Inspection · 2024-10-23
Licensing Inspector
Charles Perkins
(703) 309-3963
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
8 VAC 20-780 Administration
8 VAC 20-780 Staff Qualifications and Training
8 VAC 20-780 Physical Plant
8 VAC 20-780 Staffing and Supervision
8 VAC 20-780 Programs
8 VAC 20-780 Special Care Provisions and Emergencies
8 VAC 20-780 Special Services
8 VAC 20-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 10/23/2024. The on-site inspection began at 10 am/pm and ended at 2 pm. The inspector reviewed compliance in the areas listed above. There were (59) children present and (10) classroom staff. The inspector reviewed (5) children?s records and (3) new staff records on-site on 10/23/2024.
This inspection included: document review (files, policies and procedures, emergency drill logs, medication administration logs, authorization forms); tour of the facility, and interviews.
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.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
The most recent immunization record on file for Child #12 (under 2 years of age) was from 7 months ago.
Plan of Correction: The recent immunization record has been added to the child's file. An electronic child file checklist has been created to notify us when children are 30 days from needing updated records to ensure that this doesn't happen again in the future.
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 #9, who had been enrolled for eleven months.
Plan of Correction: A physical will be obtained no later than 11/8/24 and placed into the file. Moving forward new enrollments will be unable to start without the physical.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.
Staff #3 updated screening was due 3 months ago and Staff #7 updated screening was due 1 month ago. The updated screenings have not yet been completed.
Plan of Correction: A TB screening will be obtained no later than 11/4/24 and placed into the staffs file. An electronic staff file checklist has been created to let us know when teachers are 30 days from TB expiring so that this does not happen in the future.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.
Staff #13 has yet to complete the course. It has been 7 months outside the original 90 day period. This same standard for Staff #13 was previously cited during the last inspection.
Plan of Correction: 10 hour pre service training was completed on 10/27/2024 and placed into the employees file. Moving forward new staff are unable to start without having completed the training.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.
There was a climbing mat within the Toddler Room that has split open along its seam, exposing the padding underneath.
Plan of Correction: Mat was removed from the center on the date of inspection. We have trained the teachers on 10/24/24 to look for rips on mats to ensure this doesn't happen in the future.
Standard 8VAC20-780-420-E-3
Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented.
The last documented review of the emergency information on file for Child #10 was from 19 months ago.
Plan of Correction: An electronic child file checklist has been created and all child file's will be reviewed by the guardians annually.
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.
The record for Child #12, enrolled for seven months, was missing the following required component: the complete information for 2 emergency contacts.
Plan of Correction: We have obtained 2 emergency contacts for the child and they have been added to the file. We have created an electronic checklist for child files that must be completed before new children start and it includes two emergency contacts.