Inspection · 2023-07-19
Date
2023-07-19
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 7/19/2023. The inspector arrived at 09:30 AM and departed at 12:18 PM.There were 55 children present, ranging in ages from infants to school age, with 14 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 5 child records and 5 staff 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
9Standard 22.1-289.035-B-4
Based upon review of staff files and staff interview, the facility has not ensured that they had obtained a copy of the results of a search of the child abuse and neglect registry and sex offender registry from any state in which an individual has resided in the preceding five years before the staff person reported for work at the child day center.
Evidence:
1. The sworn disclosure statement completed by staff 5, who was hired and began working at the facility on 3/6/2023 indicated that staff 6 had lived in Missouri within the preceding five years. The facility had not received results of a search of the child abuse and neglect registry or sex offender check from Missouri.
2. Staff 1 acknowledged that results of a child abuse and neglect registry and sex offender registry searches had not been obtained.
Evidence:
1. The sworn disclosure statement completed by staff 5, who was hired and began working at the facility on 3/6/2023 indicated that staff 6 had lived in Missouri within the preceding five years. The facility had not received results of a search of the child abuse and neglect registry or sex offender check from Missouri.
2. Staff 1 acknowledged that results of a child abuse and neglect registry and sex offender registry searches had not been obtained.
Plan of Correction: The facility responded with the following:
Request was made on March 6, 2023. HR sent an email on May 10, 2023 as a follow up. Another follow up email was sent on 7/2.
Request was made on March 6, 2023. HR sent an email on May 10, 2023 as a follow up. Another follow up email was sent on 7/2.
Standard 8VAC20-780-280-B
Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children.
Evidence:
1. There was a container of sanitizer with a warning label on the sink in the staff lounge where the door was standing open.
2. There was a spray bottle labeled bleach and water and a pump antibacterial hand sanitizer on a cabinet inside the exterior door of the two year old classroom. Both had warning labels.
3. Staff 1 acknowledged that the above listed fluids were not in locked locations inaccessible to the children.
Evidence:
1. There was a container of sanitizer with a warning label on the sink in the staff lounge where the door was standing open.
2. There was a spray bottle labeled bleach and water and a pump antibacterial hand sanitizer on a cabinet inside the exterior door of the two year old classroom. Both had warning labels.
3. Staff 1 acknowledged that the above listed fluids were not in locked locations inaccessible to the children.
Plan of Correction: The facility responded with the following:
Center Director/Assistant Director will ensure that all chemicals are locked up away in each classroom. Spot checks will be done by the management team to ensure this is being completed consistently.
Center Director/Assistant Director will ensure that all chemicals are locked up away in each classroom. Spot checks will be done by the management team to ensure this is being completed consistently.
Standard 8VAC20-780-280-D
Based upon observation and staff interview, the facility has note ensured that cleaning and sanitizing materials are stored in areas physically separate from food.
Evidence:
1. In the two year old classroom, there were containers of cheese puffs and pretzels, identified by staff as snack items for those children who may not eat the foods listed on the menus, stored under the diaper changing table on the same shelf as cleaning and sanitizing fluids.
2. Staff 1 acknowledged that the children's food items were stored with cleaning fluids
Evidence:
1. In the two year old classroom, there were containers of cheese puffs and pretzels, identified by staff as snack items for those children who may not eat the foods listed on the menus, stored under the diaper changing table on the same shelf as cleaning and sanitizing fluids.
2. Staff 1 acknowledged that the children's food items were stored with cleaning fluids
Plan of Correction: The facility responded with the following:
All Chemicals have been placed in the cabinets under the sink (locked). The food has been stored away from the chemicals.
All Chemicals have been placed in the cabinets under the sink (locked). The food has been stored away from the chemicals.
Standard 8VAC20-780-320-B
Based upon observation and measurements, the facility has not ensured that the restrooms have warm running water that does not exceed 120 degrees F.
Evidence:
1. Staff 1 measured that water temperature in the preschool boys' bathroom at 133 degrees F.
2. There was no warm water in the preschool girls' bathroom.
Evidence:
1. Staff 1 measured that water temperature in the preschool boys' bathroom at 133 degrees F.
2. There was no warm water in the preschool girls' bathroom.
Plan of Correction: The facility responded with the following:
Until the warm water is fixed, the children (preschool and Pre K) will use the front 2 bathrooms to wash their hands.
Until the warm water is fixed, the children (preschool and Pre K) will use the front 2 bathrooms to wash their hands.
Standard 8VAC20-780-430-I
Based upon observation and staff interview, the facility has not ensured that children's personal articles are individually assigned.
Evidence:
1. The two year old children were observed in the hallway upon returning from outdoor play. The children's water bottles were not labeled with the children's names.
2. Staff stated that the names must have come off the bottles.
Evidence:
1. The two year old children were observed in the hallway upon returning from outdoor play. The children's water bottles were not labeled with the children's names.
2. Staff stated that the names must have come off the bottles.
Plan of Correction: The facility responded with the following:
Children's bottles will be labeled each day. Center Director/Assistant Director will do spot checks to ensure that all cups are labeled.
Children's bottles will be labeled each day. Center Director/Assistant Director will do spot checks to ensure that all cups are labeled.
Standard 8VAC20-780-510-E
Based upon observation and staff interview, the facility has not ensured that the procedures for administering medication ensure that there is written parent authorization for any medication that is to be administered to a child.
Evidence:
1. There was albuterol stored for potential administration to child 1, child 2 and child 4. There was no written parent authorizations for the medications to be administered.
2. There was epinephrine stored for emergency administration to child 3. There was no written parent authorization for the medication to be administered.
3. Staff 1 acknowledged that written parent authorizations were not obtained for the above listed medication.
Evidence:
1. There was albuterol stored for potential administration to child 1, child 2 and child 4. There was no written parent authorizations for the medications to be administered.
2. There was epinephrine stored for emergency administration to child 3. There was no written parent authorization for the medication to be administered.
3. Staff 1 acknowledged that written parent authorizations were not obtained for the above listed medication.
Plan of Correction: The facility responded with the following:
We will obtain parent consent using the appropriate forms. We will discontinue administering medication to the children until the forms are completed and brought back to the school.
We will obtain parent consent using the appropriate forms. We will discontinue administering medication to the children until the forms are completed and brought back to the school.
Standard 8VAC20-780-550-G
Based upon review of records and staff interview, the facility has not ensured that documentation of emergency drills includes all required information.
Evidence:
1. Beginning in February 2023, the facility's emergency evacuation drill record include only the date of the drill, the number of children present and the time to evacuate. The records did not include the name of the person conducting the drill, the method used for notification of the drill, the number of staff participating, any problems encountered and weather conditions.
2. Staff 1 acknowledged that the new drill record did not include all required documentation.
Evidence:
1. Beginning in February 2023, the facility's emergency evacuation drill record include only the date of the drill, the number of children present and the time to evacuate. The records did not include the name of the person conducting the drill, the method used for notification of the drill, the number of staff participating, any problems encountered and weather conditions.
2. Staff 1 acknowledged that the new drill record did not include all required documentation.
Plan of Correction: The facility responded with the following:
Center Director will start back using the original form. (August)
Center Director will start back using the original form. (August)
Standard 8VAC20-780-550-P
Based upon review of records and staff interview, the facility has not ensured that the written record of children's injuries includes all required documentation.
Evidence:
1. An injury record dated 03/15/2023 for child 6 does not have documented the time the parent was notified of the child's injury or how the parent was notified of the injury.
2. Staff 1 verified that the injury record was missing both the time and how the parent was notified of the injury.
Evidence:
1. An injury record dated 03/15/2023 for child 6 does not have documented the time the parent was notified of the child's injury or how the parent was notified of the injury.
2. Staff 1 verified that the injury record was missing both the time and how the parent was notified of the injury.
Plan of Correction: The facility responded with the following:
Center Director will review the form with all staff placing emphasis on ensuring the form is filled out completely. The center management team will ensure the form is complete prior to signing.
Center Director will review the form with all staff placing emphasis on ensuring the form is filled out completely. The center management team will ensure the form is complete prior to signing.
Standard 8VAC20-780-570-E
Based upon observation and staff interview, the facility has not ensured that prepared infant formula is dated and labeled with the child's name.
Evidence:
1. None of the prepared bottles in the infant room were labeled with the children's names and dates.
2. Staff 1 acknowledged that the bottles were not labeled with names and dates.
Evidence:
1. None of the prepared bottles in the infant room were labeled with the children's names and dates.
2. Staff 1 acknowledged that the bottles were not labeled with names and dates.
Plan of Correction: The facility responded with the following:
Met with the teachers and developed a plan to ensure that the names are on each cup daily.
Met with the teachers and developed a plan to ensure that the names are on each cup daily.