Inspection · 2021-08-20
Date
2021-08-20
Complaint Related
No
Licensing Inspector
Shanae Vaughn
(276) 608-4267
(276) 608-4267
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
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
Inspector Notes
An unannounced non-mandated inspection, for a Conditional License, was conducted on 08/20/2021. The inspector reviewed 5 children?s records and 3 staff records during the inspection. The inspector observed the following: learning time, lunch, free play and rest time. The inspector discussed the following: nutrition, record keeping, storing chemicals, rest time, and COVID-19 guidance. 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. The inspector arrived for the inspection at 10:00 a.m. and departed at 1:00 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.
Violations
9Standard 22VAC40-185-280-G
Based on observation and discussion with staff, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.
Evidence: There was a clear plastic spray bottle in the supply closet that was labeled "Disinfectant". The bottle did not clearly indicate the contents; the specific disinfectant was not specified on the substitute container.
Evidence: There was a clear plastic spray bottle in the supply closet that was labeled "Disinfectant". The bottle did not clearly indicate the contents; the specific disinfectant was not specified on the substitute container.
Plan of Correction: The bottle was labeled clearly during the inspection.
Standard 22VAC40-185-440-A
Based on observation and discussion with the staff, the center failed to ensure that cribs, cots, rest mats or beds shall be provided for children during the designated rest period.
Evidence: Child 2 was observed in a sleeping bag during the designated rest period; Child 2 did not have a cot, rest mat or bed during the designated rest period.
Evidence: Child 2 was observed in a sleeping bag during the designated rest period; Child 2 did not have a cot, rest mat or bed during the designated rest period.
Plan of Correction: The center will request that the parent bring a cot or rest mat.
Standard 22VAC40-185-470-F
Based on observation and discussion with staff, the center failed to ensure that after each day's use, portable wading pools shall be emptied, sanitized and stored in a position to keep them clean and dry.
Evidence: There was a wading pool laying out on the grass in the outside play area of the center; the wading pool contained a small amount of water, grass and dirt.
Evidence: There was a wading pool laying out on the grass in the outside play area of the center; the wading pool contained a small amount of water, grass and dirt.
Plan of Correction: The wading pool will be cleaned sprayed and stored after each use.
Standard 22VAC40-185-500-A
Based on observations and discussion with staff, the center failed to ensure that children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
Evidence: The children did not wash their hands after lunch. Upon the completion of lunch the children were observed immediately going into the play area to play.
Evidence: The children did not wash their hands after lunch. Upon the completion of lunch the children were observed immediately going into the play area to play.
Plan of Correction: The children will wash hands before and after each meal. The staff will be retrained.
Standard 22VAC40-185-540-B
Based on observations and discussion with staff, the center failed to ensure that each first aid kit shall be easily accessible to staff but not to children.
Evidence:
1. There was a first aid kit on the table at the front entrance to the center that was accessible to children.
2. There was a first aid kit on top of the cubbies in the play room of the center that was accessible to children.
Evidence:
1. There was a first aid kit on the table at the front entrance to the center that was accessible to children.
2. There was a first aid kit on top of the cubbies in the play room of the center that was accessible to children.
Plan of Correction: The first aid kits were relocated during the inspection.
Standard 22VAC40-185-550-M
Based on document review and discussion with staff, the center failed to ensure there injury reports shall contain all of the elements as required by the standards.
Evidence: Injury Report 1 did not contain the following information: the date and time when parents were notified, staff present and documentation on how parent was notified.
Evidence: Injury Report 1 did not contain the following information: the date and time when parents were notified, staff present and documentation on how parent was notified.
Plan of Correction: The center will print and implement an injury report form that contains all of the required information.
Standard 22VAC40-185-560-G
Based on observation and discussion with staff, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner.
Evidence:
1. There were 4 lunches brought from home on 08/20/2021; none of the lunches were dated.
2. There was a black lunchbox that was not labeled to clearly identify the owner.
3. There was a Walmart bag containing food from home that was not labeled to clearly identify the owner.
Evidence:
1. There were 4 lunches brought from home on 08/20/2021; none of the lunches were dated.
2. There was a black lunchbox that was not labeled to clearly identify the owner.
3. There was a Walmart bag containing food from home that was not labeled to clearly identify the owner.
Plan of Correction: Will have parents label and staff will date upon arrival.
Standard 22VAC40-185-60-A
Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: the work phone number and place of employment for each parent who has custody (there were no work phone numbers provider for either parent; a place of employment was provided), phone number of the child's physician, name of any additional program or schools that the child is concurrently attending and the grade or class level.
2. The record for Child 2 did not contain the following information: the work phone number and place of employment for each parent who has custody (there were no work phone numbers provider for either parent; a place of employment was provided) and the first date of attendance.
3. The record for Child 3 did not contain the following information: name and phone number of the child's physician, allergies and intolerances to food, medication, or any other substances, and actions to take in an emergency situation, name of any additional program or schools that the child is concurrently attending and the grade or class level and the first date of attendance.
4. The record for Child 4 did not contain the following information: name and phone number of the child's physician, allergies and intolerances to food, medication, or any other substances, and actions to take in an emergency situation, name of any additional program or schools that the child is concurrently attending and the grade or class level and the first date of attendance.
5. The record for Child 5 did not contain the following information: the work phone number and place of employment for each parent who has custody (there were no work phone numbers provider for either parent; a place of employment was provided) and the name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses provided were not complete addresses).
Evidence:
1. The record for Child 1 did not contain the following information: the work phone number and place of employment for each parent who has custody (there were no work phone numbers provider for either parent; a place of employment was provided), phone number of the child's physician, name of any additional program or schools that the child is concurrently attending and the grade or class level.
2. The record for Child 2 did not contain the following information: the work phone number and place of employment for each parent who has custody (there were no work phone numbers provider for either parent; a place of employment was provided) and the first date of attendance.
3. The record for Child 3 did not contain the following information: name and phone number of the child's physician, allergies and intolerances to food, medication, or any other substances, and actions to take in an emergency situation, name of any additional program or schools that the child is concurrently attending and the grade or class level and the first date of attendance.
4. The record for Child 4 did not contain the following information: name and phone number of the child's physician, allergies and intolerances to food, medication, or any other substances, and actions to take in an emergency situation, name of any additional program or schools that the child is concurrently attending and the grade or class level and the first date of attendance.
5. The record for Child 5 did not contain the following information: the work phone number and place of employment for each parent who has custody (there were no work phone numbers provider for either parent; a place of employment was provided) and the name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses provided were not complete addresses).
Plan of Correction: Parents will be contacted, the information will be requested and the record will be updated.
Standard 22VAC40-185-70-A
Based on record review and discussion with staff, the center failed to ensure that staff records shall contain all of the elements as required by the standards.
Evidence:
1. The record for Staff 1 did not contain the following information: the name, address and telephone number of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment; if a reference is taken over the phone the documentation shall include signature of the person making the call (the documentation did not include a signature of who made the call).
2. The record for Staff 2 did not include the name, address and telephone number of a person to be notified in an emergency.
3. The record for Staff 3 did not include the name, address and telephone number of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available in the record).
Evidence:
1. The record for Staff 1 did not contain the following information: the name, address and telephone number of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment; if a reference is taken over the phone the documentation shall include signature of the person making the call (the documentation did not include a signature of who made the call).
2. The record for Staff 2 did not include the name, address and telephone number of a person to be notified in an emergency.
3. The record for Staff 3 did not include the name, address and telephone number of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available in the record).
Plan of Correction: Staff will be contacted, the information will be requested and the record will be updated.