Inspection · 2024-11-07
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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.
8VAC20-7808 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on November 7, 2024. The on-site inspection began at 9:30 a.m. and ended at 11:15 a.m. The inspector reviewed compliance in the areas listed above. There were 30 children present and 10 staff. The inspector reviewed 5 children's records and 4 staff records on-site. This inspection included document review, tour of the facility, interviews, observations, and measurements.
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 December 1, 2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff # 2 and Staff #4, who have been employed since October 2024.
Plan of Correction: Going forward, all staff members will have a child abuse and neglect registry check completed prior to working at the center.
Standard 8VAC20-780-160-A
Repeat violation
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for staff #3 was completed three days after hire.
Plan of Correction: Going forward, I will pay more attention to dates even when the first day is a field trip.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The fencing around the playground is rusted and the paint is chipping and peeling off.
Plan of Correction: The fence will be fixed by the church.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. 1. In the Pre-k room, there were four bottles of shave cream in an unlocked cabinet, out of reach of children. 2. In the 2-3 year old classroom there several bottles of cleaning and sanitizing solutions in an unlocked cabinet, out of reach of children.
Plan of Correction: Going forward, all hazardous substances will be in locked cabinets and not just out of reach.
Standard 8VAC20-780-280-G
If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. In the 2-3 year old classroom there was a sanitizing solution in a bottle that wasn't labeled with the contents.
Plan of Correction: All hazardous substances are now labeled if they are not in their original containers.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #3 and staff #4 are the only two staff in a classroom of 2 and 3 year old children and neither staff are certified in CPR or first aid.
Plan of Correction: Going forward, each classroom will have at least one staff member that is certified in CPR and First Aid prior to classroom open.
Standard 8VAC20-780-550-P
The center must maintain a written record of children's injuries that includes the staff present and treatment, date and time when parents were notified, future action to prevent recurrence, and how the parent was notified. Two incident reports reviewed did not contain the staff present and treatment, date and time when parents were notified, future action to prevent recurrence of the injury or how the parent was notified.
Plan of Correction: The correct model form is available to all staff members and each staff member has a copy of the form.