Inspection · 2023-09-25
Date
2023-09-25
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
8VAC20-820 THE LICENSE
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced renewal inspection was conducted on 09/21/2023. There were 42 children, ages 3 months-5 years, and 10 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 play, having a morning snack and in large motor play outside; 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: safe sleep, transportation, and outside play equipment. The inspector arrived for the inspection at 9:30 am and departed at 11:55 am.
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 22.1-289.011-F
Based on observation, the center failed to ensure that documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
Evidence: The violation notice from the most recent inspection, required by the Superintendent to be posted, was not posted on the premises; only the inspection summary was posted.
Evidence: The violation notice from the most recent inspection, required by the Superintendent to be posted, was not posted on the premises; only the inspection summary was posted.
Plan of Correction: Will post the inspection summary and violation notice after each inspection.
Standard 8VAC20-780-140-A
Based on staff interviews, the center failed to obtain a copy of the child?s physical examination before the child?s attendance or within 30 days after the first day of attendance.
Evidence: The record for Child 2 had a documented start date of 09/27/2021; there was not a physical examination in the record for Child 2.
Evidence: The record for Child 2 had a documented start date of 09/27/2021; there was not a physical examination in the record for Child 2.
Plan of Correction: Will get the parent to bring in a copy.
Standard 8VAC20-780-245-A
Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1. There was no documentation of annual training hours for Staff 3.
2. There was no documentation of annual training hours for Staff 4.
Evidence:
1. There was no documentation of annual training hours for Staff 3.
2. There was no documentation of annual training hours for Staff 4.
Plan of Correction: Will make sure that all staff get 16 hours of training and that the training is documented.
Standard 8VAC20-780-280-D
Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.
Evidence: There was a container of Family Guard Disinfectant Spray, an aerosol container of Lysol, a plastic spray bottle labeled ?bleach/water?, a plastic spray bottle labeled ?soap/water?, and a container of disinfecting wipes stored in a cabinet of the Toddler 1 Room on a shelf directly above plastic forks and spoons, Styrofoam plates and napkins.
Evidence: There was a container of Family Guard Disinfectant Spray, an aerosol container of Lysol, a plastic spray bottle labeled ?bleach/water?, a plastic spray bottle labeled ?soap/water?, and a container of disinfecting wipes stored in a cabinet of the Toddler 1 Room on a shelf directly above plastic forks and spoons, Styrofoam plates and napkins.
Plan of Correction: The cleaning materials were moved during the inspection.
Standard 8VAC20-780-40-J
Based on document review, the center failed to ensure that injury prevention procedure shall be updated at least annually bason on documentation of injuries and review of the activities and services.
Evidence: The injury prevention procedures were last updated in September 2021; they were not updated in September 2022.
Evidence: The injury prevention procedures were last updated in September 2021; they were not updated in September 2022.
Plan of Correction: Will update annually with any injuries.
Standard 8VAC20-780-540-C
REPEAT VIOLATION
Based on observation, the center failed to maintain the minimum requirements for a first aid kit.
Evidence: The first aid kit did not contain triangular bandages.
Based on observation, the center failed to maintain the minimum requirements for a first aid kit.
Evidence: The first aid kit did not contain triangular bandages.
Plan of Correction: Will update the first-aid kits with triangular bandages.
Standard 8VAC20-780-550-G
REPEAT VIOLATION
Based on document review, the center failed to ensure that the documentation of emergency evacuation, shelter-in-place, and lockdown drills shall contain all of the elements as required by the standards.
Evidence: The documentation of the monthly emergency evacuation drills did not contain the following information: April 2023- special conditions simulated; May 2023-amount of time to complete the drill and weather conditions; and June 2023- number of staff participating, number of children participating, special conditions simulated, amount of time to complete the drill; weather conditions, and problems encountered.
Based on document review, the center failed to ensure that the documentation of emergency evacuation, shelter-in-place, and lockdown drills shall contain all of the elements as required by the standards.
Evidence: The documentation of the monthly emergency evacuation drills did not contain the following information: April 2023- special conditions simulated; May 2023-amount of time to complete the drill and weather conditions; and June 2023- number of staff participating, number of children participating, special conditions simulated, amount of time to complete the drill; weather conditions, and problems encountered.
Plan of Correction: Will make sure to complete the documentation.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Based on record review, 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: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.
2. The record for Child 4 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 was incomplete for the first designated person listed); and first date of attendance.
3. There was not a record available for review for Child 5; Staff 6 stated the record was at an off-site location.
Based on record review, 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: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.
2. The record for Child 4 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 was incomplete for the first designated person listed); and first date of attendance.
3. There was not a record available for review for Child 5; Staff 6 stated the record was at an off-site location.
Plan of Correction: Make sure that all applications are fully filled out.
Standard 8VAC20-780-70
REPEAT VIOLATION
Based on record review, 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 (there was only one reference available for review).
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 (there was only one reference available for review).
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 (there was only one reference available for review); and documentation to demonstrate that the individual possesses the orientation required by the job position.
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: documentation that two or more references as to character and reputation as well as competency were checked before employment.
Based on record review, 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 (there was only one reference available for review).
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 (there was only one reference available for review).
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 (there was only one reference available for review); and documentation to demonstrate that the individual possesses the orientation required by the job position.
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: documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction: Update the reference in all folder.