Inspection · 2023-03-02
Date
2023-03-02
Complaint Related
No
Licensing Inspector
Angela Farmer
(276) 608-2283
(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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was initiated on 3/2/2023 and concluded on 3/2/2023. There were 30 children present with seven staff supervising and one director/owner present. 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 nine staff records were reviewed. The inspection started at 10:10 am and concluded at 1:40 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.
Violations
7Standard 22.1-289.035-B-2
Based on record review the center failed to ensure that a criminal history request, fingerprint through Fieldprint check prior to the first day of employment.
Evidence:
Staff #7, (hire date 11/28/22) does not have a fingerprint background check on file.
Evidence:
Staff #7, (hire date 11/28/22) does not have a fingerprint background check on file.
Plan of Correction: employee was suspended until this is completed. [sic]
Standard 8VAC20-770-60-C-2
Based on record review the center failed to ensure that all staff have a central registry check within 30 days of employment.
Evidence:
1. Staff #1 (hire date 10/11/21), staff #2 (hire date 5/31/22) and staff #3 (hire date 5/3/22) do not have a central registry check on file. (Repeat Violation)
2. Staff #4 (hire date 2/13/23), staff # 5 (hire date 1/2/23), staff #6 (hire date 9/7/22), staff #7 (hire date 11/28/22), staff #8 (hire date 9/25/22), staff #9 (hire date 5/4/22) do not have a central registry check on file.
Evidence:
1. Staff #1 (hire date 10/11/21), staff #2 (hire date 5/31/22) and staff #3 (hire date 5/3/22) do not have a central registry check on file. (Repeat Violation)
2. Staff #4 (hire date 2/13/23), staff # 5 (hire date 1/2/23), staff #6 (hire date 9/7/22), staff #7 (hire date 11/28/22), staff #8 (hire date 9/25/22), staff #9 (hire date 5/4/22) do not have a central registry check on file.
Plan of Correction: All Central registry checks have been sent & most returned. [sic]
Standard 8VAC20-780-160-A
Based on record reviews the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.
Evidence:
Staff #5 hire date 1/2/23 has a TB screen dated 2/3/23. Staff #6 hire date 9/7/22 has a TB screen dated 1/31/23. Staff # 7 hire date 11/28/22 does not have a TB screen on file. Staff #8 hire date 9/25/22 has a TB screen dated 2/8/23. These TB screenings were not conducted within the required time frames.
Evidence:
Staff #5 hire date 1/2/23 has a TB screen dated 2/3/23. Staff #6 hire date 9/7/22 has a TB screen dated 1/31/23. Staff # 7 hire date 11/28/22 does not have a TB screen on file. Staff #8 hire date 9/25/22 has a TB screen dated 2/8/23. These TB screenings were not conducted within the required time frames.
Plan of Correction: required Before starting w/company. [sic]
Standard 8VAC20-780-240-B
Based on record reviews the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
Staff #4 (hire date 2/13/23, staff #5 (hire date 1/2/23, staff # 7 (hire date 11/28/22) and staff #8 (hire date 9/25/22) do not have documentation on file that they received orientation training prior to working alone with children or no later than seven days of assuming job responsibilities.
Evidence:
Staff #4 (hire date 2/13/23, staff #5 (hire date 1/2/23, staff # 7 (hire date 11/28/22) and staff #8 (hire date 9/25/22) do not have documentation on file that they received orientation training prior to working alone with children or no later than seven days of assuming job responsibilities.
Plan of Correction: all staff have completed & signed orientation documents. [sic]
Standard 8VAC20-780-280-B
Based on observation the center failed to ensure that all 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 closet located in the hallway with the curtain as a door had cleaning substances on a shelf. These items are not locked.
Evidence:
The closet located in the hallway with the curtain as a door had cleaning substances on a shelf. These items are not locked.
Plan of Correction: Put them in proper locked closet. [sic]
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 or snacks.
Evidence:
While observing the infant and toddler rooms the staff began preparing lunch for the children. The children sat on the rug and once their food was on the table, they proceeded to the table to sit down. No child washed their hands prior to eating lunch.
Evidence:
While observing the infant and toddler rooms the staff began preparing lunch for the children. The children sat on the rug and once their food was on the table, they proceeded to the table to sit down. No child washed their hands prior to eating lunch.
Plan of Correction: Training received & another sink purchased for Toddler room. [sic]
Standard 8VAC20-780-70
Based on record reviews the center failed to ensure that staff records have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
Evidence:
Staff # 6 & 9 do not have documentation on file that they possess the education, certification or experience required to be a lead teacher. Both staff are currently working in lead teacher roles.
Evidence:
Staff # 6 & 9 do not have documentation on file that they possess the education, certification or experience required to be a lead teacher. Both staff are currently working in lead teacher roles.
Plan of Correction: #6 Has been terminated from employment.
#9-not lead noted in file aid. was never a lead. [sic]
#9-not lead noted in file aid. was never a lead. [sic]