Inspection · 2022-06-03
Date
2022-06-03
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
(757) 334-4329
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on 6/3/22 from 10:30am until 12:00pm. At the time of the inspection, there were 21 children in care with 5 staff present. A sample of 5 children's records and 5 staff records were reviewed. Children were observed participating in morning learning activities, engaging in free play, eating lunch and resting quietly during nap time. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, children's injury reports and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations are listed on the violation notice issued to the center and were discussed with the center director during the exit interview.
Violations
8Standard 8VAC20-780-160-A
Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening.
Evidence:
1. The record for staff 4 (date of hire 4/1/21) does not contain documentation of a negative tuberculosis screening.
2. The center director confirmed that the record for staff 4 does not contain documentation of a TB screening.
Evidence:
1. The record for staff 4 (date of hire 4/1/21) does not contain documentation of a negative tuberculosis screening.
2. The center director confirmed that the record for staff 4 does not contain documentation of a TB screening.
Plan of Correction: The center responded with the following: Staff 4 will obtain a TB screening as soon as possible and documentation will be placed in the staff record.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
1. On the playground, there is a plastic chair with two 3-4 inch cracks on the seat of the chair, creating a pinching hazard. There is also a screw protruding out of the wooden mulch barrier, creating a tripping hazard.
2. There is a roll of plastic trash bags within reach of the infants on an open shelf under the changing table in the infant room, creating a suffocation hazard.
3. The center director confirmed that the items listed above are not currently in a safe and operable condition.
Evidence:
1. On the playground, there is a plastic chair with two 3-4 inch cracks on the seat of the chair, creating a pinching hazard. There is also a screw protruding out of the wooden mulch barrier, creating a tripping hazard.
2. There is a roll of plastic trash bags within reach of the infants on an open shelf under the changing table in the infant room, creating a suffocation hazard.
3. The center director confirmed that the items listed above are not currently in a safe and operable condition.
Plan of Correction: The center responded with the following: The chair on the playground was removed and the wood mulch barrier will be repaired. The plastic trash bags were removed from under the changing table. Going forward, the center will ensure that plastic bags are kept out of reach of children.
Standard 8VAC20-780-280-B
Based on observation and interview, the center did not ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There are 7 Lysol disinfectant cans and 1 container of Lysol wipes on an unlocked open shelf in the preschool classroom.
2. There is 1 can of air freshener and 1 spray bottle of bleach water on an unlocked open shelf in the children's bathroom.
3. The center director confirmed that the cleaning materials in the preschool classroom and the bathroom are not kept in a locked place.
Evidence:
1. There are 7 Lysol disinfectant cans and 1 container of Lysol wipes on an unlocked open shelf in the preschool classroom.
2. There is 1 can of air freshener and 1 spray bottle of bleach water on an unlocked open shelf in the children's bathroom.
3. The center director confirmed that the cleaning materials in the preschool classroom and the bathroom are not kept in a locked place.
Plan of Correction: The center responded with the following: This was corrected during the inspection. Going forward, the center will ensure that all hazardous materials are kept in a locked place.
Standard 8VAC20-780-430-I
Based on observation and interview, the center did not ensure that if personal articles are used, they shall be individually assigned.
Evidence:
1. In the infant classroom, 2 of the 4 children's drinking cups brought from home were not labeled with the child's name.
a. During the inspection, the inspector observed a child going to pick up a drinking cup that was not labeled and the staff person stated that she did not know who's cup it was that the child was trying to pick up and drink from.
2. The center director confirmed that all of the children's drinking cups brought from home were not labeled with the child's name.
Evidence:
1. In the infant classroom, 2 of the 4 children's drinking cups brought from home were not labeled with the child's name.
a. During the inspection, the inspector observed a child going to pick up a drinking cup that was not labeled and the staff person stated that she did not know who's cup it was that the child was trying to pick up and drink from.
2. The center director confirmed that all of the children's drinking cups brought from home were not labeled with the child's name.
Plan of Correction: The center responded with the following: Staff and parents will be reminded to ensure that all cups brought from home are labeled with the child's name.
Standard 8VAC20-780-510-I
Based on medication review and interview, the center did not ensure that prescription medication that would normally be administered by a parent or guardian is maintained in the original, labeled container.
Evidence:
1. There is an epipen being stored at the center that is not in the original, labeled container.
2. The center director confirmed that the epipen is not being stored in it's original, labeled container.
Evidence:
1. There is an epipen being stored at the center that is not in the original, labeled container.
2. The center director confirmed that the epipen is not being stored in it's original, labeled container.
Plan of Correction: The center responded with the following: The original container for the epipen was obtained from the parent.
Standard 8VAC20-780-560-L
Based on observation and interview, it was determined that the center did not ensure that staff shall sit with children during meal times.
Evidence:
1) In observing lunch time for the preschool classroom and toddler classroom, there was no staff sitting with the children while eating lunch.
2)The center director confirmed there was no staff sitting with the children during lunch time.
Evidence:
1) In observing lunch time for the preschool classroom and toddler classroom, there was no staff sitting with the children while eating lunch.
2)The center director confirmed there was no staff sitting with the children during lunch time.
Plan of Correction: The center responded with the following: Staff will be reminded to sit with children during meal and snack times.
Standard 8VAC20-780-60-A
Based on record review and interview, the center did not ensure that children's records contain all the required information.
Evidence:
1. The record for child 1 (date of enrollment: 6/26//) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain documentation of viewing proof of the child's identity and age.
2. The center director confirmed that the record for child 1 is lacking the addresses for the two emergency contacts and documentation that the child's birth certificate was viewed.
Evidence:
1. The record for child 1 (date of enrollment: 6/26//) does not contain the addresses of two designated people to call in an emergency if a parent cannot be reached and does not contain documentation of viewing proof of the child's identity and age.
2. The center director confirmed that the record for child 1 is lacking the addresses for the two emergency contacts and documentation that the child's birth certificate was viewed.
Plan of Correction: The center responded with the following: The parent of child 1 was contacted to obtain the addresses for the emergency contacts and to bring in the birth certificate to document viewing.
Standard 8VAC20-780-70
Based on record review and interview, the center did not ensure that staff records contain all the required information.
Evidence:
1. The record for staff 1 (date of hire: 5/1/22) does not contain documentation of verification of age requirement.
2. The record for staff 2 (date of hire: 5/20/22) does not contain documentation of verification of age requirement.
3. The record for staff 3 (date of hire: 5/24/22) does not contain documentation of verification of age requirement.
4. The record for staff 4 (date of hire: 4/1/21) does not contain documentation of verification of age requirement or documentation of orientation training. Staff 4's job title is documented in the record as a lead teacher. Staff 4's record does not contain documentation that she possessed the education required by the job position of lead teacher.
5. The center director confirmed that the records for staff 1, staff 2, staff 3 and staff 4 do not contain all the required information.
Evidence:
1. The record for staff 1 (date of hire: 5/1/22) does not contain documentation of verification of age requirement.
2. The record for staff 2 (date of hire: 5/20/22) does not contain documentation of verification of age requirement.
3. The record for staff 3 (date of hire: 5/24/22) does not contain documentation of verification of age requirement.
4. The record for staff 4 (date of hire: 4/1/21) does not contain documentation of verification of age requirement or documentation of orientation training. Staff 4's job title is documented in the record as a lead teacher. Staff 4's record does not contain documentation that she possessed the education required by the job position of lead teacher.
5. The center director confirmed that the records for staff 1, staff 2, staff 3 and staff 4 do not contain all the required information.
Plan of Correction: The center responded with the following: The information missing from the staff records will be obtained and documented in all staff records.