Inspection · 2022-07-13
Date
2022-07-13
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on July 13, 2022, from 12:20 to approximately 3:25pm. There were 36 children present and seven staff members. The Inspector reviewed five children?s records and five staff records. The Inspectors observed the interaction of staff and children throughout the inspection. Children were observed during free play, bottle feeding, and naptime. First aid kits and emergency preparedness documents were observed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the program director and assistant director at the exit interview.
Violations
9Standard 8VAC20-780-245-J-3
Based on record review and interview, it was determined that the center did not ensure that any child for whom emergency medications (such as albuterol and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements in subdivision 1 and is appropriate trained to administer medications.
Evidence:
1. Staff #1 is the only MAT certified staff member in the center and the certification expired on January 27, 2021.
2. Child #1 has emergency medication at the center and was present at the center during the time of the inspection.
3. Staff #1, owner, confirmed that their MAT certification was not renewed and there was no other MAT certified staff members able to administer the medication.
Evidence:
1. Staff #1 is the only MAT certified staff member in the center and the certification expired on January 27, 2021.
2. Child #1 has emergency medication at the center and was present at the center during the time of the inspection.
3. Staff #1, owner, confirmed that their MAT certification was not renewed and there was no other MAT certified staff members able to administer the medication.
Plan of Correction: The center responded with the following: Staff #1 will renew their MAT certification and will have additional staff members certified to administer medication
Standard 8VAC20-780-270-A
Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence:
1. 10 of the 12 cribs have loose fitting crib sheets that pose as a suffocation hazard to the infants. The cribs are assigned to children in care that were present at the time of the inspection.
2. Staff #1 confirmed the crib sheets were loose fitted on the mattresses.
1. 10 of the 12 cribs have loose fitting crib sheets that pose as a suffocation hazard to the infants. The cribs are assigned to children in care that were present at the time of the inspection.
2. Staff #1 confirmed the crib sheets were loose fitted on the mattresses.
Plan of Correction: The center responded with the following: The center will speak to the parents about crib sheets and will also purchase additional crib sheets that fit appropriately to their sized mattresses.
Standard 8VAC20-780-280-B
Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. In the toddler room, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on a counter accessible to children.
2. In the toddler diaper changing area, there was a tube of diaper cream, in reach of children.
3. In the infant changing area, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on top of the cabinet.
4. Staff #1 confirmed the aerosol air fresheners were unlocked and accessible to children.
Evidence:
1. In the toddler room, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on a counter accessible to children.
2. In the toddler diaper changing area, there was a tube of diaper cream, in reach of children.
3. In the infant changing area, there was an aerosol air freshener with the warning label, ?Keep out of reach of children,? on top of the cabinet.
4. Staff #1 confirmed the aerosol air fresheners were unlocked and accessible to children.
Plan of Correction: The center responded with the following: The center will ensure that all hazardous substances are locked and out of reach of children.
Standard 8VAC20-780-330-F
Based on observation and interview, it was determined that the center did not ensure a shady area be provided on playgrounds during the months of June, July, and August.
Evidence:
1. In observation of the playground during the month of July, there was no shady area on the playground.
2. Staff #1 confirmed there was shady area on the playground.
Evidence:
1. In observation of the playground during the month of July, there was no shady area on the playground.
2. Staff #1 confirmed there was shady area on the playground.
Plan of Correction: The center responded with the following: Staff #1 will add a shady area on the playground during the required months of the summer.
Standard 8VAC20-780-440-L
Based on observation and interview, it was determined that the center did not ensure that in cribs that pillows and filled comforters not be used by children under two years of age.
Evidence:
1. A crib was assigned to a 4 month old child was observed with a pillow inside the crib.
2. Staff #1 confirmed an infant child, age 4 months, is using the pillow in their crib.
3. Blankets were observed in 10 of the 12 cribs observed in the facility.
4. Staff #1 confirmed blankets are used in the cribs when the infant children sleep.
Evidence:
1. A crib was assigned to a 4 month old child was observed with a pillow inside the crib.
2. Staff #1 confirmed an infant child, age 4 months, is using the pillow in their crib.
3. Blankets were observed in 10 of the 12 cribs observed in the facility.
4. Staff #1 confirmed blankets are used in the cribs when the infant children sleep.
Plan of Correction: The center responded with the following: The center will no longer used pillows or filled comforters/blankets in the cribs.
Standard 8VAC20-780-550-H
Based on record review and interview, it was determined that the center did not ensure that the center maintain a record of the dates of the practice drills for one year. For centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts.
Evidence:
1. The last practice fire drill documented is dated March 28, 2022.
2. The practice drills for the past year have been conducted at the same times during the 10am hour.
3. Staff #1 confirmed the last documented drill was in March 2022 and that all drills were completed at the same 10am hour.
Evidence:
1. The last practice fire drill documented is dated March 28, 2022.
2. The practice drills for the past year have been conducted at the same times during the 10am hour.
3. Staff #1 confirmed the last documented drill was in March 2022 and that all drills were completed at the same 10am hour.
Plan of Correction: The center responded with the following: The center will document the drills monthly and have the practice drills at different times and shifts while children are in care.
Standard 8VAC20-780-560-G
Based on observation and interview, it was determined that the center did not ensure that when food is brought from home the food container be dated and labeled in a way that identifies the owner.
Evidence:
1. Of the 36 children in care, there were no names or dates to the children?s bottles and cups throughout the center.
2. Staff #1 confirmed that names and dates are not on bottles and cups that are brought from home.
Evidence:
1. Of the 36 children in care, there were no names or dates to the children?s bottles and cups throughout the center.
2. Staff #1 confirmed that names and dates are not on bottles and cups that are brought from home.
Plan of Correction: The center responded with the following: The center will label all bottles and cups that identifies the owner.
Standard 8VAC20-780-570-A
Based on observation and interview, it was determined that the center did not ensure that when a child is placed in a high chair the protective belt be fastened securely.
Evidence:
1. Three children in the infant room were sitting at the feeding table without safety straps fastened.
2. A child in the infant room was sitting in a high chair without a fastened safety strap.
3. Staff #1 and Staff #2 confirmed that the children in the infant room did not have their safety straps fastened when in a high chair or feeding table.
Evidence:
1. Three children in the infant room were sitting at the feeding table without safety straps fastened.
2. A child in the infant room was sitting in a high chair without a fastened safety strap.
3. Staff #1 and Staff #2 confirmed that the children in the infant room did not have their safety straps fastened when in a high chair or feeding table.
Plan of Correction: The center responded with the following: The straps were immediately placed and fastened during the time of the inspection. The center will ensure that all children when in a high chair or feeding table are appropriately strapped safety with the seat buckle fastened.
Standard 8VAC20-780-70
Based on record review and interview, it was determined that the center did not ensure that there is documentation that two or more references were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include: a. Dates of contact; b. Names of persons contacted; c. The firms contacted; d. Results; and e. Signature of person making call.
Evidence:
1. Four of the five records reviewed did not have reference checks documented.
a. Staff #2 (date of hire: 11/2/20) has no documented reference checks in their record.
b. Staff #3 (date of hire: 3/30/22) has no documented reference checks in their record.
c. Staff #4 (date of hire: 6/24/22) has no documented reference checks in their record.
d. Staff #5 (date of hire: 6/27/22) has no documented reference checks in their record.
2. Staff #1, owner, confirmed reference checks were not documented in staff record.
Evidence:
1. Four of the five records reviewed did not have reference checks documented.
a. Staff #2 (date of hire: 11/2/20) has no documented reference checks in their record.
b. Staff #3 (date of hire: 3/30/22) has no documented reference checks in their record.
c. Staff #4 (date of hire: 6/24/22) has no documented reference checks in their record.
d. Staff #5 (date of hire: 6/27/22) has no documented reference checks in their record.
2. Staff #1, owner, confirmed reference checks were not documented in staff record.
Plan of Correction: The center responded with the following: Staff #1 will document reference checks in their records when references are obtained by phone.