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E.M.R. Center

Inspection · 2022-07-20

Date
2022-07-20
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.
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Inspector Notes

An unannounced monitoring inspection was conducted on 07/20/2022. There were 15 children, ages 4 years- 10 years, and 3 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. A total of 5 children?s records and 4 staff records were reviewed. The children were observed in the following activities: outside play, indoor free choice activities and during lunch. The inspector discussed the following with the staff: caring for preschool aged children, table sanitization and record keeping. The inspector arrived for the inspection at 09:15 am and departed at 11:35 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

5
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. The record for Staff 2 contained a documented hire date of 09/13/2021. There was not a central registry search available for review during the inspection.
2. The record for Staff 3 contained a documented hire date of 01/25/2022. There was not a central registry search available for review during the inspection.
3. The record for Staff 4 contained a documented hire date of 06/2021. There was not a central registry search available for review during the inspection.
Plan of Correction: Will be sending the requests today.
Standard 8VAC20-780-280-B
Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. There was an unlocked container of Member?s Mark Disinfectant Wipes on a shelf in the large front room that was accessible to children.
2. There was an unlocked container of disinfecting wipes and disinfecting spray on a shelf in the room located next to the restrooms that were accessible to children.
3. There was an unlocked container of disinfecting wipes on a shelf in the arcade game room that was accessible to children.
Plan of Correction: Will lock the supplies.
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 electrical outlets shall have protective covers.

Evidence: There were 5 uncovered electrical outlets in large front room; there was a preschool age child observed in the large front room during the inspection.
Plan of Correction: Will cover the outlets.
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 shall contain all of the elements listed in the standards.

Evidence:
1. 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 addresses for both designated people were incomplete); allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and documentation of child updates and confirmation of up-to-date information in the child?s record as required (the record did not contain documentation of a 2022 update).
2. The record for Child 4 did not contain documentation of child updates and confirmation of up-to-date information in the child?s record as required (the record did not contain documentation of a 2022 update).
Plan of Correction: Will get the information from the parents.
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 as stated in the standards.

Evidence:
1. The record for Staff 2 did not contain the following information: job title; the required documentation for when a character reference was taken over the phone; and documentation to demonstrate possession of the education, certification and experience required by the job position.
2. The record for Staff 3 did not contain the following information: job title; the required documentation for when a character reference was taken over the phone; and documentation to demonstrate possession of the education, certification and experience required by the job position and orientation and training required.
3. The record for Staff 4 did not contain the following information: job title and date of employment; the required documentation for when a character reference was taken over the phone; and documentation to demonstrate possession of the education, certification and experience required by the job position.
Plan of Correction: Will get the information into the staff records.
View original record on Virginia Department of Social Services