Inspection · 2023-12-15
Date
2023-12-15
Complaint Related
No
Licensing Inspector
Emily Walsh
(757) 404-2575
(757) 404-2575
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.
8VAC20-820 HEARINGS PROCEDURES.
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
A monitoring inspection was conducted on 12/15/2023. The inspector arrived at 7:20 AM and departed at 8:10 AM. There were 21 school aged children present with 2 staff supervising. 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 6 child records and 2 staff emergency contact 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 and discussed with the program director during the exit interview.
Violations
7Standard 8VAC20-780-130-A
Based upon review of children's records and staff interview, the facility has not ensured that they have obtained documentation of immunizations before a child can attend.
Evidence:
1. The record provided for child 5 who began attending on 9/5/2023 did not include documentation of immunizations.
2. Staff 1 acknowledged that the record for child 5 did not include documentation of immunizations.
Evidence:
1. The record provided for child 5 who began attending on 9/5/2023 did not include documentation of immunizations.
2. Staff 1 acknowledged that the record for child 5 did not include documentation of immunizations.
Plan of Correction: The facility responded with the following:
We will ensure that children's immunization records are obtained prior to the child attending. All current children's records will be checked to ensure the immunization documentation is in the record.
We will ensure that children's immunization records are obtained prior to the child attending. All current children's records will be checked to ensure the immunization documentation is in the record.
Standard 8VAC20-780-260-A
Based upon review of documentation and staff interview, the facility has not ensured that they have obtained an annual fire inspection.
Evidence:
1. The most recent fire department inspection provided is dated 2/2/2022.
2. Staff 1 acknowledged that documentation of a fire inspection within the past year has not been obtained.
Evidence:
1. The most recent fire department inspection provided is dated 2/2/2022.
2. Staff 1 acknowledged that documentation of a fire inspection within the past year has not been obtained.
Plan of Correction: The facility responded with the following:
An annual fire department inspection will be requested if the school has not been inspected during the past year.
An annual fire department inspection will be requested if the school has not been inspected during the past year.
Standard 8VAC20-780-260-B
Based upon review of documentation and staff interview, the facility has not ensured that there has been an annual inspection by the health department.
Evidence:
1. The most recent health department inspection documentation provided is dated 1/20/2022.
2. Staff 1 acknowledged that the most recent documentation of a health department inspection is dated 1/20/2022.
Evidence:
1. The most recent health department inspection documentation provided is dated 1/20/2022.
2. Staff 1 acknowledged that the most recent documentation of a health department inspection is dated 1/20/2022.
Plan of Correction: The facility responded with the following:
An annual environmental sanitation health department inspection will be requested if an inspection of the school has not bee conducted during the past year.
An annual environmental sanitation health department inspection will be requested if an inspection of the school has not bee conducted during the past year.
Standard 8VAC20-780-510-E
Based upon review of medication and medication documentation, the facility has not ensured that the procedures for medication administration include that the parent written authorization for medication to be administered requires the parent to indicate the length of time the parent is authorizing the medication to be administered.
Evidence:
There was allergy medication stored for potential administration to child 1 and to child 2. The parent authorizations did not include the length of time the parents are authorizing the medication to be administered.
The medication procedures will be checked to ensure that they include that the written parent authorization must include the length of time the medication is authorized to be administered.
Evidence:
There was allergy medication stored for potential administration to child 1 and to child 2. The parent authorizations did not include the length of time the parents are authorizing the medication to be administered.
The medication procedures will be checked to ensure that they include that the written parent authorization must include the length of time the medication is authorized to be administered.
Plan of Correction: The facility responded with the following:
The parent will be required to indicate the length of authorization given on the parent authorization form. Records will be checked to ensure that they are complete any time a parent brings medication to be administered to a child.
The parent will be required to indicate the length of authorization given on the parent authorization form. Records will be checked to ensure that they are complete any time a parent brings medication to be administered to a child.
Standard 8VAC20-780-510-I
Repeat violation
Based upon review of medication stored for administration to children in care, the facility has not ensured medication includes the prescription label with the prescriber's instructions pertaining to dosage, frequency and manner of administration.
Evidence:
There was an albuterol inhaler for child 1 that did not include the prescription label.
Based upon review of medication stored for administration to children in care, the facility has not ensured medication includes the prescription label with the prescriber's instructions pertaining to dosage, frequency and manner of administration.
Evidence:
There was an albuterol inhaler for child 1 that did not include the prescription label.
Plan of Correction: The facility responded with the following:
The parent will be required to bring the prescription box for the inhaler. In the future, no prescription medication will be accepted without the prescription label.
The medication administration procedures will be checked to ensure that this is included in the procedures.
The parent will be required to bring the prescription box for the inhaler. In the future, no prescription medication will be accepted without the prescription label.
The medication administration procedures will be checked to ensure that this is included in the procedures.
Standard 8VAC20-780-60-A
Repeat violation
Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency if a parent cannot be reached.
Evidence:
1. The record provided for child 2 does not include the street addresses for the emergency contact persons.
2. The record provided got child 3 includes only one emergency contact person.
3. Staff 1 acknowledged the incomplete emergency contact information in the above children's records.
Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the names, addresses and telephone numbers for two persons to be contacted in an emergency if a parent cannot be reached.
Evidence:
1. The record provided for child 2 does not include the street addresses for the emergency contact persons.
2. The record provided got child 3 includes only one emergency contact person.
3. Staff 1 acknowledged the incomplete emergency contact information in the above children's records.
Plan of Correction: The facility responded with the following:
All children's records will be reviewed to ensure that all emergency contact information is complete.
All children's records will be reviewed to ensure that all emergency contact information is complete.
Standard 8VAC20-780-70
Based upon staff interview, the facility has not ensured that the name, address and telephone number for an emergency contact for staff is kept at the facility.
Evidence:
Staff 1 acknowledged that emergency contact information for staff 2 was not at the site.
Evidence:
Staff 1 acknowledged that emergency contact information for staff 2 was not at the site.
Plan of Correction: The facility responded with the following:
We will ensure that emergency contact information is kept at the site for all staff and that all staff know where it is kept.
We will ensure that emergency contact information is kept at the site for all staff and that all staff know where it is kept.