Inspection · 2024-09-23
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 9-23-2024 and completed on 9-30-2024 The on-site inspection began at 3:20pm and ended at 5:20pm. The inspector reviewed compliance in the areas listed above. The inspector reviewed 5 children?s records and 5 staff records at a t 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. Staff #2, employed for more than 6 months, did not have documentation of requesting a central registry check and no documentation of requesting a criminal history check from a state outside of VA and no documentation of requesting a criminal records check from a different state.
Plan of Correction: Senior program manager will renew will review records to ensure backgrounds are obtained in a timely manner
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, who is working with children, has not yet completed this course which is overdue by 3 months.
Plan of Correction: Senior program manager will work with staff member to complete training
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential and it was not dated.
Plan of Correction: Senior program manager will work with program manager on proper documentation
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. A practice drill was not conducted in August 2024.
Plan of Correction: Senior program manager will work with program manager to ensure drills are completed monthly.
Standard 8VAC20-780-550-P
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, time and how the parent was notified of the injury and any future action to prevent recurrence of the injury.
Plan of Correction: Senior program manager will review proper documentation with program manager.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child #1 did not have record and has been attending for more than a month.
Plan of Correction: Program manager will review records to ensure each child has the required file.
Standard 8VAC20-780-70
Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required shall be in each staff record. Staff #2 and Staff #3 are designated as Program Leaders and do not have documentation of qualifications. Staff #1, designated as Program Director does not have documentation of qualifications.
Plan of Correction: Senior program manager will review employee files to ensure proper documentation is provided