Inspection · 2024-10-07
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 10-7-2024 and completed on 10-9-2024. The on-site inspection began at 4:55pm and ended at 6:00pm. The inspector reviewed compliance in the areas listed above. There were 38 children present and 5 staff. The inspector reviewed 5 children?s records on site and 5 staff records were reviewed at a central location on 10-9-2024. 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 10-17-2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, has been attending for 6 weeks.
Plan of Correction: Program manager will work with parents to get the required documents for enrollment.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. Child #4 has been attending for 6 weeks and their immunization record was not signed and dated.
Plan of Correction: Program manager will work with parents to get required documents for enrollment.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5 completed the course 2 months late.
Plan of Correction: Senior program manager will continue to work with staff to get training done 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 did not complete orientation training until 4 weeks after they began working
Plan of Correction: Senior program manager will ensure orientation is offered in the seven day window.
Standard 8VAC20-780-245-A
Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #4 obtained 8 out of the 16 required hours .
Plan of Correction: Senior program manager will continue to work with staff to get the proper training hours.
Standard 8VAC20-780-560-M
Based on observation, the licensee did not ensure children should be allowed to drink or eat while walking around. One child was walking around in the cafeteria eating a bag of chips.
Plan of Correction: Program manager and all staff will ensure children are sitting while eating and drinking.
Standard 8VAC20-780-60-A
(Repeat Violations)
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: Program manager will work with parents to get the required allergy action plan.
Standard 8VAC20-780-70
The provider shall keep for each staff person / staff record all required information. Staff #5 who has been working for the past 9 months was missing documentation of completed references on file that were checked prior to employment, emergency contact information and information related to any health issues that may interfere with the job.
Plan of Correction: Program manager will ensure all staff members have their employee health form on site