Inspection · 2022-04-29
Date
2022-04-29
Complaint Related
No
Licensing Inspector
Mahrukh Aziz
(571) 835-4718
(571) 835-4718
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
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
Today an unannounced monitoring inspection took place between the hours of 9:45 a.m. and 12:45 p.m. There were 9 classrooms observed with a total of 107 children with 17 staff within the supervision guidelines. The children were observed playing on the playground, participating in circle time, eating lunch, preparing for nap and other organized activities. The lunch menu included beans, rice, salad, fruit, tortillas and milk. A complete inspection of the physical plant was conducted. Emergency drill logs, medications and emergency procedures were reviewed during this inspection. 4 staff records and 4 children?s 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. If you have any questions, please contact me at 571-835-4718 or
mahrukh.aziz@doe.virginia.gov. Thank you for your cooperation during the inspection.
Violations
10Standard 22.1-289.035-B-4
Based on staff records review and staff interview, the center did not obtain the results of an out of state child abuse and neglect registry for an employee within 45 days of employment, and results of an out of state sex offender registry check from any state in which an employee has resided in the preceding five years, prior to the first day of employment.
Evidence:
1. Staff # 2's first day of employment 12/06/2021.
2. Staff # 2?s records indicated that she resided in New Jersey within the last 5 years.
2. Staff #3 stated that the central registry search for New Jersey for Staff # 2 was not submitted.
3. Staff #3 stated that the sex offender registry search for New Jersey for Staff #2 was not completed.
Evidence:
1. Staff # 2's first day of employment 12/06/2021.
2. Staff # 2?s records indicated that she resided in New Jersey within the last 5 years.
2. Staff #3 stated that the central registry search for New Jersey for Staff # 2 was not submitted.
3. Staff #3 stated that the sex offender registry search for New Jersey for Staff #2 was not completed.
Plan of Correction: We have submitted staff central registry search for New Jersey. We have submitted staff sex offender registry for New Jersey.
Standard 8VAC20-770-60-B
Based on staff record review, a staff member was employed before the center had their completed sworn statement.
Evidence:
1. Staff #1?s first day of employment 12/13/2021.
2. Staff # 1?s sworn statement was incomplete as it did not include the date of completion.
Evidence:
1. Staff #1?s first day of employment 12/13/2021.
2. Staff # 1?s sworn statement was incomplete as it did not include the date of completion.
Plan of Correction: We will have staff members do sworn statement and ensure that it is signed and dated when it is complete.
Standard 8VAC20-780-210-A-4-b
Based on staff records review, not all lead teachers met the required qualifications for the job position.
Evidence:
1. Staff # 1?s first day of employment 12/13/2021.
2. Staff #1 did not complete 24 hours of training within 6 months one month after beginning work.
Evidence:
1. Staff # 1?s first day of employment 12/13/2021.
2. Staff #1 did not complete 24 hours of training within 6 months one month after beginning work.
Plan of Correction: We will ensure that staff complete the 24 hours of training.
Standard 8VAC20-780-240-C
Based on staff records review, orientation training for all staff did not include all required topics.
Evidence:
1. Orientation for Staff #1 (date of hire: 12/13/21) did not include prevention of sudden infant death syndrome, use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma.
2. Orientation for Staff #2 (date of hire: 12/6/21) did not include prevention of sudden infant death syndrome and use of safe sleep practices and prevention of shaken baby syndrome and abusive head trauma.
Evidence:
1. Orientation for Staff #1 (date of hire: 12/13/21) did not include prevention of sudden infant death syndrome, use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma.
2. Orientation for Staff #2 (date of hire: 12/6/21) did not include prevention of sudden infant death syndrome and use of safe sleep practices and prevention of shaken baby syndrome and abusive head trauma.
Plan of Correction: We will ensure that staff completes all necessary orientation trainings, which includes, prevention of sudden infant death syndrome, use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, within the appropriate timeframe.
Standard 8VAC20-780-240-E
Based on staff records review, all staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR) within 30 days of the first day of employment.
Evidence:
1. Staff #1 (date of hire: 12/13/21) did not complete orientation in first aid and CPR within first 30 days of employment.
2. Staff #2 (date of hire: 12/6/21) did not complete orientation in first aid and CPR within first 30 days of employment.
Evidence:
1. Staff #1 (date of hire: 12/13/21) did not complete orientation in first aid and CPR within first 30 days of employment.
2. Staff #2 (date of hire: 12/6/21) did not complete orientation in first aid and CPR within first 30 days of employment.
Plan of Correction: We will ensure that staff completed First Aid and CPR orientation within their first 30 days of employment.
Standard 8VAC20-780-270-A
Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.
Evidence:
1. Chipped paint was observed in multiple areas on the wall in the 3 ? year old classroom on the second floor.
2. Splintering wood was observed on a storage shelf in the Pre-K 1 classroom.
3. A bin was missing in a play sink causing an entrapment risk, in the 3 ? year old classroom on the third floor.
Evidence:
1. Chipped paint was observed in multiple areas on the wall in the 3 ? year old classroom on the second floor.
2. Splintering wood was observed on a storage shelf in the Pre-K 1 classroom.
3. A bin was missing in a play sink causing an entrapment risk, in the 3 ? year old classroom on the third floor.
Plan of Correction: We have scheduled a maintenance appointment to ensure the wall in the 31/2 year old classroom is repainted. We have removed the storage shelf with splintering wood from the Pre-K-1 classroom.
Standard 8VAC20-780-440-E
Based on observation, the occupied rest mats were not at least 12 inches apart.
Evidence:
1. In the 2 ? year old classroom, 2 occupied rest mats were touching at the ends.
2. In the 2 ? year old classroom, 2 occupied rest mats were only 4 inches apart.
Evidence:
1. In the 2 ? year old classroom, 2 occupied rest mats were touching at the ends.
2. In the 2 ? year old classroom, 2 occupied rest mats were only 4 inches apart.
Plan of Correction: We have provided each classroom with a ruler to ensure that the rest mats are 12 inches apart as required.
Standard 8VAC20-780-450-A
Based on observation and staff interview, all occupied rest mats did not have linens consisting of a top cover and a bottom cover.
Evidence:
1. One child was observed lying on a rest mat with a blanket and no sheet. Staff stated that the parents did not provide a blanket and sheet for the child.
Evidence:
1. One child was observed lying on a rest mat with a blanket and no sheet. Staff stated that the parents did not provide a blanket and sheet for the child.
Plan of Correction: We will inform the parents that their child needs to have a sheet and blanket for their rest mat. In the case a parents can't provide one, we will be sure to provide the child with a sheet and blanket here at the center.
Standard 8VAC20-780-70
Based on staff records review, the center did not obtain written documentation of two reference checks for a new employee, prior to the first day of employment.
Evidence:
1. Staff # 1'sfirst day of employment was 12/13/21.
2. The reference check forms in Staff # 1's record were blank.
Evidence:
1. Staff # 1'sfirst day of employment was 12/13/21.
2. The reference check forms in Staff # 1's record were blank.
Plan of Correction: We have completed staff reference check forms.
Standard 8VAC20-780-80-A
Based on records review and staff interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. A review of the digital attendance record showed that children?s time of arrival was not recorded as it occurred.
2. Staff # 3 stated the Child # 1 arrived at the center at approximately 8:30 a.m. During the inspection which initiated at 9:45 am, it was observed that the Child # 1 was not checked into attendance upon his arrival to the center.
3. During the inspection, Child #2 was not checked in. Staff # 4 stated the child arrived to the center at 10:07 a.m. but the time of arrival was not recorded as it occurred.
3. Child #3 arrived to the center at 8:30 am, but was not checked in until 10:48 am.
Evidence:
1. A review of the digital attendance record showed that children?s time of arrival was not recorded as it occurred.
2. Staff # 3 stated the Child # 1 arrived at the center at approximately 8:30 a.m. During the inspection which initiated at 9:45 am, it was observed that the Child # 1 was not checked into attendance upon his arrival to the center.
3. During the inspection, Child #2 was not checked in. Staff # 4 stated the child arrived to the center at 10:07 a.m. but the time of arrival was not recorded as it occurred.
3. Child #3 arrived to the center at 8:30 am, but was not checked in until 10:48 am.
Plan of Correction: We have informed teachers that children are to be checked in within 5 minutes of arrival.