Inspection · 2023-04-18
Date
2023-04-18
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 minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was initiated on this April 18, 20023 and concluded on April 20, 2023. There were 43 children present, ranging in ages from 5 years to age 11, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed.
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.
Contact Christine Mahan, Licensing Inspector with any questions (757) 404-0568
Violations
8Standard 8VAC20-780-130-A
Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence: The record for Child#5 (first date of attendance 10-17-22) did not include an immunizations prior to attendance.
Evidence: The record for Child#5 (first date of attendance 10-17-22) did not include an immunizations prior to attendance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Based on children?s record review and staff interviews, the licensee did not ensure to obtain documentation that each child shall have a physical examination by or under the direction of a physician, before the child's attendance; or within 30 days after the first day of attendance.
Evidence: The following records were missing physicals conducted by a physician.
1.Child #1, first date of attendance 11-22-22.
2.Child #4, first date of attendance 8-29-22.
3.Child #5, first date of attendance 10--27-22.
Evidence: The following records were missing physicals conducted by a physician.
1.Child #1, first date of attendance 11-22-22.
2.Child #4, first date of attendance 8-29-22.
3.Child #5, first date of attendance 10--27-22.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-C
Based on record review and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: Staff #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not include information indicating orientation training on prevention of abusive head trauma.
Evidence: Staff #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not include information indicating orientation training on prevention of abusive head trauma.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-E
Based on staff record review and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Evidence: Staff #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not have documentation of CPR / First Aid orientation.
Evidence: Staff #3 (hire date 3-16-23) and Staff #4 (hire date 11-30-22) did not have documentation of CPR / First Aid orientation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-D
Based on staff 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 #2 and Staff #3, were outside on the playground with 26 children. Staff #5 confirmed there is no documentation available for review that Staff #3 or Staff #4 meet the qualifications for program lead. Staff #3 and Staff #4 were the only staff supervising children on the playground.
Evidence: Staff #2 and Staff #3, were outside on the playground with 26 children. Staff #5 confirmed there is no documentation available for review that Staff #3 or Staff #4 meet the qualifications for program lead. Staff #3 and Staff #4 were the only staff supervising children on the playground.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-1
Based on a record review and staff interviews, the licensee did not ensure that
at least one staff in each classroom or area where children are present shall have, current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration; and resuscitation (CPR).
Evidence: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had CPR certification.
at least one staff in each classroom or area where children are present shall have, current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration; and resuscitation (CPR).
Evidence: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had CPR certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-2
Based on a record review and staff interviews, the licensee did not ensure that
at least one staff in each classroom or area where children are present shall have, 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: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had first aid certification.
at least one staff in each classroom or area where children are present shall have, 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: Staff #2 and Staff #3 were the only staff outside on the playground with 26 children. Staff #5 confirmed there was not documentation that either staff had first aid certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on a record review and staff interviews, the licensee did not ensure that staff have documentation to demonstrate the individuals have the education, training, and certification, required by the job position.
Evidence: The following information was not included in staff records as required.
1.Staff #2 and Staff #3 did not have documentation to demonstrate they have the training/education and experience required for program lead. Staff #5 said Staff #2 and Staff #3 are designated as program leads.
2.There was not emergency contact information and required health related information for Staff #3 and Staff #4 at the center.
Evidence: The following information was not included in staff records as required.
1.Staff #2 and Staff #3 did not have documentation to demonstrate they have the training/education and experience required for program lead. Staff #5 said Staff #2 and Staff #3 are designated as program leads.
2.There was not emergency contact information and required health related information for Staff #3 and Staff #4 at the center.
Plan of Correction: Not available online. Contact Inspector for more information.