Inspection · 2023-10-05
Date
2023-10-05
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced renewal inspection was conducted on October 5, 2023. The inspector arrived at 11:45am and departed at approximately 2:15pm. There were 31 children and 9 staff members present. A sample size of 14 records were reviewed which included 8 children?s records and 6 staff records. The Inspector observed staff and children?s interactions throughout the inspection. Children were observed lunch, diapering, handwashing, and nap. No medications are administered at the center. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented. The violations are listed on the violation notice issued to the center and were reviewed with the site owner/director at the exit interview.
Violations
8Standard 8VAC20-780-270-A
Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center be maintained in a safe and operable condition.
Evidence:
1. The carpet in the main hallway, where children routinely walk through, poses as a tripping hazard as the corners of the carpet are raised and not flat on the floor.
2. In the children?s restroom there is a protruding rusted screw to the bottom of the commode in reach of children that poses as an injury hazard to the children in care.
3. There is peeling paint to the front entrance and the children?s bathroom.
4. In the 4 year old classroom, there is a screw protruding out from the wall in reach of children that poses as a possible snagging or injury hazard to the children in care.
5. In the school age classroom, the wall paper is peeling off and there is chipped paint that is peeling.
6. The school age classroom lights are dim and dark as there are no windows.
7. Staff #1 and Staff #2 confirmed that the areas of concerns require maintenance and repair which pose a safety hazard to children.
Evidence:
1. The carpet in the main hallway, where children routinely walk through, poses as a tripping hazard as the corners of the carpet are raised and not flat on the floor.
2. In the children?s restroom there is a protruding rusted screw to the bottom of the commode in reach of children that poses as an injury hazard to the children in care.
3. There is peeling paint to the front entrance and the children?s bathroom.
4. In the 4 year old classroom, there is a screw protruding out from the wall in reach of children that poses as a possible snagging or injury hazard to the children in care.
5. In the school age classroom, the wall paper is peeling off and there is chipped paint that is peeling.
6. The school age classroom lights are dim and dark as there are no windows.
7. Staff #1 and Staff #2 confirmed that the areas of concerns require maintenance and repair which pose a safety hazard to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation and interview, it was determined that the center did not 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. In the 4 year old classroom, the cleaning supplies are in an unlocked cabinet.
2. In the children?s bathroom, there are unlocked cleaning supplies in reach of children.
3. Staff #1 confirmed that the cleaning supplies are unlocked in both the children?s bathroom and 4 year old classroom.
Evidence:
1. In the 4 year old classroom, the cleaning supplies are in an unlocked cabinet.
2. In the children?s bathroom, there are unlocked cleaning supplies in reach of children.
3. Staff #1 confirmed that the cleaning supplies are unlocked in both the children?s bathroom and 4 year old classroom.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-290-A-2
Based on observation and interview, it was determined that the center did not ensure that fans, when used, shall be out of reach of children.
Evidence:
1. The 2 year old classroom has a portable fan that is not mounted to the wall. The fan is on a table and in reach of children in care.
2. In the 2 and 3 year old classroom, there is a portable fan that is in reach of children in care.
3. Staff #1 and Staff #2 confirmed that the two portable fans are being used in the classroom and in reach of children in care.
Evidence:
1. The 2 year old classroom has a portable fan that is not mounted to the wall. The fan is on a table and in reach of children in care.
2. In the 2 and 3 year old classroom, there is a portable fan that is in reach of children in care.
3. Staff #1 and Staff #2 confirmed that the two portable fans are being used in the classroom and in reach of children in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-430-L
Based on observation and interview, the center did not ensure that infant walkers shall not be used.
Evidence:
1. In the infant room, there was an infant walker that was being used for a child currently in care.
2. Staff #1, the Director, confirmed that the infant walker was being used for a child in care.
Evidence:
1. In the infant room, there was an infant walker that was being used for a child currently in care.
2. Staff #1, the Director, confirmed that the infant walker was being used for a child in care.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation and interview, it was determined that the center did not 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 that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.
Evidence:
1. The changing area in the children?s restroom did not have a foot-operated or hands free diaper disposable system.
2. Staff #1 and Staff #2 confirmed that their diaper disposal system is broken.
Evidence:
1. The changing area in the children?s restroom did not have a foot-operated or hands free diaper disposable system.
2. Staff #1 and Staff #2 confirmed that their diaper disposal system is broken.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-C
Based on observation and interview, it was determined that the center did not ensure that if diaper ointment or cream is used, the following requirements shall be met: 1. Written parent authorization noting any known adverse reactions shall be obtained; 2. These products shall be in the original container and labeled with the child's name.
Evidence:
1. There was a diaper cream in the infant room that was not labeled.
2. Staff #1 confirmed that it was not labeled with the child?s name.
Evidence:
1. There was a diaper cream in the infant room that was not labeled.
2. Staff #1 confirmed that it was not labeled with the child?s name.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review and interview, it was determined that the center did not ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the work phone number each parent who has custody and the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Evidence:
1. Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 did not have the work phone number for the parent who has custody.
2. Child #3, Child #4 and Child #6, did not have the emergency contact address for one of the two emergency contacts listed to their record.
3. Staff #1 confirmed that the work phone numbers, and the emergency contact addresses were missing from the children?s file.
Evidence:
1. Child #1, Child #2, Child #3, Child #4, Child #5, and Child #6 did not have the work phone number for the parent who has custody.
2. Child #3, Child #4 and Child #6, did not have the emergency contact address for one of the two emergency contacts listed to their record.
3. Staff #1 confirmed that the work phone numbers, and the emergency contact addresses were missing from the children?s file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review and interview, it was determined that the center did not ensure that staff records shall be kept for each staff person to include documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include:
Evidence:
1. Four of the six staff records that were reviewed did not have two or more references as to character and reputation as well as competency were checked before employment.
2. Staff #1, the director, confirmed that there were no reference checks completed for the four staff records that were reviewed.
Evidence:
1. Four of the six staff records that were reviewed did not have two or more references as to character and reputation as well as competency were checked before employment.
2. Staff #1, the director, confirmed that there were no reference checks completed for the four staff records that were reviewed.
Plan of Correction: Not available online. Contact Inspector for more information.