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Inspection · 2023-06-20

Date
2023-06-20
Complaint Related
No
Licensing Inspector
Monique Anderson
(540) 309-2397
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 06/20/2023. There were 28 children, ages 16 month - 5 years, and 8 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies, nutrition and background checks. The children were observed during rest time, mealtime, self-directed activities, teacher directed activities and outdoor time. A total of 5 children?s records, and 5 staff records were reviewed. The inspector arrived for the inspection at 2:00 pm and departed at 4:45 pm.

The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice to the provider.

Violations

5
Standard 8VAC20-770-60-B
Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation.
Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The sworn statement was dated 01/05/2023.
Plan of Correction: Provider will obtain required information before hiring employees.
Standard 8VAC20-770-60-C-2
Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment.

Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The search of the central registry was dated 03/22/2023. The search of the central registry was not obtained within 30 days of employment.
Plan of Correction: Provider will monitor timeline.
Standard 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 2 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 05/25/2022.
Plan of Correction: Provider will obtain information from parents prior to first day of attendance.
Standard 8VAC20-780-160-A
Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Evidence: The record for Staff 5 contained a documented hire date of 03/16/2023. The tuberculosis screening in the record was dated 04/21/2023.
Plan of Correction: Plan of correction: Provider will obtain required information before hiring employees.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

Evidence:
1. The record for Child 1 did not contain the following information: phone number of child?s physician, and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).
2. The record for Child 2 did not contain the following information: name, home address, and home phone number of each parent (no home address for one parent was available), and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).
Plan of Correction: Provider will obtain information from parents.
View original record on Virginia Department of Social Services