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Pearl Early Childhood Academy

Inspection · 2023-04-13

Date
2023-04-13
Complaint Related
No
Licensing Inspector
Pernille Brandt
(703) 203-8659
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 HEARINGS PROCEDURES.
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

An unannounced monitoring inspection was conducted today from 9:45am-11:10am. There were 31children directly supervised by 5 staff. The physical plant, 4 staff records, 4 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, reading books, playing outside, and eating snack. There was an assortment of age appropriate materials for the children in care. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Cynthia Ford at cynthia.ford@doe.virginia.gov or 703-479-4679.

Violations

8
Standard 8VAC20-780-160-A
Based on record review of staff files, it was determined center is accepting TB Screenings that are completed longer than 30 days prior of employment date.
Evidence:
1. Staff 3 started in March, 2023 and TB Screening was conducted April, 2022.
Plan of Correction: Did not realize the change in timeline to complete a TB test. Will have staff redo and will make sure all are current.
Standard 8VAC20-780-240-C
Based on record review of staff files, the center has not trained staff on all required items for Orientation.
Evidence:
1. Staff handbook was reviewed and does not include Prevention of head trauma including procedures to cope with distraught children.
2. Staff handbook also does not include prevention of and response due to food and allergic reactions including recognizing symptoms, responding to emergencies and preventing cross-contamination.
3. Interview with the director also verified that training of above items are not listed on the Orientation checklist.
Plan of Correction: I will review and make sure all necessary training subjects are covered in the Orientation. I will also make sure all staff sign to verify training of subjects.
Standard 8VAC20-780-550-C
Based on record review and review of maps, it was determined Shelter In Place and Lockdown Procedures are not posted in a location where staff can review.
Plan of Correction: I will ensure procedures and a map are available for staff to review.
Standard 8VAC20-780-550-E
Based on record review, there have not been two shelter in place drills practiced in the last year.
Evidence:
1. There are no shelter in place drills documented in the emergency log book since 2021.
Plan of Correction: I will make sure 2 are conducted and documented this year.
Standard 8VAC20-780-550-F
Based on record review, there has not been an annual Lockdown drill practiced since late 2021.
Plan of Correction: I will make sure procures for a lockdown are clear and will practice the drill by end of this month.
Standard 8VAC20-780-550-P
Based on record review of children's injury reports, it was determined the staff are not recording actions taken to prevent recurrence of the injury/accident.
Evidence:
1. Center has a blank accident report that includes prevention but is logging injuries on a sheet that does not include actions to prevent recurrence.
2. Review of 8 injury reports demonstrated the staff are not recording prevention plan because they do not have that item on the injury report.
Plan of Correction: We will use the correct form.
Standard 8VAC20-780-60-A
Based on record review of children's files, it was determined one child's file was not complete.
Evidence:
1. Child #2's file was reviewed for information related to a food allergy. The file did not contain written agreements between the parent and the center.
Plan of Correction: Will be sure to have parent sign agreement and will check all files to ensure it is complete.
Standard 8VAC20-780-70
Based on record review of staff files, it was determined the center did not document how some staff qualify for job position listed in their files.
Evidence:
1. Staff #1 is listed as a teacher but there is no documentation to verify previous programmatic experience. Based on application the staff was not qualified but has been present at this center for over 6 months. The Center did not obtain additional 16 hours in training in the last 6 months to allow staff member to be a lead.
2. Staff #2 was listed a lead but there is no documentation to verify staff has past experience to meet qualifications of a lead.
3. Staff #1 is listed as a lead but past experience documentation is missing verification on how long staff was employed at a previous center.
Plan of Correction: I will go through files and update training documentation and will document verification of qualifications.
View original record on Virginia Department of Social Services