Inspection · 2023-04-11
Date
2023-04-11
Complaint Related
No
Licensing Inspector
Todd Scott
(276) 608-3749
(276) 608-3749
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.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
A renewal inspection was initiated on 4/11/2023 and concluded on 4/11/2023. There were 13 children present with three staff supervising and one director. 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 three staff records were reviewed. The inspection started at 10:15 am and concluded at 12:50 pm.
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.
Violations
9Standard 22.1-289.035-B-4
Based on record review the center failed to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Evidence:
Staff #1 (hire date 2/1/23) listed on the sworn statement that she had resided in another state in the preceding five years. There are no criminal history or child abuse and neglect checks on this staff.
Evidence:
Staff #1 (hire date 2/1/23) listed on the sworn statement that she had resided in another state in the preceding five years. There are no criminal history or child abuse and neglect checks on this staff.
Plan of Correction: Check was completed waiting on results [sic]
Standard 8VAC20-780-160-A
Based on record reviews the center failed to ensure that Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation shall be submitted at the time of employment and prior to coming in contact with children. Documentation shall have been completed 30 calendar days of the date of employment.
Evidence:
1. Staff #1 has a hire date of 2/1/2023 and does not have a tuberculosis screening.
2. Staff #2 has a hire date of 2/3/23 and the tuberculosis screening in dated 4/29/22. This screening was not completed 30 calendar days of the date of employment.
Evidence:
1. Staff #1 has a hire date of 2/1/2023 and does not have a tuberculosis screening.
2. Staff #2 has a hire date of 2/3/23 and the tuberculosis screening in dated 4/29/22. This screening was not completed 30 calendar days of the date of employment.
Plan of Correction: Staff #1 is scheduled for TB test on 5/1/23 [sic]
Standard 8VAC20-780-210-A-4
Based on record review the center failed to ensure that all program leaders (lead teachers) have six months of supervised programmatic experience.
Evidence:
1. Staff #1 (hire date 2/1/23) and staff #3 (hire date 2/1/23) do not have six months of programmatic experience. Staff #3 was working as a lead teacher during the inspection and staff #1 has a job title of lead teacher.
Evidence:
1. Staff #1 (hire date 2/1/23) and staff #3 (hire date 2/1/23) do not have six months of programmatic experience. Staff #3 was working as a lead teacher during the inspection and staff #1 has a job title of lead teacher.
Plan of Correction: Staff will be supervised by a lead teacher [sic]
Standard 8VAC20-780-240-B
Based on record review the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1. Staff #1 (hire date 2/1/23), staff #2 (hire date 2/3/23) and staff #3 (hire date 2/1/23) have not received the required orientation training.
Evidence:
1. Staff #1 (hire date 2/1/23), staff #2 (hire date 2/3/23) and staff #3 (hire date 2/1/23) have not received the required orientation training.
Plan of Correction: Orientation will be scheduled for 4/14/23 [sic]
Standard 8VAC20-780-270-B
Based on observation the center failed to ensure that the heating system shall have appropriate barriers to prevent children from being burned, shocked, or injured form the heating equipment. In addition, proper supervision shall be available to prevent injury.
Evidence:
The fence around the heat pump has a gap that is big enough for a child to have access to the heat pump area/fan.
Evidence:
The fence around the heat pump has a gap that is big enough for a child to have access to the heat pump area/fan.
Plan of Correction: Fence was fixed [sic]
Standard 8VAC20-780-500-A
Based on observation the center failed to ensure that staff shall wash their hands with soap and water before and after a diaper change.
Evidence:
LI observed staff #3 chance a child's diaper. The staff person did not wash hands before or after the diaper change.
Evidence:
LI observed staff #3 chance a child's diaper. The staff person did not wash hands before or after the diaper change.
Plan of Correction: Staff was informed and will wash hands in the future [sic]
Standard 8VAC20-780-500-B
Based on observation the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way the neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use.
Evidence:
1. During the inspection staff #3 changed a diaper and then used her hand to open the lid on the trash can.
2. Following changing a diaper staff #3 took off her gloves, disposed of them and then placed a sippy cup and clipboard on the diapering surface. The surface was not cleaned or sanitized.
Evidence:
1. During the inspection staff #3 changed a diaper and then used her hand to open the lid on the trash can.
2. Following changing a diaper staff #3 took off her gloves, disposed of them and then placed a sippy cup and clipboard on the diapering surface. The surface was not cleaned or sanitized.
Plan of Correction: Staff was informed and will use the foot pedal. Staff will also clean changing table.
Standard 8VAC20-780-560-F
Based on observation and interviews the center failed to ensure that When centers choose to provide meals or snacks, the following shall apply: a menu listing foods to be served for meals and snacks during the current one-week period shall be posted in a location conspicuous to parents or given to parents.
Evidence:
The snack menu is not posted or given to parents.
Evidence:
The snack menu is not posted or given to parents.
Plan of Correction: Printed a Planned Menu [sic]
Standard 8VAC20-780-560-M
Based on observation the center failed to ensure that no child shall be allowed to drink or eat while walking around.
Evidence:
While conducting the inspection the LI witnessed a child in the toddler room walking around and drinking out of a sippy cup.
Evidence:
While conducting the inspection the LI witnessed a child in the toddler room walking around and drinking out of a sippy cup.
Plan of Correction: Staff was informed and will correct this in the future [sic]