Inspection · 2023-11-08
Date
2023-11-08
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
(804) 588-2371
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
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
Inspector Notes
An unannounced on-site renewal inspection was conducted on 11/08/2023. There were 60 children, ages 3 months-5 years, and 12 staff members present during the inspection. The inspector observed the following: free choice activities, large motor play outside, lunch and nap. A total of 5 children?s records and 5 staff records, were reviewed. The inspector discussed the following with staff: record keeping. The inspector arrived at 10 AM and departed at 12:45 PM.
Kelly Campbell
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 540-309-2494
Kelly.campbell@doe.virginia.gov
Violations
5Standard 8VAC20-780-140-A
Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s
attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for Child # 1 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection.
2. The record for Child # 2 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection.
3. The record for Child # 2 contained documentation that the first date of attendance was 08/14/2023. There was no documentation of a physical exam on the day of the inspection.
attendance or within 30 days after the first day of attendance.
Evidence:
1. The record for Child # 1 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection.
2. The record for Child # 2 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection.
3. The record for Child # 2 contained documentation that the first date of attendance was 08/14/2023. There was no documentation of a physical exam on the day of the inspection.
Plan of Correction: Physical exams will be obtain ASAP. In future all will be obtained with in the 30 days.
Standard 8VAC20-780-150-B
Based on review of children?s records the center failed to ensure that physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.
Evidence:
1. The immunization report in the record for Child # 2 was not dated by a physician, his
designee, or an official of a local health department.
2. The immunization report in the record for Child # 3 was not dated by a physician, his
designee, or an official of a local health department.
3. The immunization report in the record for Child # 4 was not dated by a physician, his
designee, or an official of a local health department.
Evidence:
1. The immunization report in the record for Child # 2 was not dated by a physician, his
designee, or an official of a local health department.
2. The immunization report in the record for Child # 3 was not dated by a physician, his
designee, or an official of a local health department.
3. The immunization report in the record for Child # 4 was not dated by a physician, his
designee, or an official of a local health department.
Plan of Correction: Director will monitor all physicals and immunizations for signature.
Standard 8VAC20-780-240-B
REPEAT VIOLATION
Based on review of five staff records, the center failed to ensure that staff orientations were completed within seven days of hire.
Evidence:
Staff #5 was hired on 06/15/2023. The staff record reviewed lacked documentation that orientation had been completed.
Based on review of five staff records, the center failed to ensure that staff orientations were completed within seven days of hire.
Evidence:
Staff #5 was hired on 06/15/2023. The staff record reviewed lacked documentation that orientation had been completed.
Plan of Correction: Director will have the staff to sign an orientation form and will ensure that staff was trained.
Standard 8VAC20-780-280-G
Based on observation, the center failed to ensure that all substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.
Evidence:
1.There were two spray bottles in closet of the Infant room #2. One bottle was clear liquid, and the other spray bottle was a red transparent liquid. Both spray bottles were not clearly labeled to indicate their contents.
Evidence:
1.There were two spray bottles in closet of the Infant room #2. One bottle was clear liquid, and the other spray bottle was a red transparent liquid. Both spray bottles were not clearly labeled to indicate their contents.
Plan of Correction: The teacher will label all spray bottles ASAP.
Standard 8VAC20-780-60-A
Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.
Evidence:
1. The record for Child # 3 have the up-to-date information in the child?s record annually as required by 8 VAC20-780-420 E 3.
2. The record for Child # 4 did not include the following information: the addresses for the
required two designated people to call in an emergency if a parent cannot be reached.
3. The record for Child # 1 did not include the following information: the date of enrollment into the program, and allergies and intolerance to medication or any other substances and actions to take in an emergency situation.
4. The record for Child #6 has a diagnosed food allergy and did not have a Food Action
Allergy Plan completed by the Physician.
Evidence:
1. The record for Child # 3 have the up-to-date information in the child?s record annually as required by 8 VAC20-780-420 E 3.
2. The record for Child # 4 did not include the following information: the addresses for the
required two designated people to call in an emergency if a parent cannot be reached.
3. The record for Child # 1 did not include the following information: the date of enrollment into the program, and allergies and intolerance to medication or any other substances and actions to take in an emergency situation.
4. The record for Child #6 has a diagnosed food allergy and did not have a Food Action
Allergy Plan completed by the Physician.
Plan of Correction: The director will have the parents to complete the missing items on the enrollment form.