Inspection · 2022-06-16
Date
2022-06-16
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
(757) 404-2601
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 onsite unannounced monitoring inspection was conducted on June 16, 2022. There were 25 children in care ranged in age from six months to five years old at the onset of the inspection. There were six staff providing direct care to children. A walking tour of the facility inside and outside was completed. Children were observed in teacher and self-directed activities including play activities, restroom routines, nap, snack and outside play. Emergency equipment, annual inspections, and required postings were reviewed. Violations were observed, appear on the violation notice and were discussed with the administrator during the exit interview.
Violations
7Standard 8VAC20-780-270-A
Based on observation and interview the center failed to ensure that areas and equipment are maintained in safe condition.
Evidence:
1 - Child 2 was observed sleeping in a half size, hard sided port-a-crib on top of a small dog?s cushion which was in the crib on top of the mattress.
2 - Staff 3 stated that the dogs bed was purposefully placed in the crib for child 2 to sleep on.
3 - The fence enclosing the outside play space is leaning outward with a broken post and broken pickets exposed. The exposed edges of the broken post and pickets have sharp jagged edges within reach of children playing on the playground.
Evidence:
1 - Child 2 was observed sleeping in a half size, hard sided port-a-crib on top of a small dog?s cushion which was in the crib on top of the mattress.
2 - Staff 3 stated that the dogs bed was purposefully placed in the crib for child 2 to sleep on.
3 - The fence enclosing the outside play space is leaning outward with a broken post and broken pickets exposed. The exposed edges of the broken post and pickets have sharp jagged edges within reach of children playing on the playground.
Plan of Correction: All staff will be retrained and reminded that nothing can be added to the crib other than the baby, bottom sheet and appropriate cover.
The fencing will be repaired
The fencing will be repaired
Standard 8VAC20-780-280-B
Based on observation the center failed to demonstrated that hazardous substances are kept in a locked place.
Evidence:
1 - There was a package of disinfecting wipes on a table in the classroom where the three and four-year-old children ate snack. The table is a child height, an unlocked location and accessible to children in care.
2 - There was a package of disinfectant wipes in an unlocked cabinet in the room where four and five-year-old children were napping.
Evidence:
1 - There was a package of disinfecting wipes on a table in the classroom where the three and four-year-old children ate snack. The table is a child height, an unlocked location and accessible to children in care.
2 - There was a package of disinfectant wipes in an unlocked cabinet in the room where four and five-year-old children were napping.
Plan of Correction: All cleaning substances will be stored in locations that are not accessible to children.
Standard 8VAC20-780-330-B
Based on observation the center failed to demonstrate compliance with playground safety requires for resilient surface and fall/use zones.
Evidence:
1 - There is less than the required footage around and between the four pieces of equipment. Each piece of equipment requires a six foot fall/use zone that does not overlap with another fall/use zone.
2 - There is less than a six-inch depth of resilient surface throughout the playground under, around and into the fall/use zones of the climb and slide equipment on the playground.
Evidence:
1 - There is less than the required footage around and between the four pieces of equipment. Each piece of equipment requires a six foot fall/use zone that does not overlap with another fall/use zone.
2 - There is less than a six-inch depth of resilient surface throughout the playground under, around and into the fall/use zones of the climb and slide equipment on the playground.
Plan of Correction: Center management will ensure that required fall/use zones and depth of resilient surface are maintained. If necessary equipment will be removed and resilient surface purchased to demonstrate compliance.
Standard 8VAC20-780-350-C
Based on observation and interview the center failed to ensure that required ratios are followed.
Evidence:
1 - There were nine children present in the infant room with 2 staff were three staff are needed.
a. Children present ranged in age from six months through 18months.
2 - Staff 1, 6 and 7 confirm that there were nine children present in the classroom.
Evidence:
1 - There were nine children present in the infant room with 2 staff were three staff are needed.
a. Children present ranged in age from six months through 18months.
2 - Staff 1, 6 and 7 confirm that there were nine children present in the classroom.
Plan of Correction: Staff to child ratios will be reviewed with all staff. Center management will check periodically throughout the day to ensure that required staff to child ratios are begin followed during all hours of operation.
Standard 8VAC20-780-410-1
Based on observation and interview the center failed to demonstrate compliance in that exercise as punishment is a forbidden action.
Evidence:
Upon arrival child 1 was observed in the hallway doing push-ups. Staff 2 stated that ?he was moving around and disrupting other children so he was doing push-ups.?
Evidence:
Upon arrival child 1 was observed in the hallway doing push-ups. Staff 2 stated that ?he was moving around and disrupting other children so he was doing push-ups.?
Plan of Correction: All staff will be retrained and reminded that exercise may not be used as punishment.
Standard 8VAC20-780-570-E
Based on observation and interview the center failed to ensure that prepared infant formula is dated and labeled with the child?s name.
Evidence:
There is an infant bottle in frig in the infant room that is not labeled with the child?s name or date. There are two bottle fed infants in care.
Evidence:
There is an infant bottle in frig in the infant room that is not labeled with the child?s name or date. There are two bottle fed infants in care.
Plan of Correction: All staff will be retrained and reminded that all infant bottles must be labeled with the date and the child?s name.
Standard 8VAC20-780-80-A
Based record review and interview the center failed to ensure that for each group of children a written record of daily attendance that documents the arrival and departure of each child as it occurs is maintained.
Evidence:
The attendance documentation for children in care in the three - four-year-old room was not available for review including the arrival and departure of each child as it occurs.
Evidence:
The attendance documentation for children in care in the three - four-year-old room was not available for review including the arrival and departure of each child as it occurs.
Plan of Correction: All staff will be retrained reminded that attendance must include the arrival and departure time of each student as it occurs.