Inspection · 2023-10-24
Date
2023-10-24
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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.
Yes
Areas Reviewed
8VAC20-790 Introduction
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
Inspector Notes
An announced subsidy inspection for the religiously exempt child day center was conducted on 10/24/2023. There were a total of 10 children, ages 2 years-4 years and 3 staff present during the inspection. A total of 5 children?s records, 4 staff records, 1 medication, policy/procedures and emergency supplies were reviewed during the inspection. The children were observed in learning activities, free choice play and during lunch. The inspector arrived at 9:00 am and departed at 12:00 pm.
Information gathered during the inspection determined non-compliance with the subsidy requirements and the Code of Virginia; violations were documented on the violation notice issued to the provider.
Violations
7Standard 22.1-289.035-B-2
Based on record review and observations, the vendor failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence:
1. The record for Staff 2 contained a documented hire date of 08/07/2023. The employment eligibility letter was dated 09/18/2023. Staff 2 was observed working during the 10/24/2023 inspection.
2. The record for Staff 4 contained a documented hire date of 07/21/2023. The employment eligibility letter was dated 08/02/2023. Staff 4 was observed working during the 10/24/2023 inspection.
Evidence:
1. The record for Staff 2 contained a documented hire date of 08/07/2023. The employment eligibility letter was dated 09/18/2023. Staff 2 was observed working during the 10/24/2023 inspection.
2. The record for Staff 4 contained a documented hire date of 07/21/2023. The employment eligibility letter was dated 08/02/2023. Staff 4 was observed working during the 10/24/2023 inspection.
Plan of Correction: Will not hire anyone before getting fingerprints results.
Standard 8VAC20-770-40-D-2
Based on record review, the vendor failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation.
Evidence: The record for Staff 4 contained a documented hire date of 07/21/2023. The sworn statement was dated 07/25/2023. Staff 4 was observed working during the 10/24/2023 inspection.
Evidence: The record for Staff 4 contained a documented hire date of 07/21/2023. The sworn statement was dated 07/25/2023. Staff 4 was observed working during the 10/24/2023 inspection.
Plan of Correction: Will not hire anyone prior to getting their sworn statement.
Standard 8VAC20-790-530-B
Based on document review and staff interviews, the vendor failed to maintain, for each group of children, a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence: There were two groups of children observed during the 10/24/2023 inspection. There was only one sign in/out sheet used to document attendance. Staff 1 confirmed there was not a separate attendance document for each group of children.
Evidence: There were two groups of children observed during the 10/24/2023 inspection. There was only one sign in/out sheet used to document attendance. Staff 1 confirmed there was not a separate attendance document for each group of children.
Plan of Correction: Will get attendance record book for each group. Arrival and departure will be documented as it occurs.
Standard 8VAC20-790-540-B
Based on record review, the vendor failed to ensure that each child?s record contains all of the elements as required by the standards.
Evidence:
1. The record for Child 1 did not contain the following information: the child?s sex; the home address for each parent who has custody; the address for each custodial parent?s place of employment (an employer was listed); the address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
2. The record for Child 2 did not contain the following information: the home address for each parent who has custody; the address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
3. The record for Child 3 did not contain the following information: the home address for each parent who has custody; the telephone number and address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; the telephone number and address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; the telephone number and address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
Evidence:
1. The record for Child 1 did not contain the following information: the child?s sex; the home address for each parent who has custody; the address for each custodial parent?s place of employment (an employer was listed); the address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
2. The record for Child 2 did not contain the following information: the home address for each parent who has custody; the address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
3. The record for Child 3 did not contain the following information: the home address for each parent who has custody; the telephone number and address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
4. The record for Child 4 did not contain the following information: the home address for each parent who has custody; the telephone number and address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
5. The record for Child 5 did not contain the following information: the home address for each parent who has custody; the telephone number and address for each custodial parent?s place of employment (an employer was listed); the address of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor.
Plan of Correction: Will send the model forms to parents.
Standard 8VAC20-790-640-A
Based on observations, the vendor failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. There were various cleaning materials such as Microban and Lysol Wipes on a shelf in the room used for diapering that were not locked.
2. There were various cleaning materials in the unlocked storage closet of the 3-4 year old class.
Evidence:
1. There were various cleaning materials such as Microban and Lysol Wipes on a shelf in the room used for diapering that were not locked.
2. There were various cleaning materials in the unlocked storage closet of the 3-4 year old class.
Plan of Correction: Will lock the cleaning supplies up.
Standard 8VAC20-790-760-B-6
Based on observations, the vendor failed to ensure that when diapering, that disposable diapers shall be disposed of 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.
Evidence: The diaper disposal system requires that the soiled diaper touches the exterior surface of the system to dispose of the soiled diaper.
Evidence: The diaper disposal system requires that the soiled diaper touches the exterior surface of the system to dispose of the soiled diaper.
Plan of Correction: Will get a disposal system that meets the requirement.
Standard 8VAC20-790-760-B-8
Based on observations, the vendor failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use.
Evidence: The diaper changing surface was not cleaned with soap and water after each use.
Evidence: The diaper changing surface was not cleaned with soap and water after each use.
Plan of Correction: Will clean the diapering surface after each use.