Inspection · 2023-02-23
Date
2023-02-23
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
(804) 588-2368
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 02/23/2023 from approximately 10:30 a.m. to 12:30 p.m. There were 4 children present ranging from 1 year old to 4 years old and 1 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Four child (4) records and one (1) staff record were reviewed.
The information gathered during the inspection determined a violation with applicable standards or law. A violation notice was issued. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 03/17/2023. 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 preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Violations
12Standard 22.1-289.035-B-2
Based on staff record review, the provider failed to ensure all applicants for employment shall undergo a background check prior to employment.
Evidence:
The record for S1, employed 01/13/2023 did not contain documentation of a satisfactory national criminal background check.
Evidence:
The record for S1, employed 01/13/2023 did not contain documentation of a satisfactory national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Based on staff record review, the provider failed to obtain the results of the search of the child abuse and neglect registry and criminal history record information check from any state in which the individual has resided in the preceding five years for each staff as required.
Evidence:
S1, employed 01/13/2023, resided in Maryland within the past 5 years. The record for S1 did not contain a child abuse and neglect search results by the end of the 30th day of employment and no out of state criminal record check prior to the 1st day of employment.
Evidence:
S1, employed 01/13/2023, resided in Maryland within the past 5 years. The record for S1 did not contain a child abuse and neglect search results by the end of the 30th day of employment and no out of state criminal record check prior to the 1st day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on staff record review, the provider failed to ensure the record contained central registry findings within 30 days of employment.
Evidence:
The record for S1, employed 01/13/2023 did not contain the findings of a central registry search.
Evidence:
The record for S1, employed 01/13/2023 did not contain the findings of a central registry search.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on review of one staff record, the provider failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening.
Evidence:
The record for S1, employed 1/13/2023 did not contain the results of a TB screening.
Evidence:
The record for S1, employed 1/13/2023 did not contain the results of a TB screening.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-L
Based on interview with program director, the provider failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing a daily health observation of children.
Evidence:
The program director confirmed that no staff person is currently certified to perform the daily health observation of children.
Evidence:
The program director confirmed that no staff person is currently certified to perform the daily health observation of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-H
Based on interview, the provider failed to ensure when the outdoor activity is not adjacent to the center, there shall be at least two staff members on the outdoor activity area whenever one or more children are present.
Evidence:
The program director, reported taking the children enrolled to the park that is located several miles from the day care center 02/22/2023. Licensing inspector asked if another staff member was present at the playground, she reported taking the children alone to the park.
Evidence:
The program director, reported taking the children enrolled to the park that is located several miles from the day care center 02/22/2023. Licensing inspector asked if another staff member was present at the playground, she reported taking the children alone to the park.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation, the provider failed to ensure that the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.
Evidence:
Licensing inspector observed S1 diapering a child. After the child was diapered, S1 did not clean the diapering surface with soap and water before spraying the surface with bleach water.
Evidence:
Licensing inspector observed S1 diapering a child. After the child was diapered, S1 did not clean the diapering surface with soap and water before spraying the surface with bleach water.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-I
Based on observation, the provider failed to ensure that 911 or local dial number for the police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each phone.
Evidence:
Based on observation, the provider failed to post emergency numbers by the center?s phone in the staff office.
Evidence:
Based on observation, the provider failed to post emergency numbers by the center?s phone in the staff office.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-G
Based on observation, the provider failed to ensure food brought from home was clearly dated and labeled in a way that identifies the owner.
Evidence:
Licensing inspector observed four lunch boxes in the center?s refrigerator that were not dated or labeled in a way that identified the owner.
Evidence:
Licensing inspector observed four lunch boxes in the center?s refrigerator that were not dated or labeled in a way that identified the owner.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-580-B
Based on observation and interview, the center failed to ensure that the vehicle used to transport children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children.
Evidence:
Based on interview with the program director, she reported using the passenger van, on 2/22/2023, to take the children enrolled to the park. The park is located several miles from the day care center. Licensing inspector requested to inspect the vehicle to assure safety standards and observed a state inspection rejection sticker dated 02/22/2023. The program director reported the van had been taken in for inspection but did not realize the vehicle did not meet the safety standards set by the Department of Motor Vehicles.
Evidence:
Based on interview with the program director, she reported using the passenger van, on 2/22/2023, to take the children enrolled to the park. The park is located several miles from the day care center. Licensing inspector requested to inspect the vehicle to assure safety standards and observed a state inspection rejection sticker dated 02/22/2023. The program director reported the van had been taken in for inspection but did not realize the vehicle did not meet the safety standards set by the Department of Motor Vehicles.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on child record review, the provider failed to ensure that four of four records
contained the required information for each child enrolled.
Evidence:
The record for C1 did not contain: the child?s doctors phone number; the child?s first day of attendance; allergies or any health problems of the child; and a physical examination.
The record for C2 did not contain the child?s first day of attendance and documentation of viewing proof of the child?s and identity and age.
The record for C3 did not contain: the work phone number of the parents; the child?s first day of attendance; and documentation of viewing proof of the child?s and identity and age.
The record for C4 did not contain: the child?s doctors phone number; the child?s first day of attendance; allergies or any health problems of the child; a physical examination; documentation of viewing proof of the child?s and identity and age.
contained the required information for each child enrolled.
Evidence:
The record for C1 did not contain: the child?s doctors phone number; the child?s first day of attendance; allergies or any health problems of the child; and a physical examination.
The record for C2 did not contain the child?s first day of attendance and documentation of viewing proof of the child?s and identity and age.
The record for C3 did not contain: the work phone number of the parents; the child?s first day of attendance; and documentation of viewing proof of the child?s and identity and age.
The record for C4 did not contain: the child?s doctors phone number; the child?s first day of attendance; allergies or any health problems of the child; a physical examination; documentation of viewing proof of the child?s and identity and age.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review, the provider did not ensure staff record were kept for one of one staff.
Evidence:
The record for S1, employed 1/13/2023 did not document: the educational requirement to serve as a program director; two employment references; information about any health problems that may interfere with fulfilling the job responsibilities; emergency contacts; orientation and training required by 8VAC20-780-240; and first aid, cardiopulmonary resuscitation certification.
Evidence:
The record for S1, employed 1/13/2023 did not document: the educational requirement to serve as a program director; two employment references; information about any health problems that may interfere with fulfilling the job responsibilities; emergency contacts; orientation and training required by 8VAC20-780-240; and first aid, cardiopulmonary resuscitation certification.
Plan of Correction: Not available online. Contact Inspector for more information.