Inspection · 2024-08-20
Date
2024-08-20
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
(540) 430-0384
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 (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, on-site monitoring inspection was conducted on 8/20/2024. The on-site inspection began at approximately 9:08 am and ended at 11:25 pm. The inspector reviewed compliance in the areas listed above. There were 22 children present and 6 staff. The inspector reviewed 5 children?s records and 5 staff records. This inspection included document review, a tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/27/2024. A POC submitted after this date will not appear on the public website.
Violations
3Standard 8VAC20-780-160-A
Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children. The documentation must 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:
1. The record of staff #2 (date of employment: 3/29/2024) contained a negative TB screening dated 4/19/2024.
2. Administration acknowledged that the TB screening was received after the start of employment.
Evidence:
1. The record of staff #2 (date of employment: 3/29/2024) contained a negative TB screening dated 4/19/2024.
2. Administration acknowledged that the TB screening was received after the start of employment.
Plan of Correction: As of 8/20/2024 the director will make sure that all TB screenings will be done 30 calendar days of the date of
employment here at Honey?s Learning center. 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. As of 8/20/2024 I will make sure that all TB screenings will be done 30 calendar days of the date of employment
here at Honey?s Learning center. 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.
employment here at Honey?s Learning center. 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. As of 8/20/2024 I will make sure that all TB screenings will be done 30 calendar days of the date of employment
here at Honey?s Learning center. 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.
Standard 8VAC20-780-530-A-1
Based on a review of five staff records, observation, and interview, the center did not ensure that at least one staff in each classroom or area where children are present had a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.
Evidence:
1. The record of staff #3 (date of employment: 7/22/2024) contained an online CPR/First Aid certification dated 7/26/2024. The certification did not include the required in-person competency demonstration. Staff #3 was observed supervising a group of children independently on 8/20/2024.
2. Administration acknowledged that staff #3 did not have the required certification to work alone with a group of children.
Evidence:
1. The record of staff #3 (date of employment: 7/22/2024) contained an online CPR/First Aid certification dated 7/26/2024. The certification did not include the required in-person competency demonstration. Staff #3 was observed supervising a group of children independently on 8/20/2024.
2. Administration acknowledged that staff #3 did not have the required certification to work alone with a group of children.
Plan of Correction: This violation was corrected on 8/20/24. The record for staff #3 has enrolled in a CPR course that
includes in-person competency demonstration. Moving forward if the CPR course doesn?t offer the
in-person competency demonstration then the staff will not take the course. 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. On 8/20/2024, moving forward the director will schedule all first-aid and CPR training with the appropriate
organization such as the American Red Cross, Etc. 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.
includes in-person competency demonstration. Moving forward if the CPR course doesn?t offer the
in-person competency demonstration then the staff will not take the course. 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. On 8/20/2024, moving forward the director will schedule all first-aid and CPR training with the appropriate
organization such as the American Red Cross, Etc. 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.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Based on a review of five child records and interview, the center did not ensure that three records contained the required information.
Evidence:
1. The record of child #1 (date of enrollment: 4/17/2024) was missing two emergency contact addresses. The record of child #4 (date of enrollment: 10/16/2023) was missing one emergency contact address and two emergency contact phone numbers. The record of child #5 (date of enrollment: 1/18/2024) was missing two emergency contact addresses. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
2. Administration acknowledged that the records were incomplete.
Based on a review of five child records and interview, the center did not ensure that three records contained the required information.
Evidence:
1. The record of child #1 (date of enrollment: 4/17/2024) was missing two emergency contact addresses. The record of child #4 (date of enrollment: 10/16/2023) was missing one emergency contact address and two emergency contact phone numbers. The record of child #5 (date of enrollment: 1/18/2024) was missing two emergency contact addresses. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
2. Administration acknowledged that the records were incomplete.
Plan of Correction: This violation was corrected on 8/20/2024. The record of child #1 the parent come in and added
the emergency contact address on the form. The record of child #4 the parent come in and added
the one emergency contact address and two emergency contact phone numbers. The record of
child #5 the parent come in an added two emergency contact addresses. In the future the director
will assure that all children records are required to contain the name, address, and phone number
of two designated people to call in an emergency if a parent cannot be reached. The director
created an enrollment checklist that will be attached to the child?s enrollment packet. In the future I will assure that all children records are required to contain the name, address, and
phone number of two designated people to call in an emergency if a parent cannot be reached. The
director created an enrollment checklist that will be attached to the child?s enrollment packet.
the emergency contact address on the form. The record of child #4 the parent come in and added
the one emergency contact address and two emergency contact phone numbers. The record of
child #5 the parent come in an added two emergency contact addresses. In the future the director
will assure that all children records are required to contain the name, address, and phone number
of two designated people to call in an emergency if a parent cannot be reached. The director
created an enrollment checklist that will be attached to the child?s enrollment packet. In the future I will assure that all children records are required to contain the name, address, and
phone number of two designated people to call in an emergency if a parent cannot be reached. The
director created an enrollment checklist that will be attached to the child?s enrollment packet.