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Callahan Learning Center LLC

Inspection · 2024-04-03

Date
2024-04-03
Complaint Related
No
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced monitoring inspection was conducted on-site April 3, 2024 from 9:25amuntil 11:45am. A representative from corporate was available during the inspection. There were 56 children present, ranging in ages from 22 months to 5 years, with 10 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff 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.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

7
Standard 22.1-289.011-F
Based on observation and interview, the center failed to ensure the findings of the most recent inspection were posted in the facility.
Evidence: The findings of the most recent inspection conducted 11/15/23 were not posted in the facility on the date of inspection. Administration confirmed it was not posted.
Plan of Correction: The finding from the most recent inspection is now posted at the front desk.
Standard 8VAC20-780-40-M
Based on observation, the center failed to maintain the current list of children's allergies, sensitivities, and dietary restrictions in a confidential manner.
Evidence: The list of children's allergies, sensitivities, and dietary restrictions was posted in open view in the Pre-K A classroom.
Plan of Correction: Corrected on-site while inspector present.
Standard 8VAC20-780-510-F
Based on a review of medications and interview, the center failed to ensure the medication authorization was available to staff during the entire time they were effective.
Evidence: 1. Medication was observed on-site for child #6. There was no documentation of medication authorization on-site for child #6. Administration confirmed there was no parent authorization for the medication.
Plan of Correction: All medication forms for children are scanned into the tablets and available to the teachers. The original forms are stored in the children's files.
Standard 8VAC20-780-510-L
Repeat Violation
Based on observation, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children.
Evidence: There was a tube of Cortizone 10 in an unlocked cabinet in the bathroom used by children in the Pre-K A classroom.
Plan of Correction: All medications and ointments containing medication will be kept in a locked place away from children.
Standard 8VAC20-780-550-D
Based on a review of records and interview, the center failed to ensure to implement a monthly practice evacuation drill.
Evidence: There was no documentation of a fire drill being practiced in March 2024. Administration confirmed the drill was not completed.
Plan of Correction: Evacuation drills will be practiced once per month and documented correctly going forward. April 2024 fire drill has been conducted and documented properly.
Standard 8VAC20-780-550-E
Based on a review of records and interview, the center failed to implement a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios.
Evidence: There was documentation of only one shelter-in-place drill practiced in 2023.
Plan of Correction: Shelter in place drills will be practiced twice per year and documented appropriately. A shelter in place drill has been conducted and recorded properly in April 2024.
Standard 8VAC20-780-560-G
Based on observation and interview, the center failed to ensure food from home containers are clearly dated and labeled in a way that identifies the owner.
Evidence: 1. In the Pre-K A classroom there were six water bottles from home not labeled with a name and date. 2. In the Pre-K A classroom there were three water bottles from home not labeled with a date. 3. The Pre-K A staff confirmed the water bottles are brought from home. 4. In the Pre-k classroom there were six water bottles from home not labeled with a name and date. The staff confirmed the bottles are brought from home.
Plan of Correction: All classrooms will have a designated basket/bin for families to place the cups in. There will be masking tape and a marker for families to use to date the cups. Teachers will check all cups as they arrive and admin will check all cups each morning when arrived to the center.
View original record on Virginia Department of Social Services