Inspection · 2023-07-19
Date
2023-07-19
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
(757) 439-6816
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted from 8:20 AM -10:30 AM. At the time of entrance there were 14 children were in care with 3 staff members present. The sample size consisted of 5 children?s records and 3 staff records. Children were observed during morning drop off, preparing for their morning routine, playing outside and preparing for their snack.
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
6Standard 8VAC20-780-160-A
Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe.
1) Staff #1?s date of hire was 5-15-2023 and a TB screenings/ test conducted was dated 12-8-2022.
2) Staff #3?s date of hire was 6-14-2023 and a TB screenings/ test conducted was dated 6-29-2022.
Evidence: The following records have documentation of TB screenings conducted outside of the required timeframe.
1) Staff #1?s date of hire was 5-15-2023 and a TB screenings/ test conducted was dated 12-8-2022.
2) Staff #3?s date of hire was 6-14-2023 and a TB screenings/ test conducted was dated 6-29-2022.
Plan of Correction: Appointment made for staff #3 8-3-2023
Appointment for staff #1 8-7-2023
Appointment for staff #1 8-7-2023
Standard 8VAC20-780-240-A
Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment .
Evidence: The record for Staff #2, (date of hire 3-15-23) did not include documentation of completing the required orientation.
Evidence: The record for Staff #2, (date of hire 3-15-23) did not include documentation of completing the required orientation.
Plan of Correction: working on
Standard 8VAC20-780-240-B
Based on a record review and staff interviews, the licensee did not ensure that staff have completed orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence: The record for Staff #3 (date of hire 6-15-23) did not include documentation of completing the required orientation to include all required topics.
Evidence: The record for Staff #3 (date of hire 6-15-23) did not include documentation of completing the required orientation to include all required topics.
Plan of Correction: Working on
Standard 8VAC20-780-510-E
Based on documentation review, medication review and staff interviews, license did not ensure the center's procedures for administering medication in included all required items.
Evidence: The center owner confirmed the center?s policy for medication did not include the following;
1. Include any general restrictions of the center.
2. For nonprescription medication, be consistent with the manufacturer's instructions for age, duration, and dosage.
3. Include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent.
4. Include methods to prevent use of outdated medication.
Evidence: The center owner confirmed the center?s policy for medication did not include the following;
1. Include any general restrictions of the center.
2. For nonprescription medication, be consistent with the manufacturer's instructions for age, duration, and dosage.
3. Include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent.
4. Include methods to prevent use of outdated medication.
Plan of Correction: Corrected
Standard 8VAC20-780-60-A
Based on record review and staff interviews, license did not ensure that children?s records contained all required information.
Evidence: The following records were missing information as listed below;
1.The record for child #1 was missing for both parents listed their home phone number and their employment location; both emergency contacts listed are missing their addresses.
2.The record for child #2 was missing both parent?s employment location, the address for the 1st emergency contact listed and a 2nd emergency contact name, address and phone number.
3. The record for child #4 was missing one parent?s employment location and the addresses for both emergency contacts listed.
Evidence: The following records were missing information as listed below;
1.The record for child #1 was missing for both parents listed their home phone number and their employment location; both emergency contacts listed are missing their addresses.
2.The record for child #2 was missing both parent?s employment location, the address for the 1st emergency contact listed and a 2nd emergency contact name, address and phone number.
3. The record for child #4 was missing one parent?s employment location and the addresses for both emergency contacts listed.
Plan of Correction: Corrected
Standard 8VAC20-780-70
Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record.
Evidence: The following records were missing information as listed below.
1) Staff #1, (date of hire 5-15-23) designated as a program lead for the toddler room, is missing documentation in their record to demonstrate they have the training/education required for program lead, an emergency contact name, address and phone number and documentation of any health-related problems that may interfere with the job.
2) Staff #3, (date of hire 6-14-23) is missing documentation of two references conducted prior to hire.
Evidence: The following records were missing information as listed below.
1) Staff #1, (date of hire 5-15-23) designated as a program lead for the toddler room, is missing documentation in their record to demonstrate they have the training/education required for program lead, an emergency contact name, address and phone number and documentation of any health-related problems that may interfere with the job.
2) Staff #3, (date of hire 6-14-23) is missing documentation of two references conducted prior to hire.
Plan of Correction: Program director who is also a Early Childhood trainer is providing lessons workshop training .Also hiring a qualified toddler teacher on this date 9-5-2023.
Emergency contact name, address and emergency number and documentation of health complete 7-19-23
References acquired 7-21-2023
Emergency contact name, address and emergency number and documentation of health complete 7-19-23
References acquired 7-21-2023