Inspection · 2024-10-23
Date
2024-10-23
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
(571) 835-0386
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
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 10/23/2024. The on-site inspection began at 9:55am and ended at 3:35pm. The inspector reviewed compliance in the areas listed above. There were 162 children present and 37 staff. The inspector reviewed 10 children?s records and 10 staff records on-site on 10/23/2024.
This inspection included document review, tour of the facility 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/31/2024. A POC submitted after this date will not appear on the public website.
Violations
14Standard 22.1-289.011-F
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 7/31/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: Most recent inspection was posted on 10/24/2024. We will post inspections immediately.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #8, who is currently working, was dated four weeks after their first day of employment.
Plan of Correction: All staff files will be audited prior to staff start date to ensure that they have completed all requirements prior to their start date.
Standard 22.1-289.035-B-3
Repeat Violation
The center must receive the central registry results by the end of the 30th Day of employment for staff.
Staff #12, who had been employed for over 7 months and Staff #13, who had ben employed for over 5 months did not have a central registry search results by the end of 30th Day .
The center must receive the central registry results by the end of the 30th Day of employment for staff.
Staff #12, who had been employed for over 7 months and Staff #13, who had ben employed for over 5 months did not have a central registry search results by the end of 30th Day .
Plan of Correction: Central Registry was submitted for Staff #12 and Staff #13 on 10/24/2024. All staff files will be audited prior to staff start date to ensure that they have completed all requirements prior to their start date.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
Child #5, who had been attending for 9 months and under the age of two years old, did not have documentation of additional immunizations once every six months on file. The last immunization record was dated over 9 months ago.
Child #5, who had been attending for 9 months and under the age of two years old, did not have documentation of additional immunizations once every six months on file. The last immunization record was dated over 9 months ago.
Plan of Correction: Parents has been contacted and will provide missing information. All files will be audited to ensure all proper documentation of immunizations is updated.
Standard 8VAC20-780-160-A
Repeat Violation
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 TB was dated more than 38 days prior to the date of employment., and Staff #8 TB was dated more than 40 days prior to the employment.
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 TB was dated more than 38 days prior to the date of employment., and Staff #8 TB was dated more than 40 days prior to the employment.
Plan of Correction: All Staff files will be audited prior to staff start date to ensure that they have completed all requirements prior to their start date.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #15, who is working with children, has not yet completed this course which is overdue by 2 1/2 months.
Plan of Correction: Staff #15 will immediately complete this training. All staff files will be audited prior to staff start date to ensure that they have completed all requirements prior to their start date.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In the 112 A classroom, the cleaning solution was placed on the changing table, out of reach of children. In the 114 A classroom, the Clorox wipes was placed on a high shelf, out of reach of children and two Lysol toilet bowl cleaning products were on the bathroom floor near the toilet.
Plan of Correction: Toilet bowl cleaner and Clorox wipes were removed from 112A and 114A on 10/23/2024.
All teachers will be retrained on storage of cleaning products by 10/28/2024.
All teachers will be retrained on storage of cleaning products by 10/28/2024.
Standard 8VAC20-780-280-G
If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.
In room 112 A, a plastic spray bottle of cleaning solution was not clearly labeled with the contents. In 101 B, a plastic spray bottle of cleaning solution was not clearly labeled with the contents.
In room 112 A, a plastic spray bottle of cleaning solution was not clearly labeled with the contents. In 101 B, a plastic spray bottle of cleaning solution was not clearly labeled with the contents.
Plan of Correction: Extra labels will be obtained and all spray bottles will be clearly labeled with the contents.
Standard 8VAC20-780-320-B
Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.
In classroom 117 A bathroom, there were no disposable towels within reach of children.
In classroom 117 A bathroom, there were no disposable towels within reach of children.
Plan of Correction: All classrooms were checked on 10/24/2024 to ensure they are stocked. All classrooms will be checked daily by classroom teachers to ensure that each restroom area has soap, toilet paper, and disposable towel or an air dryer within reach of children.
Standard 8VAC20-780-40-J
Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.
The center's injury prevention procedures was last updated 15 months ago.
The center's injury prevention procedures was last updated 15 months ago.
Plan of Correction: Injury prevention procedures will be updated by 10/28. Then, we will update annually.
Standard 8VAC20-780-50-A
Staff and children's records shall be treated confidentially.
In classroom 115 A, three children's confidential information regarding food restrictions were posted on the refrigerator of the classroom.
In classroom 115 A, three children's confidential information regarding food restrictions were posted on the refrigerator of the classroom.
Plan of Correction: The children's confidential information was covered with a cover sheet on 10/23/2024. We will retrain and monitor to ensure confidentiality is maintained.
Standard 8VAC20-780-500-B
Repeat Violation
The diapering area shall have the following the appropriate disposal container during disposal as required by subdivision 6 of this subsection and a leakproof covered receptacle for soiled linens.
In classroom 117 A, there was no disposal container or receptacle near the diapering area.
The diapering area shall have the following the appropriate disposal container during disposal as required by subdivision 6 of this subsection and a leakproof covered receptacle for soiled linens.
In classroom 117 A, there was no disposal container or receptacle near the diapering area.
Plan of Correction: A disposal container has been placed near the diapering area in classroom 117A. We will monitor to ensure a disposal container is near all diapering areas at all times.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, 2, 3, and 9 enrolled for more than one year, were missing the following required components: Documentation of child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3. The record for Child 6, 7, and 10 enrolled for more than 7 months, were missing the following required components: Previous child day care and schools attended by the child.
Plan of Correction: We began our Annual update of all student files on 10/24/2024 to ensure documentation of updates and confirm information is up-to-date for all students.
All student files will be audited prior to student start date to ensure that they have completed all requirements prior to their start date.
All student files will be audited prior to student start date to ensure that they have completed all requirements prior to their start date.
Standard 8VAC20-780-60-A-8
Repeat Violation
A written care plan for each 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.
Child #2 (who had been enrolled over 14 months), Child #9 (who had been enrolled over 15 over months) and Child #10 (who had been enrolled over 7 months) all had diagnosed food allergies and did not have a written care plan from a physician with instructions and steps to be taken in the event of a suspected or confirmed allergic reaction.
A written care plan for each 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.
Child #2 (who had been enrolled over 14 months), Child #9 (who had been enrolled over 15 over months) and Child #10 (who had been enrolled over 7 months) all had diagnosed food allergies and did not have a written care plan from a physician with instructions and steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction: Parents of Child #2, Child #9, and Child #10 will be contacted by 10/24/2024 and will have until 10/31/2024 to provide written care plans from a physician.