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Little Light House Care

Inspection · 2024-09-16

Date
2024-09-16
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Inspector Notes

An unannounced, on-site renewal inspection was conducted on September 16, 2024. The on-site inspection began at 2:00 pm and ended at 3:35 pm. The inspector reviewed compliance in the areas listed above. There were 17 children present and 3 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

6
Standard 22.1-289.035-B-1
Based on review, facility did not ensure 1 of 5 staff have a required background check completed prior to beginning employment.

Evidence: The record for staff #3 (start date 8/27/2024) did not have a sworn statement or affirmation.
Plan of Correction: Sworn statement or affirmation will be completed by staff today.
Standard 22.1-289.035-B-3
Based on review, facility did not ensure a central registry search is complete prior to beginning employment. Documentation of submission prior to beginning employment was not completed to allow for a provisional hire.

Evidence: The record for staff #2 (start date 8/26/2024) did not have a central registry search. Director stated there was not documentation available that the background check was submitted prior to hire.
Plan of Correction: In the future, staff will maintain documentation of date background checks are submitted.
Standard 22.1-289.035-B-4
Based on review, facility did not ensure out of state background checks are completed for an individual that has lived outside the state of Virginia within the past 5 years.

Evidence: The record for staff #4 (start date 8/30/2024) has documentation of living the outside the state of Virginia within the past 5 years and background checks were not completed for that state.
Plan of Correction: Background checks for that state will be submitted today.
Standard 8VAC20-780-160-B
Based on review, facility did not ensure 1 of 5 staff have documentation of a negative tuberculosis signed by a physician, designee or health department official.

Evidence: The record for staff #3 had documentation of a negative tuberculosis screening but it was not signed by a physician, designee or health department official.
Plan of Correction: Staff will go after work today to have documentation signed.
Standard 8VAC20-780-560-F
Based on observation, facility did not ensure when meals or snacks are provided, the menu dated for the current week is posted.

Evidence: The menu posted was dated 9/3/2024 - 9/13/2024 which is not the current week.
Plan of Correction: Current menu will be posted today.
Standard 8VAC20-780-80-A
Based on observation and review, facility did not ensure there is a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: The attendance sheet was not accurate in 1 of 2 groups of children. The 3's and 4's group had 9 present however 10 was noted in attendance.
Plan of Correction: Director will talk to staff today about documenting when children coming in and out of classrooms.
View original record on Virginia Department of Social Services