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 7:45am and ended at 8:55am. The inspector reviewed compliance in the areas listed above. There were 42 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 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for one month, did not have documentation of an immunization record on file.
Plan of Correction: Program manager will conduct a review of files to make sue all required documents are obtained
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 #2 had 9 hours of training and Staff #3 had 11 hours of training
Plan of Correction: Senior program manager will work with staff on training hours.
Standard 8VAC20-780-340-D
Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #3 and #4 who did not meet lead teacher qualifications, were alone with a group of 27 school age children, in the gym for approximately 25 minutes.
Plan of Correction: Senior program manager will work with staff to obtain training and maintain documentation.
Standard 8VAC20-780-510-G
Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Medication for Child #5 was not labeled with their name
Plan of Correction: Program Manager will work with parents to obtain proper medication documentation
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. Two out of five injury reports reviewed and did not include the circumstance of the injury and any future action to prevent recurrence of the injury.
Plan of Correction: Senior Program manager will work with program mangers on proper documentation
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 is designated a as Program lead and does not have documentation of qualifications.
Plan of Correction: Senior program manger will work with Area Manger on documentation for employee files.