Inspection · 2024-03-18
Date
2024-03-18
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 03/18/2024. There were 41 children, ages 4 months-5 years, and 11 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, participating in arts and crafts, in large motor play outside and during lunch; infants were observed during diapering as well as 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: transportation, allergies and supervision. The inspector arrived for the inspection at 10:00 am and departed at 12:25 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
11Standard 8VAC20-770-60-C-2
Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
Evidence:
1. Staff 6 confirmed that the hire date for Staff 4 was 09/25/2023. There were no findings from a search of the central registry for Staff 4 available for review during the 03/18/2024 inspection.
2. The record for Staff 5 contained a documented hire date 08/30/2023. There were no findings from a search of the central registry for Staff 5 available for review during the 03/18/2024 inspection.
Evidence:
1. Staff 6 confirmed that the hire date for Staff 4 was 09/25/2023. There were no findings from a search of the central registry for Staff 4 available for review during the 03/18/2024 inspection.
2. The record for Staff 5 contained a documented hire date 08/30/2023. There were no findings from a search of the central registry for Staff 5 available for review during the 03/18/2024 inspection.
Plan of Correction: The requests were resubmitted last week.
Standard 8VAC20-780-130-A
Based on staff interviews, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. Staff 6 confirmed that the start date for Child 1 was 08/01/2023. The date on the immunization record for Child 1 was 01/31/2024.
2. The record for Child 5 contained a documented start date of 07/31/2023; there was not an immunization record for Child 5.
Evidence:
1. Staff 6 confirmed that the start date for Child 1 was 08/01/2023. The date on the immunization record for Child 1 was 01/31/2024.
2. The record for Child 5 contained a documented start date of 07/31/2023; there was not an immunization record for Child 5.
Plan of Correction: Will require before attending.
Standard 8VAC20-780-140-A
REPEAT VIOLATION
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:
1. The record for Child 3 had a documented start date of 02/12/2024; there was not a physical examination in the record for Child 3.
2. The record for Child 4 had a documented start date of 06/12/2023; there was not a physical examination in the record for Child 4.
3. The record for Child 5 had a documented start date of 07/31/2023; there was not a physical examination in the record for Child 5.
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:
1. The record for Child 3 had a documented start date of 02/12/2024; there was not a physical examination in the record for Child 3.
2. The record for Child 4 had a documented start date of 06/12/2023; there was not a physical examination in the record for Child 4.
3. The record for Child 5 had a documented start date of 07/31/2023; there was not a physical examination in the record for Child 5.
Plan of Correction: Will make sure all of them are complete.
Standard 8VAC20-780-160-A
Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment.
Evidence: The record for Staff 3 contained a documented hire date of 02/19/2024. The tuberculosis screening was dated 08/18/2023; the screening was not completed within the last 30 calendar days of employment.
Evidence: The record for Staff 3 contained a documented hire date of 02/19/2024. The tuberculosis screening was dated 08/18/2023; the screening was not completed within the last 30 calendar days of employment.
Plan of Correction: Will make sure they are not older than 30 days.
Standard 8VAC20-780-160-C
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.
Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 08/06/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 08/06/2023.
Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 08/06/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 08/06/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on record review and staff interview, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff 6 confirmed that the hire date for Staff 4 was 09/25/2023; there was not documentation that Staff 4 has completed the VDOE orientation course.
2. The record for Staff 5 contained a documented hire date of 08/30/2023; there was not documentation that Staff 5 has completed the VDOE orientation course.
Evidence:
1. Staff 6 confirmed that the hire date for Staff 4 was 09/25/2023; there was not documentation that Staff 4 has completed the VDOE orientation course.
2. The record for Staff 5 contained a documented hire date of 08/30/2023; there was not documentation that Staff 5 has completed the VDOE orientation course.
Plan of Correction: Will have staff complete.
Standard 8VAC20-780-240-B
Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than sever days of the date of assuming job responsibilities.
Evidence:
1. The record for Staff 3 contained a documented hire date of 02/19/2024. The record for Staff 3 did not contain documentation that Staff 3 has completed orientation training.
2. The record for Staff 4 contained a documented hire date of 09/25/2023. The record for Staff 4 did not contain documentation that Staff 4 has completed orientation training.
Evidence:
1. The record for Staff 3 contained a documented hire date of 02/19/2024. The record for Staff 3 did not contain documentation that Staff 3 has completed orientation training.
2. The record for Staff 4 contained a documented hire date of 09/25/2023. The record for Staff 4 did not contain documentation that Staff 4 has completed orientation training.
Plan of Correction: Make sure it's done within 7 days.
Standard 8VAC20-780-330-B
Based on observation, 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: The depth of the resilient surfacing on the playground did not meet the required depth to comply with the minimum safety standards; the mulch measured less than one inch in the fall zone of both the small moveable slide and the stationary dual slides. Dirt was visible in the required fall zone. The children were observed playing on the equipment during the inspection.
Evidence: The depth of the resilient surfacing on the playground did not meet the required depth to comply with the minimum safety standards; the mulch measured less than one inch in the fall zone of both the small moveable slide and the stationary dual slides. Dirt was visible in the required fall zone. The children were observed playing on the equipment during the inspection.
Plan of Correction: Will contact the church to get mulch to make sure that there is at least 6 inches of mulch.
Standard 8VAC20-780-560-F
Based on observation, the center failed to ensure that when centers choose to provide meals or snacks, children three years of age or younger may not be offered foods that are considered to be potential choking hazards.
Evidence: The children in the Toddler 1 class were observed being served hotdogs cut into small circles for lunch. The children in the class were between the ages of 17 months old-2 years.
Evidence: The children in the Toddler 1 class were observed being served hotdogs cut into small circles for lunch. The children in the class were between the ages of 17 months old-2 years.
Plan of Correction: Will make sure that staff quarters food before serving.
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: documentation of viewing proof of the child?s identity and age; and first date of attendance.
2. The record for Child 2 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child?s records as required by the standards (the most recent update took place 11/01/2021).
3. The record for Child 4 did not include the following information: allergies and intolerances to medications, or any other substances, and actions to take in an emergency situation.
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: documentation of viewing proof of the child?s identity and age; and first date of attendance.
2. The record for Child 2 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child?s records as required by the standards (the most recent update took place 11/01/2021).
3. The record for Child 4 did not include the following information: allergies and intolerances to medications, or any other substances, and actions to take in an emergency situation.
Plan of Correction: Will make sure every blank is 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 2 did not contain the following information: verification of age requirement; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there were no references available for review).
2. The record for Staff 3 did not contain the following information: job title; and 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 4 did not contain the following information: job title, date of hire and the name, address and telephone 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 (there was only one reference available for review.
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 2 did not contain the following information: verification of age requirement; and documentation that two or more references as to character and reputation as well as competency were checked before employment (there were no references available for review).
2. The record for Staff 3 did not contain the following information: job title; and 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 4 did not contain the following information: job title, date of hire and the name, address and telephone 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 (there was only one reference available for review.
Plan of Correction: Will get the updated information.