Inspection · 2024-08-14
Date
2024-08-14
Complaint Related
Yes
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 Staffing and Supervision
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services
Inspector Notes
An unannounced inspection was initiated on 08/14/2024 and completed on 08/20/2024 in response to complaints received by the licensing office relating to allegations of staff-to-children ratio requirements. This inspection included documentation review, observations, and interviews.
The preponderance of evidence gathered during the investigation supports the allegations; therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 08/30/2024. A POC submitted after this date will not appear on the public website.
Violations
7Standard 8VAC20-780-340-F
Based on observation, children under the age of 10 years of age were not always within actual sight and sound supervision of staff.
Evidence:
On 08/14/2024, at approximately 3:36 licensing inspector entered the Infant 3 classroom and observed no staff in the classroom and there was a 10-month-old infant asleep in a crib and a 2-year-old child sitting in an adaptive wheelchair. The exterior door of the classroom to the playground was open. The staff returned to the classroom within a minute of the licensing inspector entering the classroom. Staff acknowledged she had stepped out of the classroom to the playground.
Evidence:
On 08/14/2024, at approximately 3:36 licensing inspector entered the Infant 3 classroom and observed no staff in the classroom and there was a 10-month-old infant asleep in a crib and a 2-year-old child sitting in an adaptive wheelchair. The exterior door of the classroom to the playground was open. The staff returned to the classroom within a minute of the licensing inspector entering the classroom. Staff acknowledged she had stepped out of the classroom to the playground.
Plan of Correction: To write up the teacher who stepped out of the classroom, leaving children in the room unsupervised.
To ensure that this teacher and all infant staff have re-visited the Infant policies and procedures. Including re-visiting the sleep safe requirements. As well as revisiting the licensing requirements from the VADOE.
To ensure that this teacher and all infant staff have re-visited the Infant policies and procedures. Including re-visiting the sleep safe requirements. As well as revisiting the licensing requirements from the VADOE.
Standard 8VAC20-780-350-B-1
Repeat Violation
Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required.
Evidence:
1. Licensing inspector entered the Infant 3 classroom at approximately 2:09 p.m. on 08/14/2024 and observed 1 staff supervising 8 infants. The staff acknowledged the room was out of the 1 staff to 4 children ratio when the licensing inspector entered the room and earlier in the day.
2. Licensing inspector reviewed the Infant 3 classroom Child Supervision Record (CSR) dated 08/14/2024. The CSR documented the child to staff ratio:
7:55 a.m. 7 infants/1 staff
8:57 a.m. 7 infants/1 staff
10:30 p.m. 10 infants/2 staff
12:10 p.m. 9 infants/2 staff
2:10 p.m. 8 infants/1 staff
3. Licensing inspector entered the Infant 2 classroom at approximately 2:46 p.m. on 08/14/2024 and observed 1 staff supervising 11 infants. The staff acknowledged she had been alone in the classroom since 2:30 p.m. when 2 staff left for the day and this was not an isolated event. The Infant 2 classroom was out of ratio for fifty-one minutes. The licensing inspector observed the following staff-to-infant ratio in the room:
2:46 p.m. 11 infants/1 staff
2:47 p.m. 10 infants/1 staff
3:11 p.m. 10 infants/1 staff
3:16 p.m. 10 infants/2 staff
3:21 p.m. 9 infants/2 staff
3:42 p.m. 8 infants/2 staff
The room came into ratio at 3:42 p.m.
4. Licensing inspector reviewed the Infant 2 classroom Child Supervision Record (CSR) dated 08/19/2024. The CSR documented the child to staff ratio:
7:22 a.m. 7 infants/1 staff
8:13 a.m. 15 infants/3 staff
Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required.
Evidence:
1. Licensing inspector entered the Infant 3 classroom at approximately 2:09 p.m. on 08/14/2024 and observed 1 staff supervising 8 infants. The staff acknowledged the room was out of the 1 staff to 4 children ratio when the licensing inspector entered the room and earlier in the day.
2. Licensing inspector reviewed the Infant 3 classroom Child Supervision Record (CSR) dated 08/14/2024. The CSR documented the child to staff ratio:
7:55 a.m. 7 infants/1 staff
8:57 a.m. 7 infants/1 staff
10:30 p.m. 10 infants/2 staff
12:10 p.m. 9 infants/2 staff
2:10 p.m. 8 infants/1 staff
3. Licensing inspector entered the Infant 2 classroom at approximately 2:46 p.m. on 08/14/2024 and observed 1 staff supervising 11 infants. The staff acknowledged she had been alone in the classroom since 2:30 p.m. when 2 staff left for the day and this was not an isolated event. The Infant 2 classroom was out of ratio for fifty-one minutes. The licensing inspector observed the following staff-to-infant ratio in the room:
2:46 p.m. 11 infants/1 staff
2:47 p.m. 10 infants/1 staff
3:11 p.m. 10 infants/1 staff
3:16 p.m. 10 infants/2 staff
3:21 p.m. 9 infants/2 staff
3:42 p.m. 8 infants/2 staff
The room came into ratio at 3:42 p.m.
4. Licensing inspector reviewed the Infant 2 classroom Child Supervision Record (CSR) dated 08/19/2024. The CSR documented the child to staff ratio:
7:22 a.m. 7 infants/1 staff
8:13 a.m. 15 infants/3 staff
Plan of Correction: Director was absent 8/14/24 AD was also not present on 8/14/24. Our 3rd in charge was in the building on 08/14/2024. Plan of Correction for 1,2 &3
1. To either
A. Call parents to pick up their children if we can not adhere to ratio requirements
B. Re-visit teachers' schedules making sure all staff know their schedules and where they need to be on a daily basis.
C. Close classrooms and call parents to pick up when we do not have enough teachers to ensure we are not out of ratio.
1. To either
A. Call parents to pick up their children if we can not adhere to ratio requirements
B. Re-visit teachers' schedules making sure all staff know their schedules and where they need to be on a daily basis.
C. Close classrooms and call parents to pick up when we do not have enough teachers to ensure we are not out of ratio.
Standard 8VAC20-780-350-B-2
Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required.
Evidence:
Licensing inspector observed the Toddler 1 classroom on the playground at approximately 3:51 p.m. on 08/14/2024 with 6 toddlers and 1 staff supervising. The staff acknowledged that her class had been out of the required 1-to 5 ratio for most of the day due to her co-teacher assisting in other classrooms.
Evidence:
Licensing inspector observed the Toddler 1 classroom on the playground at approximately 3:51 p.m. on 08/14/2024 with 6 toddlers and 1 staff supervising. The staff acknowledged that her class had been out of the required 1-to 5 ratio for most of the day due to her co-teacher assisting in other classrooms.
Plan of Correction: Call parents to pick up their children if we can not adhere to ratio requirements. Inform parents of teacher schedule changes due to sickness, lateness etc.
AD to step into classrooms to assist with ratios.
AD to step into classrooms to assist with ratios.
Standard 8VAC20-780-350-B-3
Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required.
Evidence:
1. Licensing inspector observed the DPS 2 (2-year-old) classroom at 9:49 a.m. on 08/20/2024 with 23 children and 2 staff supervising. Classroom staff acknowledged that the classroom was over the required 1-8 ratio. Staff reported the 3rd staff in the classroom had left the classroom to use the restroom.
2. Licensing inspector observed the DPS 2 (2-year-old) classroom at 9:54 on 08/20/2024 with 9 children and 1 staff supervising. Classroom staff acknowledged that she had nine children and the required ratio is 1-8.
Evidence:
1. Licensing inspector observed the DPS 2 (2-year-old) classroom at 9:49 a.m. on 08/20/2024 with 23 children and 2 staff supervising. Classroom staff acknowledged that the classroom was over the required 1-8 ratio. Staff reported the 3rd staff in the classroom had left the classroom to use the restroom.
2. Licensing inspector observed the DPS 2 (2-year-old) classroom at 9:54 on 08/20/2024 with 9 children and 1 staff supervising. Classroom staff acknowledged that she had nine children and the required ratio is 1-8.
Plan of Correction: Re-visit the DPS1 and DPS2 teacher schedules to make sure, adequate coverage is available, where no one is out of ratio.
Move the child in the DPS2 class who is 3 and is currently completing some
light transitions to the preschool room until the end of September.
(This was discussed on the day of inspection)
Move the child in the DPS2 class who is 3 and is currently completing some
light transitions to the preschool room until the end of September.
(This was discussed on the day of inspection)
Standard 8VAC20-780-350-B-4
Based on observation, interview, and documentation, the center did not ensure compliance with ratios of staff to children as required.
Evidence:
Licensing inspector observed the Pre-K (4-year-old) classroom at 9:41 a.m. on 08/20/2024 with 12 children and 1 staff supervising. Classroom staff acknowledged that the classroom was over the required 1 to 10 ratio.
Evidence:
Licensing inspector observed the Pre-K (4-year-old) classroom at 9:41 a.m. on 08/20/2024 with 12 children and 1 staff supervising. Classroom staff acknowledged that the classroom was over the required 1 to 10 ratio.
Plan of Correction: Call parents to pick up their children if we can not adhere to ratio requirements.
Inform parents of teacher schedule changes due to sickness, lateness etc.
Ad to step into classrooms to assist with ratios.
Inform parents of teacher schedule changes due to sickness, lateness etc.
Ad to step into classrooms to assist with ratios.
Standard 8VAC20-780-500-A
Based on observation, the center did not ensure that children?s hands were washed with soap and water after toileting.
Evidence:
Licensing inspector observed on 08/14/2024 multiple children in the Infant 2 classroom did not have their hands washed after their diaper were changed.
Evidence:
Licensing inspector observed on 08/14/2024 multiple children in the Infant 2 classroom did not have their hands washed after their diaper were changed.
Plan of Correction: Emergency Infant Meeting re-visiting all infant KinderCare policies and procedures, including addressing that all children's hands must be washed/wiped after each diaper change.
Standard 8VAC20-780-560-M
Based on observation, children were allowed to drink and eat while walking around.
Evidence:
Licensing inspector observed multiple children on 08/14/2024 in the Infant 1 and Infant 2 rooms walking around the classroom and drinking from bottles and cups.
Evidence:
Licensing inspector observed multiple children on 08/14/2024 in the Infant 1 and Infant 2 rooms walking around the classroom and drinking from bottles and cups.
Plan of Correction: Emergency Infant Meeting re-visiting all infant KinderCare policies and procedures, including, addressing that children must be seated not walking around with their bottles or sippy cups.