Inspection · 2024-07-18
Licensing Inspector
Angela Farmer
(276) 608-2283
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.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 7/18/2024. The on-site inspection began at 11:00 am and ended at 1:20 pm. The inspector reviewed compliance in the areas listed above. There were nine children present and three staff. The inspector reviewed six children?s records and four staff records on-site. This inspection included.
? document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms),
? tour of the facility,
? interviews
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 August 1, 2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
Based on record reviews, the center failed to ensure that the obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Evidence:
Staff #3, that has been employed more than three months, listed on the sworn statement of residing in another state in the preceding five years. There are no results of background checks on file at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-A
Based on record reviews, 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:
Child #3, has been in care more than 30 days, does not have a physical on file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Based on record reviews and observation, the center failed to ensure that an annual fire inspection report from the appropriate fire official having jurisdiction was provided.
Evidence:
The most current fire inspection was dated 5/12/2023, exceeding the annual requirement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-B
Based on observation the center failed to ensure that the heating system have appropriate barriers to prevent children from having access.
Evidence:
The heat pump located outside the building on the playground area is accessible to the children. There are no barriers preventing the children from having access.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-50-A
Based on record reviews, the center failed to ensure that staff and children's records shall be treated confidentially.
Evidence:
The injury reports are recorded on the back of the attendance sign in sheets that are on the counter top. These sign in sheets are not treated confidentially.
There is also a notebook on the counter that has incident reports that is accessible to the public.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-520-C
Based on observation and interviews, the center failed to ensure that if diaper ointment or cream is used written authorization noting any known adverse reactions shall be obtained.
Evidence:
The center did not have written authorization to administer diaper ointment or cream for child # 6.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A-1
Based on record reviews, the center failed to ensure that the current certification in CPR is appropriate to the age of the children in care.
Evidence:
The CPR certificates do not specify that the certification includes infant, toddlers, children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based on interviews, the center failed to implement a monthly practice evacuation drills.
Evidence:
Staff interviews supported the monthly drills were not being completed
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Based on interviews the center failed to ensure that shelter in place procedures
shall be practiced a minimum of twice per year.
Evidence:
Staff interviews supported the shelter in place drills were not being completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-F
Based on interviews the center failed to ensure that lockdown procedures shall be practiced at least annually.
Evidence:
The staff verified that lockdown procedures are not practiced annually.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Based on record reviews, the center failed to maintain a written record of children's serious and minor injuries in which entries have all the required information.
Evidence:
The injury reports reviewed did not include, time of injury; staff present and treatment; date and time when parents were notified; any future action to prevent recurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-G
Based on observation and interviews the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Evidence:
The lunch boxes were not labeled or dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record reviews, the center failed to ensure that the children's records contain the required information.
Evidence:
1. Child record #4 does not list the parents work phone number and place of employment.
2. Child records # 3 & 5 does not list the addresses for the emergency contacts listed.
3. Child records #3, 4, & 5 do not list the first day of attendance.
Plan of Correction: Not available online. Contact Inspector for more information.