Inspection · 2022-04-21
Date
2022-04-21
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted on 04/21/2022. There were 29 children, ages 4 months-4 years, and 6 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed during free choice activities, during outside play, during morning snack and during lunch. A total of 5 children?s records and 5 staff records were reviewed. The inspector discussed the following with the staff: injury reports, facility safety, diaper ointments, nutrition and safe sleep. The inspector arrived for the inspection at 9:20 am and departed at 12:10 pm.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
Violations
10Standard 8VAC20-770-60-C-2
Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
Evidence: The record for Staff 4 contained a documented hire date of 01/24/2022. There were no findings from the search of the central registry available for review.
Evidence: The record for Staff 4 contained a documented hire date of 01/24/2022. There were no findings from the search of the central registry available for review.
Plan of Correction: Will follow-up with OBI.
Standard 8VAC20-780-280-B
Based on observation and discussion with staff, the center failed to ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: There was can of spray disinfectant on the counter beside of the sink in the Girls Bathroom. The disinfectant was accessible to children.
Evidence: There was can of spray disinfectant on the counter beside of the sink in the Girls Bathroom. The disinfectant was accessible to children.
Plan of Correction: Will remind the staff to keep cleaning supplies in a locked cabinet.
Standard 8VAC20-780-290-A-3
Based on observation and discussion with staff, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers.
Evidence: There were two uncovered electrical outlets in the Toddler Classroom. The uncovered electrical outlets were accessible to children.
Evidence: There were two uncovered electrical outlets in the Toddler Classroom. The uncovered electrical outlets were accessible to children.
Plan of Correction: Will remind staff to keep outlets covered.
Standard 8VAC20-780-330-B
Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.
Evidence: There were three separate movable plastic climbing/slide structures on the playground. These three structures were directly on top of grass and did not have resilient surfacing that complies with the minimum safety standards under and around the structures to create a fall zone.. The children were observed playing on all three structures during the inspection.
Evidence: There were three separate movable plastic climbing/slide structures on the playground. These three structures were directly on top of grass and did not have resilient surfacing that complies with the minimum safety standards under and around the structures to create a fall zone.. The children were observed playing on all three structures during the inspection.
Plan of Correction: Will make sure that everything is over resilient surfacing.
Standard 8VAC20-780-340-F
Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence: Child 1 was observed coming out of a restroom stall and walking back to their classroom alone. The restroom was out of sight and sound supervision of all staff. The restroom is located down the hallway and around a corner from the classroom and within close proximity to the entrance/exit doors of the center. Child 1 was determined to be 2 years old.
Evidence: Child 1 was observed coming out of a restroom stall and walking back to their classroom alone. The restroom was out of sight and sound supervision of all staff. The restroom is located down the hallway and around a corner from the classroom and within close proximity to the entrance/exit doors of the center. Child 1 was determined to be 2 years old.
Plan of Correction: Children will not be allowed to go to the restroom alone.
Standard 8VAC20-780-500-A
Based on observation and discussion with staff, the center failed to ensure that children?s hands shall be washed with soap and running water after toileting.
Evidence: Child 1 was observed coming out of a restroom stall and immediately returning to their classroom. Child 1 did not wash their hands with soap and water after toileting.
Evidence: Child 1 was observed coming out of a restroom stall and immediately returning to their classroom. Child 1 did not wash their hands with soap and water after toileting.
Plan of Correction: Children will wash hands after using the restroom.
Standard 8VAC20-780-560-F
Based on document review, observation and discussion with staff, the center failed to ensure that when centers choose to provide meals the most recent, age-appropriate nutritional requirements of the USDA are followed and that menus are dated and list any substituted foods.
Evidence:
1. The posted menu was not dated.
2. The posted menu listed banana and milk for the morning snack for Thursday. A peanut butter sandwich cookie and fruit snacks were served for the morning snack in the Toddler Room.
3. The posted menu listed chicken nuggets, hush puppies, mashed potatoes, fruit and milk for lunch on Thursday. Pizza, corn, peaches and milk were served.
4. Peanut butter sandwich cookies and fruit snacks to do not meet the most recent, age-appropriate nutritional requirement of the USDA.
Evidence:
1. The posted menu was not dated.
2. The posted menu listed banana and milk for the morning snack for Thursday. A peanut butter sandwich cookie and fruit snacks were served for the morning snack in the Toddler Room.
3. The posted menu listed chicken nuggets, hush puppies, mashed potatoes, fruit and milk for lunch on Thursday. Pizza, corn, peaches and milk were served.
4. Peanut butter sandwich cookies and fruit snacks to do not meet the most recent, age-appropriate nutritional requirement of the USDA.
Plan of Correction: Will post a dated menu, document when substituting food and will serve USDA approved food.
Standard 8VAC20-780-60-A
Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.
Evidence:
1. The record for Child 2 did not contain the following information: work phone number of each parent (an employer was list); phone number of the child?s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address was incomplete for the first designated person and there was not an address listed for the second designated person); documentation of viewing proof of the child?s identity; first date of attendance; and documentation of the required health information.
2. The record for Child 3 did not contain the following information: work phone number of each parent (an employer was list).
3. The record for Child 4 did not contain the following information: first date of attendance.
4. The record for Child 5 did not contain the following information: phone number of the child?s physician.
Evidence:
1. The record for Child 2 did not contain the following information: work phone number of each parent (an employer was list); phone number of the child?s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address was incomplete for the first designated person and there was not an address listed for the second designated person); documentation of viewing proof of the child?s identity; first date of attendance; and documentation of the required health information.
2. The record for Child 3 did not contain the following information: work phone number of each parent (an employer was list).
3. The record for Child 4 did not contain the following information: first date of attendance.
4. The record for Child 5 did not contain the following information: phone number of the child?s physician.
Plan of Correction: Will make a checklist to use for children's records before they start.
Standard 8VAC20-780-70
Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements required by the standards.
Evidence:
1. The record for Staff 1 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
5. The record for Staff 5 did not contain the following information: date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; documentation that the individual possesses orientation; and health information as required by the standards.
Evidence:
1. The record for Staff 1 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
3. The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.
5. The record for Staff 5 did not contain the following information: date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; documentation that the individual possesses orientation; and health information as required by the standards.
Plan of Correction: Will go through the folders and get the missing information.
Standard 8VAC20-820-120-E-2
Based on observation and discussion with staff, the center failed to ensure that the findings of the most recent inspection of the facility are posted on the premises.
Evidence: There were no inspection findings posted on the premises of the facility during the inspection.
Evidence: There were no inspection findings posted on the premises of the facility during the inspection.
Plan of Correction: Will post in inspection documents.