Inspection · 2022-12-09
Date
2022-12-09
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
(540) 359-5244
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
X 8VAC20-780 Administration.
X 8VAC20-780 Staff Qualifications and Training.
X 8VAC20-780 Physical Plant.
X 8VAC20-780 Staffing and Supervision.
X 8VAC20-780 Programs.
X 8VAC20-780 Special Care Provisions and Emergencies
X 8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
X 8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
X 22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced renewal study was conducted during the after school program. 13 children were present with two staff with a third one arriving prior to the center leaving for the local recreation center. Observed arrival and transition to snack (tacos, black beans, lettuce, cheese, peaches and milk) as well as children watching World Cup Soccer on iPads. 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. Feel free to contact me if you need any assistance.
Ann Dramstad, Children?s Inspector
Office of Child Care Health and Safety
Division of School Readiness
703-314-0860
ann.dramstad@doe.virginia.gov
Violations
9Standard 8VAC20-780-130-A
Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
Child #1 is missing the immunization record (enrolled 8/29/2022)
Child #2 is missing the immunization record (enrolled 8/29/2022)
Evidence:
Child #1 is missing the immunization record (enrolled 8/29/2022)
Child #2 is missing the immunization record (enrolled 8/29/2022)
Plan of Correction: Send reminders to parents to provide missing paperwork. Follow up with schools to provide if possible.
Standard 8VAC20-780-140-A
Based on record review, the center did not obtain a physical examination for a child within 30 days after the first day of attendance.
Evidence:
Child #1 is missing the physical exam record (enrolled 8/29/2022)
Child #2 is missing the physical exam record (enrolled 8/29/2022)
Evidence:
Child #1 is missing the physical exam record (enrolled 8/29/2022)
Child #2 is missing the physical exam record (enrolled 8/29/2022)
Plan of Correction: Send reminders to parents to provide missing paperwork. Follow up with schools to provide if possible.
Standard 8VAC20-780-240-C
Based on observation and staff statements, staff failed to demonstrate that they understood their job responsibilities.
Evidence:
1. Staff #1 and Staff #2 were unable to determine if a child had an emergency medication (inhaler) on-site and where to look for it. The child was listed as having asthma on the center list of special health concerns.
2. Staff #1 and Staff #2 did not know where the evacuation log was and if evacuation drills were documented.
3. Staff #1 and Staff #2 were aware that two children were not enrolled in the program but the children were participating in the center activities.
Evidence:
1. Staff #1 and Staff #2 were unable to determine if a child had an emergency medication (inhaler) on-site and where to look for it. The child was listed as having asthma on the center list of special health concerns.
2. Staff #1 and Staff #2 did not know where the evacuation log was and if evacuation drills were documented.
3. Staff #1 and Staff #2 were aware that two children were not enrolled in the program but the children were participating in the center activities.
Plan of Correction: 1. Provide action plan to parents. Keep in student's file even if the action is no inhaler. If an inhaler is provided, establish protocol for storage and use.
2. Review procedures for recording of drills (1/6/2023)
3. Remind staff that under no circumstances are there to be non-enrolled children in program and that no more than 16 children are allowed to be in the space. 9!/6/2023)
2. Review procedures for recording of drills (1/6/2023)
3. Remind staff that under no circumstances are there to be non-enrolled children in program and that no more than 16 children are allowed to be in the space. 9!/6/2023)
Standard 8VAC20-780-310-A
Based on observation, areas not routinely used for children's activities is not to be used as available space.
Evidence:
The Licensing Inspector observed a staff member unlock the laundry room that is connected to the community room and allow 3-4 children play in space that is not calculated in the capacity.
Evidence:
The Licensing Inspector observed a staff member unlock the laundry room that is connected to the community room and allow 3-4 children play in space that is not calculated in the capacity.
Plan of Correction: Remind staff that under no circumstances should non-calculated capacity space be used for program.
Standard 8VAC20-780-340-C
Based on observation, there was not two staff available at all times when supervising children.
Evidence:
The Licensing Inspector observed one staff member in the community room for approximately 15 minutes (3:08-3:24) and the second staff member was not immediately available as they were picking up a second group of children from the bus stop.
Evidence:
The Licensing Inspector observed one staff member in the community room for approximately 15 minutes (3:08-3:24) and the second staff member was not immediately available as they were picking up a second group of children from the bus stop.
Plan of Correction: There is usually additional support so that no staff member is left alone with a group while the other is retrieving the children from the bus stop. Remind program staff to maintain appropriate staffing numbers.
Standard 8VAC20-780-340-F
Based on observation, 2 children were not within actual sight and sound supervision of staff.
Evidence:
1. Child #3 entered the community room at approximately 2:56 pm and no staff member was in the classroom until 3:08 pm
2. Child #4 entered the community room at approximately 3:04 pm and no staff member was in the classroom until 3:08 pm.
Evidence:
1. Child #3 entered the community room at approximately 2:56 pm and no staff member was in the classroom until 3:08 pm
2. Child #4 entered the community room at approximately 3:04 pm and no staff member was in the classroom until 3:08 pm.
Plan of Correction: Remind program staff to lock door when leaving to retrieve the children from the bus stop.
Standard 8VAC20-780-500-A
Based on observation, children's hands were not washed with soap and water before and after eating meals or snacks.
Evidence:
Observed multiple children eat the meal provided and none of the 5 washed their hands prior to eating or after finishing the meal.
Evidence:
Observed multiple children eat the meal provided and none of the 5 washed their hands prior to eating or after finishing the meal.
Plan of Correction: Remind staff of appropriate hand washing routine when arriving from school and before eating snack.
Standard 8VAC20-780-60-A
Based on record review, 1 of 3 children's records was incomplete.
Evidence:
Child #2 was missing proof of identity verification within 7 days of enrollment (8/29/2022.
Evidence:
Child #2 was missing proof of identity verification within 7 days of enrollment (8/29/2022.
Plan of Correction: Send reminders to parents to provide missing paperwork. Follow up with schools to provide if possible.
Standard 8VAC20-780-80-A
Based on record review and observation, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs.
Evidence:
1. No written record of attendance was documented 12/8/2022.
2. Did not observe attendance being taken on 12/9 for the first 45 minutes as children arrived into the after school program or prior to leaving the center to walk to Barcroft Recreation Center.
Evidence:
1. No written record of attendance was documented 12/8/2022.
2. Did not observe attendance being taken on 12/9 for the first 45 minutes as children arrived into the after school program or prior to leaving the center to walk to Barcroft Recreation Center.
Plan of Correction: 1. Review with staff the importance of taking attendance upon arrival from bus stops.
2. Clipboard with roster/attendance should be taken whenever leaving the space. Headcounts before leaving the facility and upon arrival at the playground and again when leaving.
2. Clipboard with roster/attendance should be taken whenever leaving the space. Headcounts before leaving the facility and upon arrival at the playground and again when leaving.