Inspection · 2023-04-12
Date
2023-04-12
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
(757) 439-6816
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
Inspector Notes
A focused inspection was conducted on 4/12/2023 regarding an incident involving the implementation of supervision procedures . The incident was self reported by the program and received by the department on 3/2/2023.
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.
Violations
1Standard 22.1-289.031-B-2
Based on the information self reported to the inspector by the program director and interviews with staff, the Religious Exempt Program did not ensure that the program's established procedures for ensuring appropriate supervision of children are always implemented.
Evidence:
Based on information provided by the program director as a self-reported incident and staff interviews, staff did not implement their established procedures to ensure proper supervision of children in care.
Evidence:
The Program Director self- reported to the inspector that on March 1, 2023 at 10:00 a.m. a child became separated from his class and was unsupervised by staff for between 15 and 30 minutes during a planned activity in the fellowship hall located near the opposite end of the facility.
Interviews with Staff #1 and Staff #2 confirmed that child #1 was initially in line as they prepared to leave the classroom, but was discovered by staff #1 to have separated from the group about 30 minutes later.
Staff #1 confirmed that she was unable to locate child #1 at the activity in the fellowship hall and then discovered child #1 playing alone in the hallway about halfway between the classroom and the fellowship hall.
Both Staff #1 and Staff #2 stated that it was the policy of the program to conduct head counts of the children when moving from one location to another.
Both Staff #1 and Staff #2 stated that child #1 was accounted for in line, prior to exiting the classroom, but another headcount was not conducted after exiting the classroom or upon arrival to the fellowship hall.
Staff #1 stated that they are ?always counting? [children] but that they ?were rushed ? and it was hectic? when they exited the classroom that morning.
Evidence:
Based on information provided by the program director as a self-reported incident and staff interviews, staff did not implement their established procedures to ensure proper supervision of children in care.
Evidence:
The Program Director self- reported to the inspector that on March 1, 2023 at 10:00 a.m. a child became separated from his class and was unsupervised by staff for between 15 and 30 minutes during a planned activity in the fellowship hall located near the opposite end of the facility.
Interviews with Staff #1 and Staff #2 confirmed that child #1 was initially in line as they prepared to leave the classroom, but was discovered by staff #1 to have separated from the group about 30 minutes later.
Staff #1 confirmed that she was unable to locate child #1 at the activity in the fellowship hall and then discovered child #1 playing alone in the hallway about halfway between the classroom and the fellowship hall.
Both Staff #1 and Staff #2 stated that it was the policy of the program to conduct head counts of the children when moving from one location to another.
Both Staff #1 and Staff #2 stated that child #1 was accounted for in line, prior to exiting the classroom, but another headcount was not conducted after exiting the classroom or upon arrival to the fellowship hall.
Staff #1 stated that they are ?always counting? [children] but that they ?were rushed ? and it was hectic? when they exited the classroom that morning.
Plan of Correction: The program director will submit a plan of correction for this violation within 10 days of receipt of this report (received 4/17/2023).