director will ensure the entire staff will have CPR/AED training from American Red
Cross, American Heart Association, American Safety and Health Institute, or National Safety
Council. The training will include an in-person competency demonstration. The new training has
been scheduled for 11/19/2022.
director will ensure the entire staff will have CPR/AED training from American Red
Cross, American Heart Association, American Safety and Health Institute, or National Safety
Council. The training will include an in-person competency demonstration. The new training has
been scheduled for 11/19/2022.
Standard 8VAC20-780-580-C
Based on record review, the center did not ensure to maintain all required emergency information documentation as specified in 8VAC20-780-550-I and K.
Evidence:
The center?s vehicle did not have documentation of the following: 911 or local dial number for police, fire and emergency medical services, the number of the regional poison control, potential shelters, hospitals, evacuation routes that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools.
Evidence:
The center?s vehicle did not have documentation of the following: 911 or local dial number for police, fire and emergency medical services, the number of the regional poison control, potential shelters, hospitals, evacuation routes that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools.
Plan of Correction: The centers? vehicle has updated its binder to include 911 and local dial numbers for
police, fire and emergency medical services, poison control, potential shelters, and the hospital.
A transportation log has also been created to include who, what, when and where the children
were dropped off and picked up to and from school. Routes and alternate routes have also been
included in the binder. The center director will maintain these records.
police, fire and emergency medical services, poison control, potential shelters, and the hospital.
A transportation log has also been created to include who, what, when and where the children
were dropped off and picked up to and from school. Routes and alternate routes have also been
included in the binder. The center director will maintain these records.