Inspection · 2022-05-05
Date
2022-05-05
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
(757) 409-4668
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
A renewal inspection was initiated on Thursday, May 5, 2022 and concluded on Wednesday, May 11, 2022. There were 9 children present with 4 staff supervising during the in person observation at the center. 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 3 child records and 3 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. If you have any questions regarding this inspection please contact inspector, Tiffany Harris at 757-403-3045.
Violations
14Standard 22.1-289.035-B-2
Based on review of staff record, the center did not ensure to obtain Office of Background investigation (OBI) determination letter results prior to employment of staff.
Evidence:
1. In Staff#1's record (date of hire:3/11/22),there was no documentation of an OBI
determination letter available for review during this inspection.
2. In Staff#3's record (date of hire: 3/12/22), there was no documentation of an OBI determination letter available for review during this inspection.
Evidence:
1. In Staff#1's record (date of hire:3/11/22),there was no documentation of an OBI
determination letter available for review during this inspection.
2. In Staff#3's record (date of hire: 3/12/22), there was no documentation of an OBI determination letter available for review during this inspection.
Plan of Correction: Staff no longer employed. The center followed up with OBI and received the staff's background check results, a copy was sent to inspector, and placed it in staff record.
Standard 22VAC40-185-370-5
Based on observation, the center did not ensure to provide awake infants not playing on the
floor or ground a change in play space at least every 30 minutes or more often as determined
by the individuals infant's needs.
Evidence: During the inspection on May 5, 2022, Staff#1 was supervising children the infant
room, and Child#2 (DOB:6/17/21) was awake in the crib from approximately 1:16 pm until
approximately 2:06 pm.
floor or ground a change in play space at least every 30 minutes or more often as determined
by the individuals infant's needs.
Evidence: During the inspection on May 5, 2022, Staff#1 was supervising children the infant
room, and Child#2 (DOB:6/17/21) was awake in the crib from approximately 1:16 pm until
approximately 2:06 pm.
Plan of Correction: The center will ensure all staff is trained and implement practices when children are awake in in cribs they are not kept in space no longer than 30 minutes.
Standard 8VAC20-770-60-B
Based on review of staff records, the center did not ensure to obtain a completed sworn state-
ment or affirmation for all employees or volunteers of a licensed or registered child day program.
Evidence: In Staff#1's record (date of hire:3/11/22), there was no documentation of a completed sworn statement or affirmation found.
ment or affirmation for all employees or volunteers of a licensed or registered child day program.
Evidence: In Staff#1's record (date of hire:3/11/22), there was no documentation of a completed sworn statement or affirmation found.
Plan of Correction: Staff no longer employed at the center. The center will ensure to follow up on background checks for each staff.
Standard 8VAC20-770-60-C-2
Based on review of staff records, the center did not ensure to obtain a central registry finding
within 30 days of employment or volunteer service.
Evidence: In Staff#1's record (date of hire: 3/11/22), there was no central registry findings available for review during this inspection.
within 30 days of employment or volunteer service.
Evidence: In Staff#1's record (date of hire: 3/11/22), there was no central registry findings available for review during this inspection.
Plan of Correction: Staff no longer employed. The center will ensure to obtain background checks within the required timeframe and follow up as needed.
Standard 8VAC20-780-190-A
Based on interview, the center did not ensure to obtain a program director meeting the following qualifications.
Evidence: Interview with staff confirmed the center currently does not have a program director and has been without a director for one month.
Evidence: Interview with staff confirmed the center currently does not have a program director and has been without a director for one month.
Plan of Correction: The center has a program director now since 05/13/2022. The provider will submit qualification for further review by inspector.
Standard 8VAC20-780-240-B
Based on documentation review, the center did not ensure staff shall complete timeframe for
orientation training prior to the staff member working alone with children.
Evidence: There was no documentation of orientation completion provided for review for
Staff#1 (date of hire: 3/11/22) during this inspection.
orientation training prior to the staff member working alone with children.
Evidence: There was no documentation of orientation completion provided for review for
Staff#1 (date of hire: 3/11/22) during this inspection.
Plan of Correction: The center will ensure all staff complete orientation training within in timeframe.
Standard 8VAC20-780-280-B
Based on observation, interview, and photographs, the center did not ensure all hazardous
substances are kept in a locked place using a safe locking method that prevents access by children.
Evidence: During the inspection on May 5, 2022, the following areas were observed in the center containing hazardous substances with the labels, "keep out of reach of children", "flammable", and "Warning":
1. The center's classroom area and bathroom there were disinfectant spray, multi-purpose
cleaners, and sanitizers observed on top of shelves. Interview with staff confirmed these hazardous substances were not kept in a locked place for staff's convenience for cleaning
purposes.
2. The center's kitchen area was observed with the safety gate unlocked and the unlocked cabinet under the sink contained a cleaning product.
3. Photographs taken on May 5, 2022 of the center's areas observed by the inspector where hazardous substance were not kept in a locked place.
substances are kept in a locked place using a safe locking method that prevents access by children.
Evidence: During the inspection on May 5, 2022, the following areas were observed in the center containing hazardous substances with the labels, "keep out of reach of children", "flammable", and "Warning":
1. The center's classroom area and bathroom there were disinfectant spray, multi-purpose
cleaners, and sanitizers observed on top of shelves. Interview with staff confirmed these hazardous substances were not kept in a locked place for staff's convenience for cleaning
purposes.
2. The center's kitchen area was observed with the safety gate unlocked and the unlocked cabinet under the sink contained a cleaning product.
3. Photographs taken on May 5, 2022 of the center's areas observed by the inspector where hazardous substance were not kept in a locked place.
Plan of Correction: The center will ensure all hazardous substances are kept in a locked area with safe locking method and inaccessible to children in care.
Standard 8VAC20-780-440-A
Based on observation and interview, the center did not ensure all children in care are provided
cots, rest mats or beds.
Evidence: During the inspection on 05/05/2022, there were four children observed napping on
the floor with a nap pad. Interview with staff confirmed the use of the nap pads for napping
for the children in care.
cots, rest mats or beds.
Evidence: During the inspection on 05/05/2022, there were four children observed napping on
the floor with a nap pad. Interview with staff confirmed the use of the nap pads for napping
for the children in care.
Plan of Correction: The center will ensure the use of proper napping equipment and make sure it can be sanitized as the definition describes on weekly basis for each individual child.
Standard 8VAC20-780-440-L
Based on observation and staff interviews, the center did not ensure pillows and filled comforters were not be used by children under two years of age.
Evidence: During the inspection on May 5, 2022, Child#1 (DOB:12/05/21 ) was observed crying with a boppy pillow under their neck and shoulders in the crib. Interview with Staff#1 confirmed
use of boppy pillow while infants are in their assigned cribs.
Evidence: During the inspection on May 5, 2022, Child#1 (DOB:12/05/21 ) was observed crying with a boppy pillow under their neck and shoulders in the crib. Interview with Staff#1 confirmed
use of boppy pillow while infants are in their assigned cribs.
Plan of Correction: The provider removed all boppy pillows from the center. All boppy pillows were removed from children's cribs after the inspection.
Standard 8VAC20-780-500-A
Based on observation and interview, the center did not ensure children's hands washed after
toileting.
Evidence: During the inspection on May 5, 2022, Staff#2 was observed completing diapering of
child in the restroom area and the child's hands were not washed. Interview with Staff#2 con-
firmed the child's hands not being washed after diapering.
toileting.
Evidence: During the inspection on May 5, 2022, Staff#2 was observed completing diapering of
child in the restroom area and the child's hands were not washed. Interview with Staff#2 con-
firmed the child's hands not being washed after diapering.
Plan of Correction: The provider will ensure all staff practices handwashing procedures for infants birth-16 months (use wipes) and older children use of water and soap after toileting and diapering at the center.
Standard 8VAC20-780-510-L
Based on observation and interview, the center did not ensure all medication is kept in a locked
place using a safe locking method that prevents access by children.
Evidence:
1. There was observation of an over the counter bottle of cold medication inside a plastic bag
with an oral syringe on top of the children's cubby accessible to children in care.
2. Interview with staff confirmed the medication was not kept in a locked place using a safe locking method that prevents access by children.
3. Photographs taken by inspector on May 5, 2022 of the visible cold medication observed at
the center during the inspection.
place using a safe locking method that prevents access by children.
Evidence:
1. There was observation of an over the counter bottle of cold medication inside a plastic bag
with an oral syringe on top of the children's cubby accessible to children in care.
2. Interview with staff confirmed the medication was not kept in a locked place using a safe locking method that prevents access by children.
3. Photographs taken by inspector on May 5, 2022 of the visible cold medication observed at
the center during the inspection.
Plan of Correction: The center does not administer medication.
Standard 8VAC20-780-570-E
Based on observation and interview, the center did not ensure to prepared infant formula is dated and labeled with the child's name.
Evidence: During the inspection on May 5, 2022, there was an infant bottle prepared for a child in care without the date and label with the child's name on it. Interview with staff confirmed the bottle not being labeled with the date and child's name.
Evidence: During the inspection on May 5, 2022, there was an infant bottle prepared for a child in care without the date and label with the child's name on it. Interview with staff confirmed the bottle not being labeled with the date and child's name.
Plan of Correction: The center will ensure all prepared formula/bottles are labeled with date and child's named.
Standard 8VAC20-780-60-A
Based on review of children's records, the center did not ensure 2 of 3 records obtain all information for each child's record.
Evidence: In Child#2's record, the addresses provided for two emergency contacts were incomplete and there was no documentation found for proof of identity and age.
Evidence: In Child#2's record, the addresses provided for two emergency contacts were incomplete and there was no documentation found for proof of identity and age.
Plan of Correction: The center will ensure to obtain all information for children records and contact local law enforcement within 7 days if birth certificate or other documents aren't available.
Standard 8VAC20-780-70
Based on review of staff records, the center did not ensure 2 of 3 records obtain all information
for staff records.
Evidence: 1. In Staff#1's record (date of hire:3/11/22) there was no documentation of name, address, emergency contact and there was no documentation for two or more references available for review for this inspection.
2. In Staff #2's record (date of hire:1/20/22) there was documentation for one reference for review during inspection.
for staff records.
Evidence: 1. In Staff#1's record (date of hire:3/11/22) there was no documentation of name, address, emergency contact and there was no documentation for two or more references available for review for this inspection.
2. In Staff #2's record (date of hire:1/20/22) there was documentation for one reference for review during inspection.
Plan of Correction: The center will verify all staff documentation is obtained and included in file for review.