Inspection · 2023-06-05
Date
2023-06-05
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
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced monitoring inspection was conducted on 06/05/2023. There were 29 children, 16 months-4 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 during lunch, in free choice play and during rest time. A total of 5 children?s records and 5 staff records were reviewed. The inspector arrived for the inspection at 10:55 am and departed at 2:00 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
10Standard 8VAC20-780-140-A
Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for Child 1 contained a start date of 03/13/2023; there was not a physical examination in the record for Child 1.
2. The record for Child 3 contained a start date of 05/23/2022; there was not a physical examination in the record for Child 3.
Evidence:
1. The record for Child 1 contained a start date of 03/13/2023; there was not a physical examination in the record for Child 1.
2. The record for Child 3 contained a start date of 05/23/2022; there was not a physical examination in the record for Child 3.
Plan of Correction: Will contact the parents and get the correct information.
Standard 8VAC20-780-280-B
Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: The following items were on a shelf in the restroom in the diapering area: Scrubbing Bubbles, 2 bottles of Purex laundry detergent, Gain Scent Boosters, 2 bottles of Microban and a spray bottle of Saniclean. The cleaning materials were not locked to prevent access by children.
Evidence: The following items were on a shelf in the restroom in the diapering area: Scrubbing Bubbles, 2 bottles of Purex laundry detergent, Gain Scent Boosters, 2 bottles of Microban and a spray bottle of Saniclean. The cleaning materials were not locked to prevent access by children.
Plan of Correction: Will lock them up.
Standard 8VAC20-780-320-B
Based on observation, the center failed to ensure that each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.
Evidence:
1. The restroom in the diapering area was not equipped with disposable towels or an air dryer. Children were observed using this restroom for handwashing and were not provided with disposable towels or an air dryer.
2. The restroom labeled Boy?s was not equipped with toilet paper.
Evidence:
1. The restroom in the diapering area was not equipped with disposable towels or an air dryer. Children were observed using this restroom for handwashing and were not provided with disposable towels or an air dryer.
2. The restroom labeled Boy?s was not equipped with toilet paper.
Plan of Correction: Will restock the restrooms.
Standard 8VAC20-780-330-E
Based on observation, the center failed to ensure that sandboxes with bottoms which prevent drainage shall be covered when not in use.
Evidence: There was an uncovered plastic turtle sandbox in the outside play area. The sandbox has a bottom that prevents drainage.
Evidence: There was an uncovered plastic turtle sandbox in the outside play area. The sandbox has a bottom that prevents drainage.
Plan of Correction: The sandbox will be removed from the play space.
Standard 8VAC20-780-500-A
REPEAT VIOLATION
Based on observation, the center failed to ensure that that staff shall wash their hands with soap and running water after any contact with body fluids.
Evidence: Staff 4 was observed wiping multiple children?s noses. Staff 4 did not wash their hands with soap and running water after contact with body fluids.
Based on observation, the center failed to ensure that that staff shall wash their hands with soap and running water after any contact with body fluids.
Evidence: Staff 4 was observed wiping multiple children?s noses. Staff 4 did not wash their hands with soap and running water after contact with body fluids.
Plan of Correction: Will retrain the staff.
Standard 8VAC20-780-500-B
Based on observation, the center failed to ensure disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during the disposal and that the diapering surface shall be cleaned with soap and water and sanitized after each use.
Evidence:
1. The disposable diaper storage system in the diapering area had a lid that was not foot-operated and had to be opened by hand. Staff 4 was observed using their hands to open the disposable diaper storage system to dispose of a diaper.
2. Staff 3 and Staff 4 were observed changing diapers. The diapering surface was not cleaned or sanitized after each use.
Evidence:
1. The disposable diaper storage system in the diapering area had a lid that was not foot-operated and had to be opened by hand. Staff 4 was observed using their hands to open the disposable diaper storage system to dispose of a diaper.
2. Staff 3 and Staff 4 were observed changing diapers. The diapering surface was not cleaned or sanitized after each use.
Plan of Correction: Will retrain the staff.
Standard 8VAC20-780-560-G
REPEAT VIOLATION
Based on observation, 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. The following items from home were observed in the 2 year old area and were not clearly dated and labeled in a way that identified the owner: a sippy cup, a bottle, a baggie of Cheetos, a baggie of Goldfish and a pack of peanut butter crackers.
2. There were numerous sippy cups observed in the Toddler Room that were not clearly dated and labeled in a way that identified the owner.
Based on observation, 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. The following items from home were observed in the 2 year old area and were not clearly dated and labeled in a way that identified the owner: a sippy cup, a bottle, a baggie of Cheetos, a baggie of Goldfish and a pack of peanut butter crackers.
2. There were numerous sippy cups observed in the Toddler Room that were not clearly dated and labeled in a way that identified the owner.
Plan of Correction: Will retrain the staff and notify parents to label the food.
Standard 8VAC20-780-560-M
REPEAT VIOLATION
Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around.
Evidence: Child 3 was observed walking around the 2 year old class area while drinking a juice box during lunch.
Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around.
Evidence: Child 3 was observed walking around the 2 year old class area while drinking a juice box during lunch.
Plan of Correction: Will retrain the staff
Standard 8VAC20-780-60-A-8
Based on record review, the center failed to ensure that the separate record for each enrolled child with a diagnosed food allergy shall contain a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, as required by the standards.
Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There was not a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, in the record for Child 4.
Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There was not a written care plan, to include instructions from a physician regarding the food to which the child is allergic and the steps to take in the event of a suspected or confirmed allergic reaction, in the record for Child 4.
Plan of Correction: Will contact the parent today.
Standard 8VAC20-780-80-A
Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: The attendance record in the Toddler Room indicated 7 children present. There were 8 children observed in the group during the inspection. The attendance did not document the arrival as it occurred.
Evidence: The attendance record in the Toddler Room indicated 7 children present. There were 8 children observed in the group during the inspection. The attendance did not document the arrival as it occurred.
Plan of Correction: Will retrain the staff and check the attendance daily.