Inspection · 2024-05-22
Date
2024-05-22
Complaint Related
No
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 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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was started in the center on May 22, 2024 from 12:55 PM until 3:20 PM and concluded on May 23, 2024. At the time of entrance, 13 children were in care with 4 staff members. The sample size consisted of 5 childrens records and 5 staff records. Children were observed during rest period, eating preparing for and eating snack and playing freely.
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.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Violations:
Violations
9Standard 8VAC20-780-245-J-3
Based on observation and staff interviews, the licensee did not ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member.
Evidence: Child #1, who has an (Epi-Pin) was observed at the center and there was not a person at the center who was trained to administer the emergency medication. Staff #5 confirmed they were the only trained staff working at the center during the inspection and they had left for a lunch break.
Evidence: Child #1, who has an (Epi-Pin) was observed at the center and there was not a person at the center who was trained to administer the emergency medication. Staff #5 confirmed they were the only trained staff working at the center during the inspection and they had left for a lunch break.
Plan of Correction: Staff will be train to use Epi-pen
Standard 8VAC20-780-245-L
Based on observation and staff interviews, the licensee did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children
Evidence. Staff #5 confirmed they are the only person trained in DHO during the inspection and they were not at the center when the Licensing Inspector arrived.
Evidence. Staff #5 confirmed they are the only person trained in DHO during the inspection and they were not at the center when the Licensing Inspector arrived.
Plan of Correction: Alll staff will be train in Daily health observation.
Standard 8VAC20-780-40-J
Based on center documentation review and staff interview the licensee did not ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.
Evidence: Staff #5 confirmed they did not have an updated injury prevention plan.
Evidence: Staff #5 confirmed they did not have an updated injury prevention plan.
Plan of Correction: Current injury prevention is updated
Standard 8VAC20-780-450-A
Based on observation and staff interview, the licensee did not ensure cots/mats used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.
Evidence: Three out of thirteen children were observed sleeping without a second cover (top pr bottom).
Evidence: Three out of thirteen children were observed sleeping without a second cover (top pr bottom).
Plan of Correction: All children over the age of one have top and bottom cover
Standard 8VAC20-780-550-P
Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information.
Evidence: Five injury reports reviewed and were missing information to include the
future action to prevent injury, the date, time and how the parent was notified of the injury.
Evidence: Five injury reports reviewed and were missing information to include the
future action to prevent injury, the date, time and how the parent was notified of the injury.
Plan of Correction: The injury report document has been updated
Standard 8VAC20-780-560-F
Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks .
Evidence: Potato chips were served as the afternoon snack to the toddlers, two year old and preschool children and therefore the snack did not meet the USDA guidelines. As required two food groups shall be served as snack and food items shall meet the USDA requirements.
Evidence: Potato chips were served as the afternoon snack to the toddlers, two year old and preschool children and therefore the snack did not meet the USDA guidelines. As required two food groups shall be served as snack and food items shall meet the USDA requirements.
Plan of Correction: Staff has been train to meet the USDA guidelines
Standard 8VAC20-780-560-J
Repeat
Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding.
Evidence:
1. Three infants were observed eating snack in highchairs and the three highchair trays were not sanitized before or after use.
2.Toddlers were observed eating snack at a table and it was not sanitized prior to eating.
Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.
Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding.
Evidence:
1. Three infants were observed eating snack in highchairs and the three highchair trays were not sanitized before or after use.
2.Toddlers were observed eating snack at a table and it was not sanitized prior to eating.
Sanitized is defined as sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.
Plan of Correction: All staff was retrained on how to clean and sanitize the tables and high chairs.
Standard 8VAC20-780-60-A
Repeat
Based on record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained all required information.
Evidence: Staff #5 verified the following missing items from the childrens records.
1.The record for Child #1 did not include the name, home address, employment location or employment phone number for one parent listed.
2. The record for Child #2 did not include home address, employment location or employment phone number for one parent listed.
Based on record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained all required information.
Evidence: Staff #5 verified the following missing items from the childrens records.
1.The record for Child #1 did not include the name, home address, employment location or employment phone number for one parent listed.
2. The record for Child #2 did not include home address, employment location or employment phone number for one parent listed.
Plan of Correction: This application was done through Brightwheel and the parent filling out the application listed dad only as an Emergency Contact. The only 2 question thats ask are only for the phone number and address of the emergency contact person listed and that is filled out child#1 info was updated. Child #2 info was updated
Standard 8VAC20-780-70
Repeat
Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation.
Evidence: Staff #5 verified the following missing items from the staff records;
1.Staff #1 and staff #4 did not have a copy of their diploma/transcripts.
2. Staff #2 did not have documentation of two references conducted prior to hire and Staff #3 did not have documentation of the 2nd required reference.
Based on record review and staff interviews, the licensee did not ensure each staff record contained all required documentation.
Evidence: Staff #5 verified the following missing items from the staff records;
1.Staff #1 and staff #4 did not have a copy of their diploma/transcripts.
2. Staff #2 did not have documentation of two references conducted prior to hire and Staff #3 did not have documentation of the 2nd required reference.
Plan of Correction: Staff files will be updated