Inspection · 2023-10-05
Date
2023-10-05
Complaint Related
No
Licensing Inspector
Lynn Powers
(804) 840-8260
(804) 840-8260
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on October 5, 2023 from approximately 11:15 am to 1:15 pm. There were 15 children in attendance and a total of 5 staff present. 3 staff records and 6 children?s records were viewed. All areas of the center were observed including classrooms, bathrooms, and the playground. The children were observed taking a nap while the licensing inspector was on-site.
Violations were cited as a result of this inspection.
Please complete the plan of correction and ?date to be corrected? for each violation cited on the violation notice, sign, and return it to me within 5 business days from today, 10/19/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).
Violations
12Standard 22.1-289.035-B-4
Based on record review, the center failed to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.
Evidence: The record for staff #3, indicated that they have lived in another state within the 5 years preceding the date of employment. The record did not contain documentation of a criminal history information check, a sex offender registry check, or a search of the child abuse and neglect from that state. Staff #3 was observed working in a classroom alone with children.
Evidence: The record for staff #3, indicated that they have lived in another state within the 5 years preceding the date of employment. The record did not contain documentation of a criminal history information check, a sex offender registry check, or a search of the child abuse and neglect from that state. Staff #3 was observed working in a classroom alone with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Repeat Violation
Based on record review, and observation, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and no more than 30 calendar days prior to employment.
Evidence:
1. The record for staff #2, date of employment 08/14/23, did not contain documentation of a negative tuberculosis screening. Staff #2 was observed working in a classroom with children.
2. The record for staff #3, date of employment 08/08/23, contained documentation of tuberculosis screening dated 03/12/23.
Based on record review, and observation, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and no more than 30 calendar days prior to employment.
Evidence:
1. The record for staff #2, date of employment 08/14/23, did not contain documentation of a negative tuberculosis screening. Staff #2 was observed working in a classroom with children.
2. The record for staff #3, date of employment 08/08/23, contained documentation of tuberculosis screening dated 03/12/23.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Repeat Violation
Based on record review, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: The record for staff #2, date of employment 08/14/23, did not contain documentation of orientation training. Staff #2 was observed working alone in a classroom with children.
Based on record review, the center failed to ensure that staff complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: The record for staff #2, date of employment 08/14/23, did not contain documentation of orientation training. Staff #2 was observed working alone in a classroom with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
Based on documentation review, the center failed to provide annual approval from the health department.
Evidence: The health inspection was dated 08/01/2022. Annual approval from the health department was due on or before 08/01/2023.
Evidence: The health inspection was dated 08/01/2022. Annual approval from the health department was due on or before 08/01/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Repeat Violation
Based on record and documentation review, the center failed to maintain a current written list of children's allergies, sensitivities, and dietary restrictions.
Evidence: The record for child #5, date of enrollment 08/28/23, contained documentation of a food allergy. The allergy list did not have child #5 listed.
Based on record and documentation review, the center failed to maintain a current written list of children's allergies, sensitivities, and dietary restrictions.
Evidence: The record for child #5, date of enrollment 08/28/23, contained documentation of a food allergy. The allergy list did not have child #5 listed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Based on observation, the center failed to ensure that staff wash their hands with soap and running water before and after a diaper change and that children's hands are washed with soap and running water after toileting.
Evidence: Staff #2 was observed changing a child's diaper. Staff #2 did not wash their hands or the child's hands before or after the diaper change.
Evidence: Staff #2 was observed changing a child's diaper. Staff #2 did not wash their hands or the child's hands before or after the diaper change.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.
Evidence: Staff #2 was observed changing a child's diaper on the diaper table. Staff #2 wiped the surface with an antibacterial wipe after the diaper change. Staff #2 did not clean the surface with soap water and then sanitize with a spray or dip.
Evidence: Staff #2 was observed changing a child's diaper on the diaper table. Staff #2 wiped the surface with an antibacterial wipe after the diaper change. Staff #2 did not clean the surface with soap water and then sanitize with a spray or dip.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-1
Based on record review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR).
Evidence:
1. The record for staff #2, date of employment 08/14/23, contained documentation of CPR dated 09/16/21. The training certification period ended on 09/16/23. Staff #2 was alone in a classroom with children.
2. The record for staff #3, date of employment 08/08/23, did not contain documentation of CPR training. Staff #2 was alone in a classroom with children.
Evidence:
1. The record for staff #2, date of employment 08/14/23, contained documentation of CPR dated 09/16/21. The training certification period ended on 09/16/23. Staff #2 was alone in a classroom with children.
2. The record for staff #3, date of employment 08/08/23, did not contain documentation of CPR training. Staff #2 was alone in a classroom with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-2
Based on record review, and observation, the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid.
Evidence:
1. The record for staff #2, date of employment 08/14/23, contained documentation of first aid dated 09/16/21. The certification period ended on 09/16/23. Staff #2 was alone in a classroom with children.
2. The record for staff #3, date of employment 08/08/23, did not contain documentation of first aid training. Staff #2 was alone in a classroom with children.
Evidence:
1. The record for staff #2, date of employment 08/14/23, contained documentation of first aid dated 09/16/21. The certification period ended on 09/16/23. Staff #2 was alone in a classroom with children.
2. The record for staff #3, date of employment 08/08/23, did not contain documentation of first aid training. Staff #2 was alone in a classroom with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based on documentation review and interview, the center failed to implement a monthly practice evacuation drill.
Evidence: The last drill documented was dated 06/15/2023. When asked, staff #4 stated that drills are not implemented monthly.
Evidence: The last drill documented was dated 06/15/2023. When asked, staff #4 stated that drills are not implemented monthly.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-G
Repeat Violation
Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner.
Evidence: The infant room contained bottles and containers of food in the refrigerator that were not labeled or dated.
Based on observation, the center failed to ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner.
Evidence: The infant room contained bottles and containers of food in the refrigerator that were not labeled or dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Repeat Violation
Based on record review, the center failed ensure that staff records contain all required information.
Evidence:
1. The record for staff # 2, date of employment 08/14/23, did not contain two or more references as to character and reputation as well as competency prior to employment.
2. The record for staff #2, date of employment 08/14/23, did not contain information about any health problems that may interfere with fulfilling the job responsibilities.
3. The record for staff #2, date of employment 08/14/23, did not contain the name, address, and telephone number of a person to be notified in an emergency.
Based on record review, the center failed ensure that staff records contain all required information.
Evidence:
1. The record for staff # 2, date of employment 08/14/23, did not contain two or more references as to character and reputation as well as competency prior to employment.
2. The record for staff #2, date of employment 08/14/23, did not contain information about any health problems that may interfere with fulfilling the job responsibilities.
3. The record for staff #2, date of employment 08/14/23, did not contain the name, address, and telephone number of a person to be notified in an emergency.
Plan of Correction: Not available online. Contact Inspector for more information.