Inspection · 2022-12-16
Date
2022-12-16
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
(540) 280-0742
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
X 8VAC20-780 Administration.
X 8VAC20-780 Staff Qualifications and Training.
X 8VAC20-780 Physical Plant.
X 8VAC20-780 Staffing and Supervision.
X 8VAC20-780 Programs.
X 8VAC20-780 Special Care Provisions and Emergencies
X 8VAC20-780 Special Services.
X 8VAC20-820 THE LICENSE.
X 8VAC20-820 THE LICENSING PROCESS.
X 8VAC20-820 HEARINGS PROCEDURES.
X 8VAC20-770 Background Checks
X 22.1 Early Childhood Care and Education
X 63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on 12/16/2022. The inspector was on site at the center from approximately 10:35am to 2:15pm. There were 43 children in attendance and a total of 11 staff present. Interviews were held with staff throughout the inspection, and the inspector interacted with children in the classroom when appropriate. Six children?s records and seven employee records were reviewed during this inspection. There were violations found during today?s inspection. See the violation notice for more details.
Violations
9Standard 22.1-289.035-B-2
Based on record review, the vendor did not ensure one of seven staff records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of Household Member #2 (employment date: 12/12/2022) did not have documentation of fingerprint based national criminal history search results.
Evidence:
1. The record of Household Member #2 (employment date: 12/12/2022) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on record review, the center did not ensure one of seven staff records contained documentation of a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (employment date: 12/12/2022) did not have documentation of a completed sworn statement or affirmation.
Evidence:
1. The record of staff #1 (employment date: 12/12/2022) did not have documentation of a completed sworn statement or affirmation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
Based on record review, the center did not ensure one of six children?s records contained documentation of immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record of child #1 (enrollment date: unknown) did not have documentation of immunizations.
Evidence:
1. The record of child #1 (enrollment date: unknown) did not have documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Based on record review, the center did not ensure one of six children?s records contained documentation of the child?s physical examination by or under the direction of a physician before the child?s attendance or within 30 days of attendance.
Evidence:
1. The record of child #1 (enrollment date: unknown) did not have documentation of a physical examination.
Evidence:
1. The record of child #1 (enrollment date: unknown) did not have documentation of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Based on record review, the center did not ensure two of seven staff records had documentation showing that the staff has completed orientation training in subsection C of this section prior to the staff members working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1. The record of staff #1 (employment date: 12/12/22) did not have documentation of orientation training.
Evidence:
1. The record of staff #1 (employment date: 12/12/22) did not have documentation of orientation training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-E
Based on observation, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child?s name.
Evidence:
1. There were six bottles containing formula located in the infant classroom not dated.
Evidence:
1. There were six bottles containing formula located in the infant classroom not dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-K
Based on observation, the center did not ensure that staff feed semisolid food with a spoon unless written instructions from a physician or physician?s designee state differently.
Evidence:
1. Child #3 was observed drinking a bottle that contained a semisolid food mixed with formula.
2. There was a bottle located in the infant refrigerator that contained a semisolid food mixed with formula.
3. The center director stated that the center did not have written instructions from a physician or physician?s designee regarding child #3 drinking semisolid food in a bottle.
Evidence:
1. Child #3 was observed drinking a bottle that contained a semisolid food mixed with formula.
2. There was a bottle located in the infant refrigerator that contained a semisolid food mixed with formula.
3. The center director stated that the center did not have written instructions from a physician or physician?s designee regarding child #3 drinking semisolid food in a bottle.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review, the center did not ensure two of six children?s records contained required documentation.
Evidence:
1. The record of child #1 (enrollment date: unknown) did not have documentation of the following: child information, parent information, two required emergency contacts, child?s physician name and phone number, authorized to pick up information, allergies, health issues, school previously attended, required parent agreements and proof of identification.
2. The record of child #5 (enrollment date: 6/21/2021) did not have documentation of child updates and confirmation of up-to-date information and proof if identification.
3. The record of child #6 (enrollment date: 1/27/2019) did not have documentation of child updates and confirmation of up-to-date information.
Evidence:
1. The record of child #1 (enrollment date: unknown) did not have documentation of the following: child information, parent information, two required emergency contacts, child?s physician name and phone number, authorized to pick up information, allergies, health issues, school previously attended, required parent agreements and proof of identification.
2. The record of child #5 (enrollment date: 6/21/2021) did not have documentation of child updates and confirmation of up-to-date information and proof if identification.
3. The record of child #6 (enrollment date: 1/27/2019) did not have documentation of child updates and confirmation of up-to-date information.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-7
Based on record review and an interview, the center did not ensure to obtain documentation of a written allergy care plan for each child with a diagnosed food allergy.
Evidence:
1. The record of child # 1 (enrollment date: unknown) did not have documentation of a written allergy care plan. The center?s allergy list and the center director indicated that the child had a diagnosed food allergy.
2. The record of child # 2 (enrollment date: 11/15/2021) did not have documentation of a written allergy care plan. The child?s record and center?s allergy list indicated that the child had a diagnosed food allergy.
Evidence:
1. The record of child # 1 (enrollment date: unknown) did not have documentation of a written allergy care plan. The center?s allergy list and the center director indicated that the child had a diagnosed food allergy.
2. The record of child # 2 (enrollment date: 11/15/2021) did not have documentation of a written allergy care plan. The child?s record and center?s allergy list indicated that the child had a diagnosed food allergy.
Plan of Correction: Not available online. Contact Inspector for more information.