Inspection · 2022-09-29
Date
2022-09-29
Complaint Related
Yes
Licensing Inspector
Tiffany Jones
(757) 403-3045
(757) 403-3045
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 PHYSICAL PLANT
8VAC20-780 PROGRAMS.
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES.
8VAC20-780 SPECIAL SERVICES.
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and an in person tour of the program.
A complaint inspection was initiated on September 29, 2022 and concluded on October 11, 2022. There were 8 children present, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, programming, special care and emergencies and nutrition. A total of 2 child records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
The complaint was determined valid.
Violations
6Standard 8VAC20-780-150-B
Based on record review and staff interviews, the licensee did not ensure the immunization for enrolled children had all required information.
Evidence: The record for child #1 did not include an immunization record that was signed by a physician, his designee, or an official of a local health department.
Evidence: The record for child #1 did not include an immunization record that was signed by a physician, his designee, or an official of a local health department.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Based on staff interviews and observation, the licensee did not ensure that the area underneath and surrounding equipment that requires a resilient surface must meet the required amount.
Evidence: During inspection on 9-29-2022 the resilient surfacing for the yellow slide and green slide measures less than 1 inch at the base of both slide chutes and around the fall zone for both slides. Based on the height of the yellow slide (measures 21 inches) and the height of the green slide (measures 23 inches) the slides are required to have at a minimum of 6 inches of resilient surfacing.
Evidence: During inspection on 9-29-2022 the resilient surfacing for the yellow slide and green slide measures less than 1 inch at the base of both slide chutes and around the fall zone for both slides. Based on the height of the yellow slide (measures 21 inches) and the height of the green slide (measures 23 inches) the slides are required to have at a minimum of 6 inches of resilient surfacing.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-400-C
Based on staff interviews, the licensee did not ensure that when time out is used as a behavior guidance technique that it shall not be used with infants or toddlers.
Evidence: During inspection on 9-29-2022 Center staff verified that time out is used for the toddler?s and said ?they sit for 1 to 2 minutes by themselves somewhere in the room?. Center documentation dated September 26, 2022 states ?we put (child #2) in time out because she keeps hitting other children?. Child #2 was age 23 months on September 26, 2022.
Evidence: During inspection on 9-29-2022 Center staff verified that time out is used for the toddler?s and said ?they sit for 1 to 2 minutes by themselves somewhere in the room?. Center documentation dated September 26, 2022 states ?we put (child #2) in time out because she keeps hitting other children?. Child #2 was age 23 months on September 26, 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Based on observation and staff interviews, the licensee did not ensure children's hands are washed with soap and running water after toiletings and staff wash their hands with soap and running water before and after a diaper change.
Evidence: During inspection on 9-29-2022 Staff #3 was observed conducting a diaper change for child #3. After the diaper change was completed Staff #3 did not wash their hands nor did they ensure child #3 washed their hands. This was confirmed by Staff #3.
Evidence: During inspection on 9-29-2022 Staff #3 was observed conducting a diaper change for child #3. After the diaper change was completed Staff #3 did not wash their hands nor did they ensure child #3 washed their hands. This was confirmed by Staff #3.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation and staff interviews, the licensee did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.
Evidence: During inspection on 9-29-2022 Staff #3 was observed conducting a diaper change and the diaper pad was only sprayed with a sanitizing solution and immediately wiped down. The diaper pad was not sanitized as it is required to sit for two minutes or air dry after sprayed with a sanitizing solution. The diaper pad was also not cleaned with a soap and water solution as required.
Evidence: During inspection on 9-29-2022 Staff #3 was observed conducting a diaper change and the diaper pad was only sprayed with a sanitizing solution and immediately wiped down. The diaper pad was not sanitized as it is required to sit for two minutes or air dry after sprayed with a sanitizing solution. The diaper pad was also not cleaned with a soap and water solution as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-F
Based on observation and staff interviews, the licensee did not ensure to follow the guidelines when they choose to provide meals and snacks.
Evidence: The following items were determined insufficient during inspection on 9-29-2022. 1. The menu monthly menu dated September 26, 2022 until October 14, 2022 did not list afternoon snack. Center owner confirmed afternoon snack is provided and served by the center.
2. The center did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Center staff confirmed juice was served with lunch on 9-29-2022 instead of milk. The monthly menu dated September 26, 2022 until October 14, 2022 list ?milk/juice/water? is served with lunch. Center staff confirmed that ?sometimes they serve juice or water instead of milk?. Milk is required to be served with lunch.
Evidence: The following items were determined insufficient during inspection on 9-29-2022. 1. The menu monthly menu dated September 26, 2022 until October 14, 2022 did not list afternoon snack. Center owner confirmed afternoon snack is provided and served by the center.
2. The center did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Center staff confirmed juice was served with lunch on 9-29-2022 instead of milk. The monthly menu dated September 26, 2022 until October 14, 2022 list ?milk/juice/water? is served with lunch. Center staff confirmed that ?sometimes they serve juice or water instead of milk?. Milk is required to be served with lunch.
Plan of Correction: Not available online. Contact Inspector for more information.