Inspection · 2024-10-22
Licensing Inspector
Michele Patchett
(757) 439-6816
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
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 10/22/2024. The on-site inspection began at 11:40 am and ended at 3:25 pm. The inspector reviewed compliance in the areas listed above. There were 67 children present and 11 staff. The inspector reviewed 6 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, interviews, observations, and measurements.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 2/13/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: The last inspection dated 2/13/2024 was printed and posted during the inspection.
The center will ensure that future inspection results are posted visibly in the center immediately following receipt of a violation notice.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not obtain the results of a search of the child abuse and neglect registry from one state for Staff #5, who has been employed for more than 3 years and was working with children at the time of the inspection.
Plan of Correction: The program director will contact the appropriate agency for the missing out of state Abuse and Neglect search and inquire about the requested results. Results or documentation will be obtained and explanation of delays documented in staff #5's record.
Standard 8VAC20-780-160-A
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2, who has been employed for 1 year is currently working in a classroom with children and does not have the results of a TB screening in her record.
Plan of Correction: Staff #2 has documentation of being tested for TB but not the results of the screening. Staff #2 will be asked to obtain the screening results to be placed int he staff record or have a new TB screening initiated by Monday.
Standard 8VAC20-780-240-B
Staff are required to complete orientation training, appropriate to the age of the children in care, to include all of the required facility specific topics, prior to working alone with children and no later than seven days of the date of assuming job responsibilities.
Staff #3 ,who has been working at the center for over 17 months, does not have orientation training documented.
Plan of Correction: Staff #3 obtained orientation training at the time of her hire, but the documentation could not be located. The program director will review the orientation documentation with staff #3, complete the checklist and obtain a signature on the documentation showing that orientation was completed at the time of hire and noting that the document was recreated following an orientation review with staff #3.
Standard 8VAC20-780-280-B
(Repeat Violation) Hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. A spray bottle of bleach water solution was unlocked in the two-year-old classroom, within reach of children.
Plan of Correction: A child proof lock was placed on the storage cabinet under the diapering table where the bleach solution is stored during the inspection,
Standard 8VAC20-780-570-E
Prepared infant formula is required to be refrigerated, dated and labeled with the child's name. There were 8 bottles of breast milk for 4 children in the infant room which were not dated.
Plan of Correction: Staff will remind parents that bottles must be labeled with the date when they are brought in each day. Staff will place a date label on bottles upon receipt each day if they have not already been labeled.
Standard 8VAC20-780-60-A
The center is required to maintain and keep at the center a separate record for each child enrolled which shall include documentation of child updates and confirmation of up-to-date information.
Four children, enrolled between 18 months and 5 years, did not contain annual confirmation up-to-date information after their initial enrollment.
Plan of Correction: The program director stated that she will ensure that a document to obtain any changes and/or confirm correct information for each enrolled child is completed by every enrolled child's parent within 30 days. Updates and confirmation of current information in the child's record will be obtained annually and documented in each child's record.