Inspection · 2023-06-27
Date
2023-06-27
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
(804) 840-8312
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted today, June 27, 2023, to determine the centers compliance with licensing standards. The licensing inspector was on site from approximately 2:40 pm until 6:00 pm. The Director and owner were present and assisted with the inspection. There
were 55 children present, ranging in ages from four months to twelve years, with nine staff supervising. Children were just getting up from nap upon the inspector?s arrival. Children were diapered, handwashing was conducted, and children ate snack. Later children played with blocks, playdough, dolls, watched a video, and sang karaoke. Children also had time on the playground. Staff interacted with children in a positive manner. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and five staff records were reviewed. The inspector interacted with staff and children in care.
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.
If you have questions regarding this inspection, please contact the licensing inspector.
Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov
Violations
9Standard 22.1-289.035-B-4
Based on review of five staff records, the center did not obtain a sex offender registry check, a search of the child abuse and neglect registry, and a criminal history check from any state in which the individual has resided in the preceding five years.
Evidence:
1. The record for Staff #1 (Date of employment 05/01/2023) and Staff #4 (Date of employment 11/24/2022) indicated each staff member had resided in another state outside of Virginia within the last five years.
2. The records for Staff #1 and Staff #4 did not contain documentation of a sex offender registry check and documentation of a request for an out of state child abuse and neglect search.
3. The record of staff #4 did not contain documentation of an out of state criminal history check.
3. A member of management confirmed this information during the inspection.
4. Documentation of an out of state sex offender registry and an out of state criminal history check are required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.
Evidence:
1. The record for Staff #1 (Date of employment 05/01/2023) and Staff #4 (Date of employment 11/24/2022) indicated each staff member had resided in another state outside of Virginia within the last five years.
2. The records for Staff #1 and Staff #4 did not contain documentation of a sex offender registry check and documentation of a request for an out of state child abuse and neglect search.
3. The record of staff #4 did not contain documentation of an out of state criminal history check.
3. A member of management confirmed this information during the inspection.
4. Documentation of an out of state sex offender registry and an out of state criminal history check are required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.
Plan of Correction: Per the owner: I tried to complete after I hired but had a hard time contacting the state by phone. I will request on-line within the next 10 days.
Standard 8VAC20-770-60-B
Based on the review of five staff records, the center did not obtain a completed sworn statement or affirmation before two staff members began employment.
Evidence:
1. The records for Staff #1 (Date of Employment 05/01/2023) and Staff #3 (Date of Employment 11/28/2022) each contained a signature on the Sworn Statement or Affirmation form. The portion of the form indicating the date staff signed the document was blank.
2. A member of management confirmed this information during the inspection.
Evidence:
1. The records for Staff #1 (Date of Employment 05/01/2023) and Staff #3 (Date of Employment 11/28/2022) each contained a signature on the Sworn Statement or Affirmation form. The portion of the form indicating the date staff signed the document was blank.
2. A member of management confirmed this information during the inspection.
Plan of Correction: per the owner: we will ensure staff complete the sworn statement completely including the date it is done.
Standard 8VAC20-770-60-C-2
Based on review of five staff records, the center did not obtain documentation of central registry findings within 30 days of employment one staff member.
Evidence:
1. The record of Staff #3 (date of employment 11/28/2022) contained documentation of central registry findings dated 05/19/2023.
2. A member of management confirmed this information during the inspection
Evidence:
1. The record of Staff #3 (date of employment 11/28/2022) contained documentation of central registry findings dated 05/19/2023.
2. A member of management confirmed this information during the inspection
Plan of Correction: Per the owner: We will request background checks within the first seven days of employment and follow up within 30 days if we have not received the results of the check.
Standard 8VAC20-780-160-A
Based on the review of five staff records, the center did not obtain documentation of a negative tuberculosis screening for one staff member within the required time frame.
Evidence:
1. The record for Staff #1 (Date of Employment 05/01/2023) contained documentation of a negative tuberculosis screening dated 03/28/2023.
2.Tuberculosis screenings are required to obtained within 30 calendar days prior to beginning employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence:
1. The record for Staff #1 (Date of Employment 05/01/2023) contained documentation of a negative tuberculosis screening dated 03/28/2023.
2.Tuberculosis screenings are required to obtained within 30 calendar days prior to beginning employment and be signed by a physician, physician's designee, or an official of the local health department.
Plan of Correction: Per the owner: We will assist staff in making an appointment to ensure it is completed upon hire.
Standard 8VAC20-780-340-D
Based on review of five staff records and observation, the center did not ensure at least one staff member who meets the qualifications of program leader or program director was regularly present in each grouping of children during the required times.
Evidence:
1. Staff #1 (Date of Employment 05/01/2023) was observed supervising nine children in the Three?s Classroom.
2. Staff #1 is assigned as the regular staff member supervising the three-year-old children.
3. A member of management confirmed Staff #1 does not meet the program leader or program director qualifications.
Evidence:
1. Staff #1 (Date of Employment 05/01/2023) was observed supervising nine children in the Three?s Classroom.
2. Staff #1 is assigned as the regular staff member supervising the three-year-old children.
3. A member of management confirmed Staff #1 does not meet the program leader or program director qualifications.
Plan of Correction: Per the owner: We are interviewing and hiring additional staff. We will also have current staff complete training to qualify as program leads to make sure each classroom had a lead teacher.
Standard 8VAC20-780-350-C
Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained.
Evidence:
1. Eight children (18 months to two years of age) were being supervised by Staff #4. Staff #4 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every five children present.
2. A member of management confirmed no additional staff was available for the classroom.
Evidence:
1. Eight children (18 months to two years of age) were being supervised by Staff #4. Staff #4 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every five children present.
2. A member of management confirmed no additional staff was available for the classroom.
Plan of Correction: Per the owner: we will have another staff member to help out in the classroom. we are also hiring additional staff as soon as paperwork is completed.
Standard 8VAC20-780-530-A-1
Based on review of five staff records, the center did not ensure that at least one staff with each group of children had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.
Evidence:
1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current CPR certification.
2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom.
3. A member of management confirmed this information during the inspection.
Evidence:
1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current CPR certification.
2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom.
3. A member of management confirmed this information during the inspection.
Plan of Correction: Per the owner: We will move staff around to make sure each group has a staff with CPR until we can get the staff certified in CPR. I will register the staff for a class as soon as possible.
Standard 8VAC20-780-530-A-2
Based on review of five staff records, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.
Evidence:
1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current certification in first aid.
2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom.
3. A member of management confirmed this information during the inspection.
Evidence:
1. The record for Staff #1 (Date of Employment 05/01/2023) did not contain documentation of current certification in first aid.
2. Staff #1 was observed supervising nine three-year-old children in a classroom during the inspection. Staff #1 was the only staff member present in the classroom.
3. A member of management confirmed this information during the inspection.
Plan of Correction: Per the owner: We will move staff around to make sure each group has a staff with first aid until we can get the staff certified in CPR. I will register the staff for a class as soon as possible.
Standard 8VAC20-780-70
Based on review of five staff records, the center did not obtain the required information for one staff member.
Evidence:
1. Staff #2 (Date of Employment 11/16/2022) was identified as a program leaders during the inspection.
2. The records for Staff #2 did not contain documentation of education required for the job position.
3. A member of management confirmed this information during the inspection.
Evidence:
1. Staff #2 (Date of Employment 11/16/2022) was identified as a program leaders during the inspection.
2. The records for Staff #2 did not contain documentation of education required for the job position.
3. A member of management confirmed this information during the inspection.
Plan of Correction: Per the owner: We are having a hard time obtaining the documentation because the staff is from another country and does not have access to the information. We will work on a solution,