Inspection · 2022-11-10
Date
2022-11-10
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
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
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced monitoring inspection was conducted on 11/10/2022. There were 28 children, 15 months-5 years, and 7 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed in free choice activities, during movie time, during lunch and during rest time. A total of 5 children?s records, 6 staff records and 2 medications were reviewed. The inspector arrived for the inspection at 10:30 am and departed at 1:50 pm.
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.
Violations
8Standard 8VAC20-770-60-C-2
Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment.
Evidence:
1. The record for Staff 2 contained a documented hire date of 05/19/2022; the date on the findings from the search of the central registry was 08/09/2022.
2. The record for Staff 4 contained a documented hire date 10/12/2021; the date on the findings from the search of the central registry was 11/18/2021.
Evidence:
1. The record for Staff 2 contained a documented hire date of 05/19/2022; the date on the findings from the search of the central registry was 08/09/2022.
2. The record for Staff 4 contained a documented hire date 10/12/2021; the date on the findings from the search of the central registry was 11/18/2021.
Plan of Correction: Will document any follow-up when results are not returned within 30 days.
Standard 8VAC20-780-350-C
Based on observation, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group.
Evidence: There were 28 children, ages 15 months-5 years, and 4 staff members observed as one group during the designated rest period. Based on the current ratio wavier issued to the center the required staff-to-child ratio for this group of children was 1:5; 6 staff members were required to meet the ratio.
Evidence: There were 28 children, ages 15 months-5 years, and 4 staff members observed as one group during the designated rest period. Based on the current ratio wavier issued to the center the required staff-to-child ratio for this group of children was 1:5; 6 staff members were required to meet the ratio.
Plan of Correction: Will keep the infants in their room during nap.
Standard 8VAC20-780-430-I
Based on observation, the center failed to ensure that if combs, toothbrushes or personal articles are used, they shall be individually assigned.
Evidence: There was a pacifier on a table in the Young 2?s Class that was not labeled.
Evidence: There was a pacifier on a table in the Young 2?s Class that was not labeled.
Plan of Correction: Will label all items.
Standard 8VAC20-780-500-A
Based on observation, 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 and snacks; and that staff shall wash their hands with soap and running water before feeding or helping children with feeding; and before preparing or serving food or beverages.
Evidence:
1. The children in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class did not wash their hands with soap and running water or disposable wipes before lunch.
2. The children in the Pre-K Class were observed immediately returning to normal play activities immediately after they finished their lunch; the children?s hands were not washed with soap and running water or disposable wipes after lunch.
3. Staff 2 and Staff 6 were observed helping children with their lunches by opening food containers and handing children their food. Staff 2 and Staff 6 did not wash their hands before helping the children with their lunches.
Evidence:
1. The children in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class did not wash their hands with soap and running water or disposable wipes before lunch.
2. The children in the Pre-K Class were observed immediately returning to normal play activities immediately after they finished their lunch; the children?s hands were not washed with soap and running water or disposable wipes after lunch.
3. Staff 2 and Staff 6 were observed helping children with their lunches by opening food containers and handing children their food. Staff 2 and Staff 6 did not wash their hands before helping the children with their lunches.
Plan of Correction: Will retrain all of the staff.
Standard 8VAC20-780-510-E
Based on document review, the center failed to ensure that when long-term medications, prescription and over-the-counter, are administered for more than 10 days, written authorization from the child?s physician is obtained.
Evidence:
1. The medication authorization forms for Medication 1 and Medication 2 contained written parental authorization for long-term medication administration from 08/09/2022-08/09/2023.
2. The medication authorization form for Medication 1 and Medication 2 did not contain written authorization for long-term medication administration from the child?s physician.
3. The medication was administered 10 times after 08/19/2022.
Evidence:
1. The medication authorization forms for Medication 1 and Medication 2 contained written parental authorization for long-term medication administration from 08/09/2022-08/09/2023.
2. The medication authorization form for Medication 1 and Medication 2 did not contain written authorization for long-term medication administration from the child?s physician.
3. The medication was administered 10 times after 08/19/2022.
Plan of Correction: Will notify the parents and get a new form.
Standard 8VAC20-780-560-G
Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Evidence: There were 7 lunch boxes in the Infant/Toddler Room that were not dated.
Evidence: There were 7 lunch boxes in the Infant/Toddler Room that were not dated.
Plan of Correction: Will date all food from home.
Standard 8VAC20-780-560-J
Based on observation, the center failed to ensure that tables shall be sanitized before and after each use for feeding.
Evidence: The tables in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class were not sanitized before lunch.
Evidence: The tables in the Young 2?s Class, the 2 Year-3 Year Old Class and the Pre-K Class were not sanitized before lunch.
Plan of Correction: Will retrain the staff.
Standard 8VAC20-780-560-M
Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around.
Evidence: Numerous children in the Pre-K Class were observed walking around the classroom while eating during lunch.
Evidence: Numerous children in the Pre-K Class were observed walking around the classroom while eating during lunch.
Plan of Correction: Will retrain the staff.