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E.M.R. Center

Inspection · 2022-01-24

Date
2022-01-24
Complaint Related
No
Licensing Inspector
Monique Anderson
(540) 309-2397
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.
22.1 EARLYCHILDHOOD CARE AND EDUCATION

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, document review and a virtual tour of the program.

A monitoring inspection was conducted on 01/24/2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 9 children, ages 4 years- 12 years, present for the before school program and 2 staff members providing direct care. There were 2 children and 2 staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, programs, physical plant, emergencies and nutrition. A total of 2 children?s records and 2 staff records were reviewed. The children were observed departing for school via public school transportation.

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

6
Standard 8VAC20-770-60-C-2
Based on record review and discussion with the staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment.

Evidence: The record for Staff 2 had a documented hire date of 09/13/2021. There were no findings from a search of the central registry available for review on the 01/24/2022.
Plan of Correction: Will submit a new form.
Standard 8VAC20-780-40-K
Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

Evidence: Staff 1 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.
Plan of Correction: Will review the standards and create procedures.
Standard 8VAC20-780-500-A
Based on discussion with the staff, the center failed to ensure that children?s hands shall be washed with soap or running water or disposable wipes before and after eating meals or snacks.

Evidence: Staff 1 stated that children use hand sanitizer after meals/snacks and do not wash hands with soap and running water or disposable wipes.
Plan of Correction: Will wash hands after meals.
Standard 8VAC20-780-530-A-1
Based on record review and discussion with the staff, the center failed to ensure that the current certification in cardiopulmonary resuscitation as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute or National Safety Council and shall include an in-person competency demonstration.

Evidence: The CPR certification for Staff 1 was issued by the National CPR Foundation and did not include an in-person competency demonstration.
Plan of Correction: Will schedule a new call ASAP.
Standard 8VAC20-780-530-C
Based on record review and discussion with the staff, the center failed to ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the centers during the center?s hours of operation, on fieldtrips, and wherever children are in care.

Evidence: Staff 1 nor Staff 2 met the requirements of subsection A.
Plan of Correction: Will only schedule staff that are certified.
Standard 8VAC20-780-80-A
Based on record review and discussion with staff, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children.

Evidence:
1. The sign-in/sign-out sheet completed by the parents, at drop-off and pick-up, is the only form of written attendance record that the facility maintains.
2. Departure, as it occurs, is not documented when the children in attendance of the before school program leave for school via the public school transportation.
3. Arrival, as it occurs, is not documented when the children arrive to the program via the public school transportation.
Plan of Correction: Will print the model form and will use beginning this afternoon.
View original record on Virginia Department of Social Services