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Inspection · 2023-03-24

Date

2023-03-24

Complaint Related

Licensing Inspector

Jennifer Moore
(540) 430-0384

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 (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced monitoring inspection was initiated and concluded on 3/24/2023. The inspector was on site from approximately 9:03 am-11:36 am. There were 12 children present, ranging in ages from 3 months to 3 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records and 3 staff records were reviewed.

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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

Standard 8VAC20-780-130-A

Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that two (2) children had received the immunizations required by the State Board of Health before the first date of employment as required.

Evidence:
1. The record of child #4 (date of attendance: 2/1/2023) contained an immunization record dated 2/9/2023. The record of child #5 (date of attendance: 2/23/2023) contained an immunization record dated 3/2/2023.
2. Administration acknowledged that the immunization records were received after the first date of attendance.

Plan of Correction: This violation was corrected on 3/24/2023. The Director created
an enrollment checklist that will be attached to the child?s
enrollment packet. No child will be allowed to start without having
immunization by the first day of enrollment. The director will sign
off on the folder to ensure everything is in folder prior to the child?s
start date.

Standard 8VAC20-780-550-D

Based on a review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill.

Evidence:
1. An evacuation drill was not documented in February of 2023.
2. Administration acknowledged that a drill was not conducted.

Plan of Correction: This violation was corrected on March 27th and was noted on our
fire drill log. Moving forward we will ensure that practice drills be
conducted each month. The Director will ensure this is met by
implementing a monthly calendar letting the admin staff know
when the drill should be performed. The drills will be conducted
the third week of every month alternating a.m. /pm drills.

Standard 8VAC20-780-60-A-8

Based on a review of five (5) child records and interview, the center did not ensure to obtain a written care plan for one (1) child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence:
1. The record of child #1 (date of attendance: 3/20/2023) indicated that the child had diagnosed food allergies. The record did not contain a written care plan.
2. Administration acknowledged that they had not obtained a written care plan for child #1.

Plan of Correction: This violation was corrected on March 27, 2023 and was place in
classroom and child?s file. The Director asked the parent of the
child with the food allergy to submit the allergy care plan child
diagnose food allergy form to the pediatrician. The parent
returned the form and the form was file in the child folder. The
form was also place in the child?s classroom. The teacher was
informed as well. The form was place under the allergy cover list.
In the future the I will prevent this from happen again by having
the parent have the doctor complete the allergy care plan form
before the child is enrolled. The director is the person who will be
in charge of this.

Standard 8VAC20-780-70

Based on a review of three (3) staff records and interview, the center did not ensure a complete record was kept for one (1) staff member.

Evidence:
1. The record of staff #3 (date of employment: 2/23/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. Administration acknowledged that the references had not been documented.

Plan of Correction: The reference check was corrected on March 24th. The staff
member references were called and the reference sheet were
placed in the staff members folder noting the staff member had
good character and was suitable to work with children. Moving
forward the Director will ensure staff folders have required
documents in the folder by creating a checklist of requirements.
Staff folders will be checked monthly by the Director to ensure
compliance and no staff member will be allowed to start without
references being documented before the start date.

View original record on Virginia Department of Social Services