Inspection · 2024-04-09
Licensing Inspector
Florence Martus
(804) 389-0157
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
8VAC20-820 THE LICENSE
8VAC20-770 BACKGROUND CHECKS (8VAC20-770)
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted from 8:15 am - 10:15 am. There were 50 children in care being supervised by 8 staff. The children were observed eating breakfast, participating in table-top activities, and reading books. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of six child records and four staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.
Standard 8VAC20-780-140-A
Based on review of six children's records it was determined that not all records contained documentation of a physical within the first thirty days of enrollment. Evidence: The records for child A and child B (start date: 01/30/24) did not have documentation of a physical on file.
Plan of Correction: Parent informed and will make appointment to get recent physical. Management will conduct monthly audits and make sure children files are current.
Standard 8VAC20-780-160-A
Based on review of four staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening before the first day of employment. Evidence: The record for staff A (start date: 03/11/24) did not contain documentation of a TB screening on file.
Plan of Correction: Staff A has gotten documentation to prove negative TB Test. Management will ensure that all staff retain current records by conducting monthly staff file audits.
Standard 8VAC20-780-280-B
Based on observation of the facility it was determined that not all hazardous substances were kept in a locked place. Evidence: Two buckets of paint were observed on the far right side of the hallway floor. The paint labels indicated to keep out of reach of children.
Plan of Correction: Paint stored away during inspection.
Standard 8VAC20-780-510-P
Based on observation of one medication it was determined that not all medication was picked up by the parent within 14 days of the written authorization's expiration. Evidence: The medication on site for child C was accompanied by an authorization form which expired on 12/23/23.
Plan of Correction: Parent has since picked up medication. Management will conduct monthly audits to ensure all medication is sent home at the appropriate times.
Standard 8VAC20-780-550-D
Based on review of the center's emergency drills it was determined that not all evacuation drills were not practiced monthly. Evidence: The most recent documentation of an evacuation drill was conducted 10/31/23.
Plan of Correction: Fire Drill has been conducted. Drills will be conducted and logged monthly.
Standard 8VAC20-780-70
Based on review of four staff records it was determined that not all records were complete. The record for staff A (start date: 03/11/24), staff B (start date: 01/17/24), and staff C (start date: 01/22/24) did not have documentation of at least two references on file as required.
Plan of Correction: Reference checks have been filed. Management will be sure to file all reference checks after completion during the onboarding process for new hires.