Inspection · 2023-09-07
Date
2023-09-07
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
(804) 629-3923
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)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A mandated monitoring inspection was conducted on September 7, 2023 from 10:34 A.M.-1:00 P.M. There were eleven children present, ranging in ages from two years eleven months to five years of age, with three 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 five child records and five 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.
If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.
Violations
6Standard 8VAC20-780-160-A
Based on review of staff records, the center failed to ensure that the tuberculosis screening documentation had been completed within the last 30 calendars of days of the date of employment.
Evidence:
1. Staff #1 was rehired on 08/14/2023. The tuberculosis screening documentation on file was dated 08/22/2022.
2. Administration verified the rehire date, and that a new tuberculosis screening had not been completed.
Evidence:
1. Staff #1 was rehired on 08/14/2023. The tuberculosis screening documentation on file was dated 08/22/2022.
2. Administration verified the rehire date, and that a new tuberculosis screening had not been completed.
Plan of Correction: Staff Member #1 had a tuberculosis screening done and on file when first hired. However, when the staff member stopped working at Inspire and then rehired a new test was not done. A new test has since been scheduled for the employee. We failed to realized a new one was needed when rehired.
Standard 8VAC20-780-510-G
Based on review of medications, the center failed to ensure that medications were labeled with the name of the medication, the dosage amount, and the time or times to be given.
Evidence:
1. Child #1 had a prescription emergency medication, (Epi-Pen), on site at the center. The Epi-Pen was in a Ziplock bag. The medication was not labeled with the name of the medication, the dosage amount, or the time or times to be given.
2. Staff #2 verified that the medication was in a Ziplock bag and was not labeled with all the required information.
Evidence:
1. Child #1 had a prescription emergency medication, (Epi-Pen), on site at the center. The Epi-Pen was in a Ziplock bag. The medication was not labeled with the name of the medication, the dosage amount, or the time or times to be given.
2. Staff #2 verified that the medication was in a Ziplock bag and was not labeled with all the required information.
Plan of Correction: The parents of Child #1 explained the prescription came with one box and two epipens. The box with one epi-pen was already at the child's elementary school. They are requesting a second box with a prescription label to accompany the epi-pen.
Standard 8VAC20-780-550-F
Based on a review of emergency drills, the center failed to ensure that a lockdown procedures shall be practiced at least annually.
Evidence:
1. There was not a Lockdown drill documented for the school year September 2022-August 2023.
2. Administration verified that a lockdown drill had not been completed for the previous school year.
Evidence:
1. There was not a Lockdown drill documented for the school year September 2022-August 2023.
2. Administration verified that a lockdown drill had not been completed for the previous school year.
Plan of Correction: All 12 fire drills were conducted as well as our intruder drill. Staff and administration remember doing the a lockdown drill, but it was not documented. Have all ready completed one for this school year.
Standard 8VAC20-780-560-G
Based on observation, the center failed to ensure that when food is brought from home that the food containers shall be clearly dated and labeled in a way that identifies the owner.
Evidence:
In the cubbies located in the hallway there were four lunch boxes with no date, and two lunch boxes not labeled with the child's name.
Evidence:
In the cubbies located in the hallway there were four lunch boxes with no date, and two lunch boxes not labeled with the child's name.
Plan of Correction: Staff will work on checking to ensure parents are dating and labeling lunchboxes daily. We have in the parent handbook that parents are to label lunches, but we will be more diligent in checking to make sure this is done. We will also provide tape and markers for this to be completed on site.
Standard 8VAC20-780-60-A
Based on a review of children records, the center failed to ensure that all required information was in the children's records.
Evidence:
1. Child #1's record was missing the following: the place of employment and work phone numbers for both parents, the name home address, and home phone number of each parent who has custody, and the full address and phone numbers for the two designated people to call in an emergency if a parent cannot be located.
2. Child #3's record was missing the name, home address, and home phone number of each parent who has custody.
Evidence:
1. Child #1's record was missing the following: the place of employment and work phone numbers for both parents, the name home address, and home phone number of each parent who has custody, and the full address and phone numbers for the two designated people to call in an emergency if a parent cannot be located.
2. Child #3's record was missing the name, home address, and home phone number of each parent who has custody.
Plan of Correction: Child #1 and #3's registration form has since been updated with the missing pieces of information including address, employment phone numbers. Additionally a checklist has been established for staff when accepting enrollment documents to help catch missing information.
Standard 8VAC20-780-70
Based on a review of staff records, the center failed to ensure that all required information was in staff records.
Evidence:
1. Staff #2's date of hire was 08/23/2023. Her file was missing verification of age requirement, and documentation that orientation had been completed.
2. Administration verified that Staff #2 had orientation, but there was no documentation in the record, and that the file was missing any documentation of verification of age.
Evidence:
1. Staff #2's date of hire was 08/23/2023. Her file was missing verification of age requirement, and documentation that orientation had been completed.
2. Administration verified that Staff #2 had orientation, but there was no documentation in the record, and that the file was missing any documentation of verification of age.
Plan of Correction: Verification of orientation and identification have been added tot he staff files.