Inspection · 2024-04-24
Date
2024-04-24
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
(757) 334-4329
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 4/24/24 from 2:20pm to 4:15pm. At the time of the inspection there were 10 children in care and two staff members. Children were observed participating in nap and snack time. Records were reviewed for four children and two staff members. Evacuation drills, emergency supplies and other required records and postings were also reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit meeting.
Violations
9Standard 8VAC20-780-140-A
Based on record review and interview the center did not ensure that each child have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance.
Evidence:
1.The record for Child #3 (first day of attendance 9/5/22) did not contain a physical examination.
2. The director confirmed that a physical examination was missing for Child #3.
Evidence:
1.The record for Child #3 (first day of attendance 9/5/22) did not contain a physical examination.
2. The director confirmed that a physical examination was missing for Child #3.
Plan of Correction: Physical examination by a physician before the child's attendance, have it ready within 30 days of the first day of attendance.
Standard 8VAC20-780-150-B
Based on record review and interview the center did not ensure that documentation of all children?s immunizations contain required information.
Evidence:
1.The immunization record for Child #3 was not signed by a physician, designee, or an official of a local health department.
2.The program director confirmed that the immunization record did not contain a signature from a required health professional.
Evidence:
1.The immunization record for Child #3 was not signed by a physician, designee, or an official of a local health department.
2.The program director confirmed that the immunization record did not contain a signature from a required health professional.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation and interview 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. Cleaning supplies such as disinfectant wipes, disinfectant spray, and bleach were stored in an unlocked kitchen cabinet.
a. The manufacturer?s labels stated, ?Keep Out of Reach of Children.?
2.Staff confirmed that the cleaning supplies were unlocked and accessible to children.
Evidence:
1. Cleaning supplies such as disinfectant wipes, disinfectant spray, and bleach were stored in an unlocked kitchen cabinet.
a. The manufacturer?s labels stated, ?Keep Out of Reach of Children.?
2.Staff confirmed that the cleaning supplies were unlocked and accessible to children.
Plan of Correction: Ensure that hazardous substances will be safely locked up.
Standard 8VAC20-780-290-A-3
Based on observation and interview the center did not ensure that all electrical outlets have protective covers.
Evidence:
1.There was an outlet cover missing in the main classroom of the facility.
a. Children were in the classroom at the time of the inspection.
2.The director confirmed that there was an outlet cover missing.
Evidence:
1.There was an outlet cover missing in the main classroom of the facility.
a. Children were in the classroom at the time of the inspection.
2.The director confirmed that there was an outlet cover missing.
Plan of Correction: The center will ensure that all electrical outlets have covers.
Outlet was covered same day as visit.
Outlet was covered same day as visit.
Standard 8VAC20-780-540-A
Repeat Violation
Based on observation and interview the center did not ensure to meet requirements for first aid items and nonmedical emergency supplies.
Evidence:
1.The first aid kit did not contain an operable thermometer.
2.The flashlight did not have batteries, making it inoperable.
3.The radio provided was not a battery-operated radio.
4. The director confirmed that the thermometer and flashlight were not in working condition and the radio did not meet requirements.
Based on observation and interview the center did not ensure to meet requirements for first aid items and nonmedical emergency supplies.
Evidence:
1.The first aid kit did not contain an operable thermometer.
2.The flashlight did not have batteries, making it inoperable.
3.The radio provided was not a battery-operated radio.
4. The director confirmed that the thermometer and flashlight were not in working condition and the radio did not meet requirements.
Plan of Correction: Center will ensue that:
1. First aid is complete
2. Radio is battery operated
3. Thermometer is working.
1. First aid is complete
2. Radio is battery operated
3. Thermometer is working.
Standard 8VAC20-780-550-D
Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill.
Evidence:
1.There was no documentation of emergency evacuation drills for May, June or September 2023.
2. The director confirmed the drills were not documented.
Evidence:
1.There was no documentation of emergency evacuation drills for May, June or September 2023.
2. The director confirmed the drills were not documented.
Plan of Correction: The center will ensure that required immunization information is in the child's record. All immunization records will have the doctors signature.
Standard 8VAC20-780-550-G
Based on record review and interview, it was determined the center did not ensure that all required information was included in the documentation of emergency evacuation drills.
Evidence:
1. The number of staff participating in the emergency evacuation drills were not documented.
2. The director confirmed the number of staff were not documented.
Evidence:
1. The number of staff participating in the emergency evacuation drills were not documented.
2. The director confirmed the number of staff were not documented.
Plan of Correction: Center will ensure that the required information is documented for drills.
Standard 8VAC20-780-60-A
Repeat Violation
Based on record review the center did not ensure that children?s records contain all the required information.
Evidence:
1.The record for Child #1 did not contain their first date of attendance.
2.The record for Child #2 did not contain an address for one of the parents.
3.The record for Child #3 did not contain the name, address and phone number for a parent, the name and phone number of a parent?s place of employment or the addresses for both emergency contacts.
Based on record review the center did not ensure that children?s records contain all the required information.
Evidence:
1.The record for Child #1 did not contain their first date of attendance.
2.The record for Child #2 did not contain an address for one of the parents.
3.The record for Child #3 did not contain the name, address and phone number for a parent, the name and phone number of a parent?s place of employment or the addresses for both emergency contacts.
Plan of Correction: Center will ensure all required information will be in the child's record. Address will be noted in record. All info. will be noted including name, phone number and parent employment.
Standard 8VAC20-780-90-A
Based on record review the center did not ensure the required written agreement between the parent and the center is in each child's record by the first day of the child's attendance.
Evidence:
1.Child #1 did not have an authorization between the parent and Supreme Scholars for emergency medical care, a statement that the center will notify the parent when the child becomes ill and a statement that the parent will inform the center within 24 hours of a communicable disease.
Evidence:
1.Child #1 did not have an authorization between the parent and Supreme Scholars for emergency medical care, a statement that the center will notify the parent when the child becomes ill and a statement that the parent will inform the center within 24 hours of a communicable disease.
Plan of Correction: Ensure all required written agreements are in child's record the first day.