Inspection · 2021-09-29
(804) 807-3278
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 SERVICES.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
Inspector Notes
An onsite complaint inspection was initiated on October 7, 2021 and concluded on February 28, 2022. Administration and staff interviews were conducted and observations were made. A complaint incident was received by the department regarding allegations in the areas of special feeding needs and supervision.
The evidence gathered during the investigation supported the allegation of special feeding needs of non-compliance with standards or law and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Violations
6Evidence: The record of infant #1 contained documentation of immunizations that were not signed by a physician, his designee, or an official of the local health department.
Evidence: In the infant room there is chipped and peeling paint in several areas located above the kick plate of the wall exposing drywall. This area is accessible to children in care.
Evidence: There was one outlet not covered in the infant room.
Evidence: Infant #1 (DOB 8/5/21) was observed asleep in an infant swing and the infant was not strapped in. Staff said she had buckled the child in and the inspector showed the staff the child was not buckled.
Evidence: 1. Infant #2 (DOB 7/1/20) was observed in a crib, awake, for approximately 40 minutes during the inspection. 2. Staff stated she has to "contain him anyway she can." Staff stated infant #2 will stay in the crib until he falls asleep and that can be anywhere from 1.5 hours-2 hours awake. 3. Infant #1 was moved from the crib once staff were prompted to do so by the inspector.
4. Staff stated infant #1 (DOB 8/5/21) doesn't receive tummy time when awake. Staff said she doesn't put him on his tummy because he's just a newborn.
Evidence: 1. An outside witness stated that staff in the infant room were discussing whose bottles were whose because the bottles were not labeled with a child's name.
2. Administration confirmed that there was a time when staff in the infant room were discussing whose bottles were whose due to the bottles not being labeled with a child's name.