Inspection · 2024-08-20
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was conducted on August 20, 2024. The on-site inspection began at 9:55am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 73 children present and 16 staff. The inspector reviewed 8 children?s records and 5 staff record on-site. 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 September 3, 2024. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-160-A
Based on record review, documentation of a Tuberculosis (TB) screening was not submitted at the time of employment and prior to coming into contact with children.
Evidence:
Staff #1 has a hire date of 8/5/2024. The TB screening is dated 8/20/2024.
Plan of Correction: Staff must have TB test in hand before starting. This is noted on the new hire paperwork.
Standard 8VAC20-780-270-A
Based on observation, areas inside the center were not maintained in a safe and operable condition.
Evidence:
3 out of 4 rugs in the Starfish classroom and 2 out of 4 rugs in the Sea Turtles classroom were rippling and curling at the edges, posing a tripping hazard.
Plan of Correction: The corners and sides of all rugs that were curled up at the edges from their quarterly carpet cleaning have been reinforced with carpet tape.
Standard 8VAC20-780-280-B
Based on observation and interview, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
The hallway closet used to store the mop, mop bucket, and cleaning solutions was not locked, making the contents accessible to children.
Plan of Correction: A sign has been posted on the closet door to ensure anyone opening it relocks it afterwards.
Standard 8VAC20-780-330-E
Based on observation and interview, sandboxes with bottoms which prevent drainage was not kept covered when not in use.
Evidence:
The sandbox on the playground was not covered after morning playground usage. Center staff stated the previous cover posed a pinching hazard so it was removed and has not been replaced.
Plan of Correction: A sandbox cover has been ordered.
Standard 8VAC20-780-40-M
Based on observation and interview, the center did not maintain a written list of children's allergies, sensitivities, and dietary restrictions in each room or area where children are present.
Evidence:
There was not an allergy chart in the Narwhal classroom.
Plan of Correction: A reminder went out to the teachers that allergy lists must be posted in all classrooms regardless if their class has no allergies. Admin will perform period checks for this chart.
Standard 8VAC20-780-430-B
Based on observation, materials are not age and stage appropriate for children.
Evidence:
The Starfish classroom, children ages 12-24 months, had toy trains and cars that are recommended for children ages 3 years and older. The trains and cars had small parts which are choking hazards.
Plan of Correction: The toys mentioned on the top of the shelf were removed immediately after the visit.
Standard 8VAC20-780-510-L
Based on observation and interview, staff's personal medication was not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
Tylenol was found in the adult bathroom above the toilet in an unlocked cabinet, making it accessible to children.
Plan of Correction: A child safe lock was added to the adult bathroom cabinet above the toilet where the Tylenol for staff is kept.
Standard 8VAC20-780-520-B
Based on interview, the center did not obtain written parent authorization noting any known adverse reactions for over-the-counter sunscreen.
Evidence:
Child #1 did not have written authorization for sunscreen provided from home.
Plan of Correction: Teachers double checked that they had all authorizations for sunscreens, bug sprays, other over the counter topical creams kept in their classrooms. Parents were contacted for those missing forms.
Standard 8VAC20-780-520-D
Based on interview, the center did not obtain written parent authorization noting any known adverse reactions for over-the-counter insect repellent.
Evidence:
Child #1 did not have written authorization for insect repellent provided from home.
Plan of Correction: Teachers double checked that they had all authorizations for sunscreens, bug sprays, other over the counter topical creams kept in their classrooms. Parents were contacted for those missing forms.
Standard 8VAC20-780-550-P
Based on record review, the center did not maintain a written record of children's injuries that included staff and parent signatures, date and time of when parents were notified, and documentation of how parent was notified.
Evidence:
For the month of July, 15 out of 23 injury reports were missing a combination of staff and parent signatures, date and time of when parents were notified, and/or documentation of how parent was notified.
Plan of Correction: Not available online. Contact Inspector for more information.