Inspection · 2022-10-11
Date
2022-10-11
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced monitoring inspection was conducted on 10/11/2022. There were 24 children, ages 8 months-4 years, and 7 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 in free choice activities, during learning activities and during lunch; infants were observed eating and sleeping on demand. A total of 5 children?s records and 5 staff records were reviewed. The inspector discussed the following with the staff: nutrition and safe sleep. The inspector arrived for the inspection at 9:20 am and departed at 12:10 pm. A virtual record review was held on 10/11/2022 at 3:30 pm to conclude the inspection.
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
9Standard 22.1-289.035-B-2
Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence: Staff 6 stated that the hire date for Staff 4 was 08/02/2021. The employment eligibility letter was dated 01/06/2022.
Evidence: Staff 6 stated that the hire date for Staff 4 was 08/02/2021. The employment eligibility letter was dated 01/06/2022.
Plan of Correction: Will be sure to have before hiring.
Standard 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:
1. Staff 6 stated that the hire date for Staff 2 was 08/15/2022. There were no findings from the search of the central registry available for review.
2. Staff 6 stated that the hire date for Staff 3 was 08/25/2022. There were no findings from the search of the central registry available for review.
3. Staff 6 stated that the hire date for Staff 4 was 08/02/2021. The findings from a search of the central registry was dated 11/07/2021.
4. Staff 6 stated that the hire date for Staff 5 was 10/11/2021. There were no findings from the search of the central registry available for review.
Evidence:
1. Staff 6 stated that the hire date for Staff 2 was 08/15/2022. There were no findings from the search of the central registry available for review.
2. Staff 6 stated that the hire date for Staff 3 was 08/25/2022. There were no findings from the search of the central registry available for review.
3. Staff 6 stated that the hire date for Staff 4 was 08/02/2021. The findings from a search of the central registry was dated 11/07/2021.
4. Staff 6 stated that the hire date for Staff 5 was 10/11/2021. There were no findings from the search of the central registry available for review.
Plan of Correction: Will call and check on them.
Standard 8VAC20-780-160-A
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence:
1. Staff 6 verified that the hire date for Staff 3 was 08/25/2022 and that there was not documentation of a negative tuberculosis screening available for review.
2. The record for Staff 5 contained a documented hire date of 10/11/2021. Staff 6 verified that there was not documentation of a negative tuberculosis screening available for review.
Evidence:
1. Staff 6 verified that the hire date for Staff 3 was 08/25/2022 and that there was not documentation of a negative tuberculosis screening available for review.
2. The record for Staff 5 contained a documented hire date of 10/11/2021. Staff 6 verified that there was not documentation of a negative tuberculosis screening available for review.
Plan of Correction: Will have all of the staff get before hiring.
Standard 8VAC20-780-500-A
Based on observation, the center failed to ensure that children?s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks.
Evidence: The 2 year old class was observed during lunch time. Staff 7 verified that the children do not wash their hands before the meal but do wash hands after the meal.
Evidence: The 2 year old class was observed during lunch time. Staff 7 verified that the children do not wash their hands before the meal but do wash hands after the meal.
Plan of Correction: Will review with staff to ensure handwashing before meals.
Standard 8VAC20-780-520-B
Based on observation, the center failed to ensure that sunscreen shall be inaccessible to children under 5 years of age.
Evidence: There were 3 containers of sunscreen in the cubbies located in the hallway outside of the 2 year old class that were accessible to children.
Evidence: There were 3 containers of sunscreen in the cubbies located in the hallway outside of the 2 year old class that were accessible to children.
Plan of Correction: Will make sure it is not accessible to the children.
Standard 8VAC20-780-560-F
Based on document review and discussion with staff, 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. There were two posted menus; one of the posted menus was not dated and the other posted menu was dated 08/08. Staff 8 stated that the menus were rotated each week and they verified which menu was being that week.
2. The posted menu listed hotdogs, corn, strawberries and milk were to be served on Tuesday. The children were served pepperoni pizza, baked beans, strawberries and milk. The substituted items were not listed on the menu.
Evidence:
1. There were two posted menus; one of the posted menus was not dated and the other posted menu was dated 08/08. Staff 8 stated that the menus were rotated each week and they verified which menu was being that week.
2. The posted menu listed hotdogs, corn, strawberries and milk were to be served on Tuesday. The children were served pepperoni pizza, baked beans, strawberries and milk. The substituted items were not listed on the menu.
Plan of Correction: Will post, date and list any substituted foods.
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 1 did not contain the following information: work phone number of each parent (an employer was list); phone number of the child?s physician; allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; documentation of child updates and confirmation of up-to-date information in the child?s record; and documentation of the required health information.
2. The record for Child 2 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the first designated person was incomplete); documentation of child updates and confirmation of up-to-date information in the child?s record; and documentation of the required health information.
3. The record for Child 3 did not contain the following information: work phone number of each parent (an employer was list); documentation of child updates and confirmation of up-to-date information in the child?s record; and documentation of the required health information.
4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child?s record; and the first date of attendance.
5. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided for the first designated person.
Evidence:
1. The record for Child 1 did not contain the following information: work phone number of each parent (an employer was list); phone number of the child?s physician; allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; documentation of child updates and confirmation of up-to-date information in the child?s record; and documentation of the required health information.
2. The record for Child 2 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the first designated person was incomplete); documentation of child updates and confirmation of up-to-date information in the child?s record; and documentation of the required health information.
3. The record for Child 3 did not contain the following information: work phone number of each parent (an employer was list); documentation of child updates and confirmation of up-to-date information in the child?s record; and documentation of the required health information.
4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child?s record; and the first date of attendance.
5. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided for the first designated person.
Plan of Correction: Will go through all records and get the information.
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: name, address, job title, and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. Staff 6 verified that the information was not in the record.
2. The record for Staff 2 did not contain the following information: name, address, job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record.
3. The record for Staff 3 did not contain the following information: job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record.
4. The record for Staff 4 did not contain the following information: name, address, job title, and date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record.
5. The record for Staff 5 did not contain the following information: job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 verified that the information was not in the record.
Evidence:
1. The record for Staff 1 did not contain the following information: name, address, job title, and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. Staff 6 verified that the information was not in the record.
2. The record for Staff 2 did not contain the following information: name, address, job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record.
3. The record for Staff 3 did not contain the following information: job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record.
4. The record for Staff 4 did not contain the following information: name, address, job title, and date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record.
5. The record for Staff 5 did not contain the following information: job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 verified that the information was not in the record.
Plan of Correction: Will review and get the applications and other missing information.
Standard 8VAC20-820-120-E-2
Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility are posted on the premises.
Evidence: The most recent inspection findings were not posted. An Inspection Summary only for the 02/03/2022 inspection was posted, the Violation Notice was not posted. The most recent inspection was conducted on 04/21/2022; there were no findings from this inspection posted.
Evidence: The most recent inspection findings were not posted. An Inspection Summary only for the 02/03/2022 inspection was posted, the Violation Notice was not posted. The most recent inspection was conducted on 04/21/2022; there were no findings from this inspection posted.
Plan of Correction: Will make sure to post.