Inspection · 2022-06-06
Date
2022-06-06
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring was conducted on Septemeber 29, 2022 from approximately 6:40 am-7:35 am. There were 11 children present upon arrival with 2 staff members. Additional staff member arrived during inspection. Children were observed participating in station activities. Staff records were reviewed remotley. Three staff records, three children's records, 1injury record , and 2 medication documents were reviewed during the inspection. Licensing Inspector reviewed indoor areas, supervision, activities, equipment, medication procedures, emergency evacuation and shelter-in-place drill documentation, emergency procedures and required posting.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
11Standard 8VAC20-770-60-C-2
Based on staff interview and record review, the licensee did not ensure central registry findings
with in 30days of employment. Evidence: During the time records were requested Staff#2 hire date 08/15/2022 did not have central registry results.
with in 30days of employment. Evidence: During the time records were requested Staff#2 hire date 08/15/2022 did not have central registry results.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review and staff interview, the licensee did ensure staff obtained a tuberculosis screening reults prior to working with children and within 30 day prior from employment date.
Evidence: Staff #1 hire date 06/03/2022, results of tuberculosis test was completed 06/06/2022.
Staff #2 hire date 08/15/2022 results , results of tuberculosis test was completed 09/30/2022.
Evidence: Staff #1 hire date 06/03/2022, results of tuberculosis test was completed 06/06/2022.
Staff #2 hire date 08/15/2022 results , results of tuberculosis test was completed 09/30/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-J-3
Based on observation and staff interview, the licensee did not ensure any child for whom emergency medication have been prescribed shall always be in the care of a staff member or independent contractor who is MAT certified.
Evidence:
On September 29, 2022, the three staff present were not certified in Medication Administration (MAT) training and would not be able to administer the emergency medication. Child #1 and Child #2 were both present and had emergency meducation on site during the inspeciton.
Evidence:
On September 29, 2022, the three staff present were not certified in Medication Administration (MAT) training and would not be able to administer the emergency medication. Child #1 and Child #2 were both present and had emergency meducation on site during the inspeciton.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-L
Based on record review and staff interview, the licensee did not enusre there were at least one staff member on duty who has obtained with the last three years instruction in performing the daily health observation.
Evidence:
Upon arrival staff #2 and staff #3 were present and there was no staff that was on duty with the daily health observation training. Staff #1 arrived at 6:50 am did not have Daily Health Observation. The staff records provided did not have documentaiton of daily health observation for the three staff present during the inspection.
Evidence:
Upon arrival staff #2 and staff #3 were present and there was no staff that was on duty with the daily health observation training. Staff #1 arrived at 6:50 am did not have Daily Health Observation. The staff records provided did not have documentaiton of daily health observation for the three staff present during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-K
Based on interview, the licensee did not ensure there was written procedures for prevention of abusive head trauma.
Evidence:
Confirmed by administrative staff that the facility did not have written procedures for abusive head trauma.
Evidence:
Confirmed by administrative staff that the facility did not have written procedures for abusive head trauma.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Based on staff interview and record review, the licensee did not ensure there was a dated allergy list.
Evidence:
The allergy list provided during the inperson inspection was not dated.
Evidence:
The allergy list provided during the inperson inspection was not dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-1
Based on record review, the licensee did not ensure there was at least one staff in each classroom with current certification in cardiopulmonary resuscitation (CPR).
Evidence: During the inspection conducted and remote record review, staff #1, staff #2 and staff #3 did not have current certification in cardiopulmonary resuscitation (CPR). Staff #1, staff #2 and staff #3 were the only staff at the facility.
Evidence: During the inspection conducted and remote record review, staff #1, staff #2 and staff #3 did not have current certification in cardiopulmonary resuscitation (CPR). Staff #1, staff #2 and staff #3 were the only staff at the facility.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-2
Based on record review, the licensee did not ensure there was at least one staff in each classroom with current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.
Evidence: During the inspection conducted and remote record review, staff #1, staff #2 and staff #3 did not have current certification in in first aid. Staff #1, staff #2 and staff #3 were the only staff at the facility.
Evidence: During the inspection conducted and remote record review, staff #1, staff #2 and staff #3 did not have current certification in in first aid. Staff #1, staff #2 and staff #3 were the only staff at the facility.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-H
Based on record review and staff interview, the licensee did not have record of dates of the practice emergency drills.
Evidence: There was not emergency drill documentation available at the center during the inperson insepection for the months of March , April , May and June 2022.
Evidence: There was not emergency drill documentation available at the center during the inperson insepection for the months of March , April , May and June 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Based on record review, the licensee did not ensure injury report obtained all required informaiton.
Evidence: Child #3 injury report did not obtain time parent was contacted , date parent was contacted and how parent was contacted. Staff #1 confirmed the information was not on the injury report.
Evidence: Child #3 injury report did not obtain time parent was contacted , date parent was contacted and how parent was contacted. Staff #1 confirmed the information was not on the injury report.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review and staff interview, the licensee did not ensure staff records obtained
on site the following name, address, and telephone number of a person to be notified in an emergency.
Evidence : Staff #4 confirmed staff #2 and staff #3 did not have emergency contact information at the center.
on site the following name, address, and telephone number of a person to be notified in an emergency.
Evidence : Staff #4 confirmed staff #2 and staff #3 did not have emergency contact information at the center.
Plan of Correction: Not available online. Contact Inspector for more information.