Inspection · 2023-09-21
Date
2023-09-21
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(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 monitoring inspection was started in the center on September 21, 2023 7:05 AM to 8:05 AM and concluded on September 21, 2023 . At the time of entrance, 14 children were in care with 4 staff members present. The playing in centers to include board games, art, and large gym games.
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.
Please contact Licensing inspector, Christine Mahan with any questions (757) 951-7150.
Violations
7Standard 8VAC20-780-150-B
Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department.
Evidence: The physical and immunization documents in the records for Child #1 did not include a physician or designated individual?s signature. Child #4 has been attending for more than 30 days.
Evidence: The physical and immunization documents in the records for Child #1 did not include a physician or designated individual?s signature. Child #4 has been attending for more than 30 days.
Plan of Correction: Senior program manger will work with program manger to ensure all required documentation is on site for children
Standard 8VAC20-780-160-A
Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children.
Evidence: The record for Staff #5 (hire date 9-19-23) did not include TB screening results. Staff #5 was observed during inspection.
Evidence: The record for Staff #5 (hire date 9-19-23) did not include TB screening results. Staff #5 was observed during inspection.
Plan of Correction: Staff member had TB test. Area manger will review documentation to ensure negative test has been received
Standard 8VAC20-780-340-B
Based on record review, observation and staff interviews, the licensee did not ensure that during the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator.
Evidence: During the inspection of the before school program on September 21, 2023, Staff #1, Staff #2, Staff #3 and Staff #5 verified there was not a staff member on site who was designated as the person in charge.
Evidence: During the inspection of the before school program on September 21, 2023, Staff #1, Staff #2, Staff #3 and Staff #5 verified there was not a staff member on site who was designated as the person in charge.
Plan of Correction: Area manger and Senior program manger will appoint a person to be the designated administrator in the absence of the program manger
Standard 8VAC20-780-340-D
Repeat
Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.
Evidence: Staff #3 and Staff #5, were observed as the only staff supervising 21 Schoolage children in the gymnasium. Staff #3 and Staff #5 do not have documentation available for review indicating they meet the qualifications for program lead/director
Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.
Evidence: Staff #3 and Staff #5, were observed as the only staff supervising 21 Schoolage children in the gymnasium. Staff #3 and Staff #5 do not have documentation available for review indicating they meet the qualifications for program lead/director
Plan of Correction: Area manger and Senior program manger will ensure proper training is offered to meet the standard
Standard 8VAC20-780-540-E
Based on equipment review and staff interview the licensee did not ensure to have required nonmedical emergency supplies.
Evidence: Staff #1 verified they did not have a working battery-operated radio.
Evidence: Staff #1 verified they did not have a working battery-operated radio.
Plan of Correction: Radio will be purchsed
Standard 8VAC20-780-550-G
Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.
Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in March, April, May, June and August 2023.
Evidence: Staff #1 confirmed they did not have documentation of evacuation drills conducted in March, April, May, June and August 2023.
Plan of Correction: Senior program manger will work with the program manger to ensure fire drills are conducted and documentation kept on site for a year
Standard 8VAC20-780-70
Repeat
Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record.
Evidence: Staff #1 is designated as an educator /program lead and their record does not have documentation to demonstrate they have the education and certification required by the job position.
Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record.
Evidence: Staff #1 is designated as an educator /program lead and their record does not have documentation to demonstrate they have the education and certification required by the job position.
Plan of Correction: Area manger and Senior program manger will ensure proper training is offered to meet the standard