Inspection · 2024-09-30
Licensing Inspector
Sharon Allen
(540) 272-2941
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 09/30/2024. The on-site inspection began at 1:00 p.m. and ended at 3:00 p.m. The inspector reviewed compliance in the areas listed above. There were 57 children present and 9 staff. The inspector reviewed six children?s records and six staff records.
This inspection included:
? document review
? tour of the facility
? interviews
? observations
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/15/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff A, who had been employed for four months, did not have a central registry search requested. Staff C, who had been employed for one month and twelve days did not have a central registry search requested.
Plan of Correction: Complete central registry prior to hiring.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff C, who has been actively working with children for the past month, did not have a tuberculosis screening on file.
Plan of Correction: Obtain TB test documentation. Staff no longer start work w/o TB.
Standard 8VAC20-780-350-B-1
The required ratio for children ages birth - 16 months is one staff per four children. Two staff were observed supervising 17 children (youngest child 14 months old) during rest time, from 1:00 p.m. - 2:30 p.m.
Plan of Correction: Remind staff of ratios.
Standard 8VAC20-780-500-B
Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff E was observed carrying a soiled diaper in a plastic bag and taking it to a trash can outside instead of disposing the diaper in the foot-operated trash can at the diaper changing area.
Plan of Correction: Remove all outside trashcans. Train staff on proper diaper disposal.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child A and Child B, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff B and Staff C, who have been actively working at the center for the past month, did not have any completed reference verifications on file.
Plan of Correction: Complete reference checks on staff prior to start dates/hiring.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 1:15 p.m. on 09/30/2024, there were 12 children present in the primary room #1, but only 11 children were marked present on the attendance record. At approximately 1:20 p.m. there was no attendance record available to account for the seven children who were present in the nap room. At approximately 1:25 p.m. there were five children present in the primary room #2, but 14 children were market present on the attendance record.
Plan of Correction: Train staff on how to move children using attendance tracking program during nap and aftercare.