Inspection · 2023-11-02
Date
2023-11-02
Complaint Related
No
Licensing Inspector
Monique Anderson
(540) 309-2397
(540) 309-2397
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-770 Background Checks
Inspector Notes
An unannounced on-site monitoring inspection was conducted on 11/2/2023. There were 34 children, ages 4 months-4 years, and 10 staff members present during the inspection. The inspector observed the following: free choice activities, lunch and nap. A total of 5 children?s records and 4 staff records, were reviewed. The inspector discussed the following with staff: training requirement, playground safety. The inspector arrived at 11:45AM and departed at 1:30 PM.
Kelly Campbell
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 540-309-2494
Kelly.campbell@doe.virginia.gov
Violations
9Standard 8VAC20-780-130-A
Based on review of five children?s records, the center failed to ensure that all children had the immunization record prior to beginning attendance.
Evidence:
The record for Child # 5, with documented first day of attendance of 01/12/2023, did not have the immunization prior to attending. There was no documentation on the day of the inspection of an immunization record in the child?s file.
Evidence:
The record for Child # 5, with documented first day of attendance of 01/12/2023, did not have the immunization prior to attending. There was no documentation on the day of the inspection of an immunization record in the child?s file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-210-A
Based on review of staff?s records, the center failed to ensure that all program leaders had the required education and experience.
Evidence:
1.Staff # 1 was hired on 11/21/22 as a program leader and did not meet one of the program leader qualifications.
Evidence:
1.Staff # 1 was hired on 11/21/22 as a program leader and did not meet one of the program leader qualifications.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-1
Based on observation, the center failed to ensure that the ratio for infants was met.
Evidence:
Upon arrival at approximately 11:45 AM, the infant room had 9 children with two staff members. The youngest child was 4 months of age. Stated by staff # 1 the nineth child arrived at 9:45 AM. The required ratio is 4 children to 1 staff person. Three staff members were required for the room.
Evidence:
Upon arrival at approximately 11:45 AM, the infant room had 9 children with two staff members. The youngest child was 4 months of age. Stated by staff # 1 the nineth child arrived at 9:45 AM. The required ratio is 4 children to 1 staff person. Three staff members were required for the room.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Based on observation, the center failed to ensure that each child washed their hands after toileting.
Evidence:
Staff was observed changing an infant?s diaper and the infant?s hands were not washed after the diapering.
Evidence:
Staff was observed changing an infant?s diaper and the infant?s hands were not washed after the diapering.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-L
Based on observation, the center failed to ensure that all medications were locked.
Evidence:
On the shelf in the child # 1 basket was an opened tube of prescription diaper cream that was unlocked.
Evidence:
On the shelf in the child # 1 basket was an opened tube of prescription diaper cream that was unlocked.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-N
Based on interviews, the center failed to ensure that all medications administered to children was documented on a medication log.
Evidence:
Staff # 1 stated that child # 5 had the prescription diaper cream administered at least twice and not documented on a medication log.
Evidence:
Staff # 1 stated that child # 5 had the prescription diaper cream administered at least twice and not documented on a medication log.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-A
Based on review of nonprescription medication and topicals, the center failed to ensure that all nonprescription medication and topicals were not kept or used beyond the expiration date.
Evidence:
1. There were three diaper ointments/creams and one Sunscreen in the toddler room that had expired. The Aquaphor ointment expired on 5/23, Boudreaux expired on 6/23, the Destin expired on 7/23 and the sunscreen expired on 11/22.
Evidence:
1. There were three diaper ointments/creams and one Sunscreen in the toddler room that had expired. The Aquaphor ointment expired on 5/23, Boudreaux expired on 6/23, the Destin expired on 7/23 and the sunscreen expired on 11/22.
Plan of Correction: The expired ointments were discarded.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.
Evidence:
1. The record for Child # 3 did not include the following information: previous childcare and schools.
2. The record for Child #5 did not include the following information: place of employment?s contact number, the , chronic physical problems, allergies and action to be taken, and previous schools attended.
Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.
Evidence:
1. The record for Child # 3 did not include the following information: previous childcare and schools.
2. The record for Child #5 did not include the following information: place of employment?s contact number, the , chronic physical problems, allergies and action to be taken, and previous schools attended.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on review of three staff records, the center failed to ensure that all records were complete per the standard.
Evidence:
Staff # 2 and 4 did not have at the center, about any health problems that may interfere with fulfilling the job responsibilities.
Evidence:
Staff # 2 and 4 did not have at the center, about any health problems that may interfere with fulfilling the job responsibilities.
Plan of Correction: The administration will have the question placed on the emergency contact form.