Inspection · 2024-09-26
Licensing Inspector
Christine Mahan
(757) 404-0568
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 9-26-2024 and completed on 9-30-2024 The on-site inspection began at 4:30pm and ended at 5:45pm. The inspector reviewed compliance in the areas listed above. There were 32 children present and 4 staff.The inspector
reviewed 5 children?s records and 5 staff records at a central location on 9-30-2024. This inspection included document review, tour of the facility, interviews, and observations. 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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on
10-10-2024. A POC submitted after this date will not appear on the public website.
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 request a search of the child abuse and neglect registry and sex offender registry from one state for Staff #1, who has been employed for more than a month and was working with children at the time of the inspection.
Plan of Correction: Senior program manager will review on boarding paperwork to ensure background checks are conducted in a timely manner.
Standard 8VAC20-780-240-B
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. Staff #1 has been employed for more than a month, was working with children at the time of inspection and had not completed the orientation.
Plan of Correction: Senior program manager is now offering orientation once a week
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #4 had 10.5 hours of training .
Plan of Correction: Senior program manager will work with staff to get 16 hours of training.
Standard 8VAC20-780-340-D
Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #4 who did not meet lead teacher qualifications, was alone with a group of 5 school age children, on the playground.
Plan of Correction: Senior program manager will work with staff to obtain lead qualifications.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #4 has a medication authorization for 2 medications and they had expired over 3 months ago. The medications had not been administered past the expiration of the authorization. The authorizations had not been renewed and the medications were not returned or disposed of as required.
Plan of Correction: Program manager will contact parents to obtain proper medication authorization forms. Medication will be sent home until proper authorization has been obtained.
Standard 8VAC20-780-550-P
(Repeat Violation)
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Five injury reports were reviewed and they did not include the date and time the parent was notified of the injury and any future action to prevent recurrence of the injury.
Plan of Correction: Senior program manager will work with program manager on proper documentation
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2,has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: Written care plan shall be obtained for child.
Standard 8VAC20-780-70
(Repeat Violation)
Documentation shall be maintained for each staff record. Staff #2, who has been employed for 3 weeks and is missing one of two completed reference verifications. Staff #1 has been employed for over a month and does not have at the center information for an emergency contact information for a person to be notified in an emergency and any health problems that may interfere with fulfilling the job responsibilities..
Plan of Correction: Area manager will work with staff member to obtain second reference. emergency form was corrected on site with licenser