Inspection · 2023-09-18
Date
2023-09-18
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
(540) 848-4123
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.
Yes
Areas Reviewed
22.1 Background Checks Code
63.2 Child abuse and neglect
8VAC20-770 Background Checks
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers
Inspector Notes
An unannounced code compliance inspection was initiated on 09/18/2023 and concluded on 09/18/2023 from 11:00 AM to 2:15 PM. There were 57 children present, ranging in ages from infants to 5, with 12 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures, and medication. A total of five children?s records and six staff?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 facility.
Violations
6Standard 8VAC20-790-580-B
Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children less than two years of age.
Evidence:
1. The record for child 2 documents the birth date as 1/27/22. The immunizations in the record are dated 3/28/22 and 6/2/22.
2. Staff 6 verified the center does not have any other immunization records for child 2.
Evidence:
1. The record for child 2 documents the birth date as 1/27/22. The immunizations in the record are dated 3/28/22 and 6/2/22.
2. Staff 6 verified the center does not have any other immunization records for child 2.
Plan of Correction: Make sure immunization records are received from families every 6 months for children 2 and under.
Standard 8VAC20-790-600-B
Based on record review and interview, the center failed to ensure staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.
Evidence:
1. The record for staff 5 documents the employment date as 1/14/22. The date of the preservice training is documented as 5/27/22.
2. Staff 6 verified staff 5's employment date and date of preservice training.
Evidence:
1. The record for staff 5 documents the employment date as 1/14/22. The date of the preservice training is documented as 5/27/22.
2. Staff 6 verified staff 5's employment date and date of preservice training.
Plan of Correction: Make sure staff are diligent with trainings.
Standard 8VAC20-790-600-C
Based on record review and interview, the center failed to ensure staff received orientation training prior to staff working alone with children and within seven days of the date of employment.
Evidence:
1. The record for staff 3 documents the employment date as 7/25/22. The orientation date is documented as 9/23/22.
2. Staff 6 verified staff 3's start date and orientation date.
Evidence:
1. The record for staff 3 documents the employment date as 7/25/22. The orientation date is documented as 9/23/22.
2. Staff 6 verified staff 3's start date and orientation date.
Plan of Correction: Make sure orientation dates match up with employee start dates.
Standard 8VAC20-790-760-A-3
Based on observation, the center staff did not wash their hands with soap and running water after changing a diaper.
Evidence:
In the room a staff member was observed changing two children's diapers. The staff member did not wash hands between changing diapers.
Evidence:
In the room a staff member was observed changing two children's diapers. The staff member did not wash hands between changing diapers.
Plan of Correction: Remind staff that washing hands must be done after every change.
Standard 8VAC20-790-770-D
Based on observation, the center failed to keep prescription in a locked place using a safe locking method to prevent access by children.
Evidence:
1. In the Fawn's room a prescription diaper cream was found on an open shelf.
2. In the Pups room a prescription diaper creams and a prescription diaper powder was found on an open shelf.
Evidence:
1. In the Fawn's room a prescription diaper cream was found on an open shelf.
2. In the Pups room a prescription diaper creams and a prescription diaper powder was found on an open shelf.
Plan of Correction: Make sure staff are aware that all medicines must be kept in a locked cabinet after use.
Standard 8VAC20-790-780-C-1
Based on observation and interview, the center failed to have a working, battery-operated flashlight.
Evidence:
1. The flashlight did not work.
2. Staff 6 stated the center did not have extra batteries.
Evidence:
1. The flashlight did not work.
2. Staff 6 stated the center did not have extra batteries.
Plan of Correction: Get batteries for flashlight.