Inspection · 2023-02-08
Date
2023-02-08
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
(804) 588-2371
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.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
Inspector Notes
An unannounced monitoring inspection was conducted on 02/08/2023. There were 29 children, ages 23 months -4 years, 8 staff members providing direct supervision present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, special care provisions and emergencies and special services. The children were observed during mealtime, child choice activities, teacher directed activities and outdoor time. The inspector discussed the following with the provider: training hours. A total of 5 children?s records and 5 staff records were reviewed. The inspector arrived for the inspection at 9:30 am and departed at 1:15 pm.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
Violations
8Standard 8VAC20-780-130-A
Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.
Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 03/31/2022.
Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 03/31/2022.
Plan of Correction: Provider will ensure immunization records are obtained before the child can attend the center.
Standard 8VAC20-780-140-A
Based on record review, the center failed to ensure 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 record for Child 4 indicated the first date of attendance as 02/28/2022. The physical was not available. Staff 6 confirmed this information was not available.
Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The physical was not available. Staff 6 confirmed this information was not available.
Plan of Correction: Provider will ensure physical documentation is obtained before within 30 days after the first day of attendance.
Standard 8VAC20-780-290-A-3
Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers.
Evidence:
1. There were 5 uncovered electrical outlets on a power strip on a shelf in the 3-year-old room.
2. There was 1 uncovered electric outlet under the window in the 2-year-old room.
Evidence:
1. There were 5 uncovered electrical outlets on a power strip on a shelf in the 3-year-old room.
2. There was 1 uncovered electric outlet under the window in the 2-year-old room.
Plan of Correction: Outlets will be covered.
Standard 8VAC20-780-340-D
Based on observation, record review and staff interviews, the center failed to ensure that in each grouping of children at least one staff member who meets the qualification of a program leader or program director shall be regularly present.
Evidence: Staff 1 stated that they were the Program Lead assigned to the 1-year-old classroom. The review of the record for Staff 1 did not contain documentation that Staff 1 qualifies as a Program Lead.
Evidence: Staff 1 stated that they were the Program Lead assigned to the 1-year-old classroom. The review of the record for Staff 1 did not contain documentation that Staff 1 qualifies as a Program Lead.
Plan of Correction: Staff will ensure a qualified program lead is always with each grouping of children.
Standard 8VAC20-780-340-F
Based on observation, the center failed to ensure that children shall always be within actual sight and sound supervision of staff.
Evidence: Staff 2 was observed leaving the classroom to step into the restroom in the hall. The five children in the classroom, determined to be 2 years old, where not within sight and sound supervision during the time that the staff member was out of the classroom.
Evidence: Staff 2 was observed leaving the classroom to step into the restroom in the hall. The five children in the classroom, determined to be 2 years old, where not within sight and sound supervision during the time that the staff member was out of the classroom.
Plan of Correction: Staff will ensure children are always within sight and sound.
Standard 8VAC20-780-560-M
Based on observation, the center failed to ensure that no child shall be allowed to drink and eat while walking around.
Evidence: Two children were observed walking and drinking from cups.
Evidence: Two children were observed walking and drinking from cups.
Plan of Correction: Staff will ensure children remain seated until they are finished with food and drink.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: phone number for a parent.
2. The record for Child 2 did not contain the following information: phone number for a parent, name and phone number of the child?s physician, and chronic physical problems and pertinent developmental information.
3. The record for Child 3 did not contain the following information: phone number for a parent, work phone number for a parent and place of employment for a parent and chronic physical problems and pertinent developmental information.
Evidence:
1. The record for Child 1 did not contain the following information: phone number for a parent.
2. The record for Child 2 did not contain the following information: phone number for a parent, name and phone number of the child?s physician, and chronic physical problems and pertinent developmental information.
3. The record for Child 3 did not contain the following information: phone number for a parent, work phone number for a parent and place of employment for a parent and chronic physical problems and pertinent developmental information.
Plan of Correction: Provider will update children?s records.
Standard 8VAC20-780-70
Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.
Evidence:
1. The record for Staff 1 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available.
2. The record for Staff 2 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.
3. The record for Staff 3 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.
4. The record for Staff 4 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available.
5. The record for Staff 5 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.
Evidence:
1. The record for Staff 1 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available.
2. The record for Staff 2 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.
3. The record for Staff 3 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.
4. The record for Staff 4 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available.
5. The record for Staff 5 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.
Plan of Correction: Provider will request required information .