Inspection · 2023-06-08
Date
2023-06-08
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted from 10:15 am to 12:30 pm. At the time of entrance, 46 children were in care with 13 staff members supervising. Additional staff were present for administrative duties. The sample size consisted of 5 children?s records and 5 new staff records. Children were observed eating lunch, participating in a in-house field trip and playing freely. Areas of non-compliance are identified on the violation notice.
Violations
6Standard 22.1-289.035-B-4
Based on review, facility did not ensure when an employee has lived outside the state of Virginia within the past 5 years, background checks are completed for those states.
Evidence: The following was found during record review:
1. The record for staff #1 (start date 4/17/2023) did not have a child abuse/neglect registry search for a state the individual has lived in within the past 5 years.
2. The record for staff #2 (start date 5/30/2023) did not have a criminal history search for a state the individual has lived in within the past 5 years.
3. The record for staff #3 (start date 4/24/2023) did not have a criminal history search and child abuse/neglect registry search for 2 states the individual has lived in within the past 5 years.
Evidence: The following was found during record review:
1. The record for staff #1 (start date 4/17/2023) did not have a child abuse/neglect registry search for a state the individual has lived in within the past 5 years.
2. The record for staff #2 (start date 5/30/2023) did not have a criminal history search for a state the individual has lived in within the past 5 years.
3. The record for staff #3 (start date 4/24/2023) did not have a criminal history search and child abuse/neglect registry search for 2 states the individual has lived in within the past 5 years.
Plan of Correction: 1. Staff #1 paperwork was resent.
2. Staff #2 proper paperwork was sent and in communication with someone in DES making sure it is completed properly.
3. Staff #3 paperwork was sent to portal and making sure proper background checks are done.
2. Staff #2 proper paperwork was sent and in communication with someone in DES making sure it is completed properly.
3. Staff #3 paperwork was sent to portal and making sure proper background checks are done.
Standard 8VAC20-780-140-A
Based on review, facility did not ensure 1 of 5 child records has a physical examination within 30 days of beginning attendance.
Evidence: The record for child #5 (start date April 24, 2023) did not have a physical.
Evidence: The record for child #5 (start date April 24, 2023) did not have a physical.
Plan of Correction: Parent provided a health record from doctor 6/8/2023 as well as enrollment was updated on paper work on spot.
Standard 8VAC20-780-160-A
Based on review, facility did not ensure 2 of 5 staff have a negative tuberculosis test or screening dated within 30 days prior to beginning employment.
Evidence: The following was found during record review:
1. The record for staff #2 (start date 5/30/2023) had a TB screening dated 2/23/2023.
2. The record for staff #5 (start date 5/30/2023) had a TB screening dated 6/1/2022.
Evidence: The following was found during record review:
1. The record for staff #2 (start date 5/30/2023) had a TB screening dated 2/23/2023.
2. The record for staff #5 (start date 5/30/2023) had a TB screening dated 6/1/2022.
Plan of Correction: Going forward staff TB screenings will be check properly making sure it is no more than 30 days before start date.
Standard 8VAC20-780-340-D
Based on observation and review, facility did not ensure in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present.
Evidence: Staff #3 was present with 4 children in the Infant B classroom. There was not documentation of program leader or program director qualifications in the staff record. Director stated the individual is not program leader qualified.
Evidence: Staff #3 was present with 4 children in the Infant B classroom. There was not documentation of program leader or program director qualifications in the staff record. Director stated the individual is not program leader qualified.
Plan of Correction: Staff will follow under 8VAC20-780-210 program leader qualifications #4 until completed CDA classes. A teacher with qualifications was placed in the room.
Standard 8VAC20-780-500-B
Based on observation, facility did ensure required items are available in the diapering area and the diapering surface is used only for diapering or cleaning children.
Evidence: The following was observed:
1. Diapering areas in the facility had a open basket for soiled linens when a covered receptacle is required.
2. The changing table in the Toddler A classroom had toys and puzzles sitting on the surface.
Evidence: The following was observed:
1. Diapering areas in the facility had a open basket for soiled linens when a covered receptacle is required.
2. The changing table in the Toddler A classroom had toys and puzzles sitting on the surface.
Plan of Correction: Staff was retrained on making sure changing area stay clean at all times.
Standard 8VAC20-780-70
Based on review and interview, facility did not ensure 1 of 5 staff records has documentation of required staff orientation training.
Evidence: The record for staff #4 (start date April 17, 2023) did not have documentation of orientation training. Director stated the training was completed but the form was not available in the record.
Evidence: The record for staff #4 (start date April 17, 2023) did not have documentation of orientation training. Director stated the training was completed but the form was not available in the record.
Plan of Correction: Staff #5 paperwork was placed in her file 6/8/2023 evening.