Inspection · 2022-09-15
Licensing Inspector
Angela Farmer
(276) 608-2283
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was initiated on 9/15/2022 and concluded on 9/15/2022. There were 15 children present with five staff supervising. 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 six child records and five staff records were reviewed. The inspection started at 9:25 am and concluded at 12:40 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 program.
Standard 8VAC20-770-60-C-2
Based on record review the center failed to ensure that all staff have a central registry finding within 30 days of employment.
Evidence:
Staff #3 (hire date 10/11/2021), staff #4 (hire date 5/31/2022) and staff #5 (hire date 5/3/2022) do not have a central registry check on file.
Plan of Correction: The director has requested staff #1's central registry three times. Contacts have been made with OBI and the checks have been cashed. The director will continue to reach out to OBI to determine what needs to be done. All other requests will be made within the set time frames.
Standard 8VAC20-780-140-A
Based on record reviews, the center failed to obtain documentation of a physical examination for a child within 30 days after the first day of attendance.
Evidence:
Child record #2 (first day of attendance 4/25/2022) and child record #4 (first day of attendance 5/26/2022) do not contain documentation of a physical examination within 30 days of the first day of attendance.
Plan of Correction: The director will request this information from the parents, again. The director will ensure that this information is obtained within the set time frames.
Standard 8VAC20-780-160-A
Based on record review the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with children.
Evidence:
Staff # 4 (hire date 5/31/2022) does not have documentation of a TB screen on file.
Plan of Correction: The director has requested that the staff person bring this report to her for the staff persons file. The director will ensure that all information that is required in the staff files is obtained within the set time frames.
Standard 8VAC20-780-260-B
Based on review of approvals from other agencies the center failed to provide an annual approval form the health department.
Evidence:
The last health department inspection was dated 7/26/2021.
Plan of Correction: The director has had the health inspector in the center recently due to remodeling that is taking place. The director will request an Environmental inspection be completed.
Standard 8VAC20-780-370-1
Based on observation the center failed to ensure that when an infant is place in a crib, they shall be placed on their back (supine).
Evidence:
During the inspection a seven month old was placed in the crib on her stomach.
Plan of Correction: The director will ensure that infants are placed on their backs and those that are able to roll over will be allowed to do so.
Standard 8VAC20-780-70
Based on record reviews, the center failed to document all required information for staff reference checks when taken over the telephone.
Evidence:
Staff records # 3, 4, and 5 did not have documentation that references had been checked.
Plan of Correction: The director will ensure that all reference checks are documented in the staff's file with all the required information.