Inspection · 2024-07-11
Date
2024-07-11
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.
8VAC20-820 The License.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was started in the center on July 11, 2024 from 10:15am until 2:00pm and concluded on July 15, 2024. At the time of entrance, 63 children were in care with 12 staff members. The sample size consisted of 6 children?s records and 6 staff records. Children were observed preparing for and eating lunch, playing in centers to include dress up, blocks and reading. The playgrounds resilient surfacing was not inspected due inclement weather
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Please contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.
Inspection amended on 7-23-2024 due to technical error.
Violations
9Standard 22.1-289.035-B-1
Based on record review and staff interviews, the licensee did not ensure each staff member had a Sworn Statement completed prior to first day of employment.
Evidence:
1. The sworn statement for staff #1 was dated 3-20-24 and their first day of employment was 3-18-24.
2. The sworn statement for staff #3 was dated 3-26-24 and their first day of employment was 3-25-24.
Evidence:
1. The sworn statement for staff #1 was dated 3-20-24 and their first day of employment was 3-18-24.
2. The sworn statement for staff #3 was dated 3-26-24 and their first day of employment was 3-25-24.
Plan of Correction: Center Director will ensure every staff member signs sworn statement on or before their first day of work
Standard 22.1-289.035-B-4
Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check (CRC) prior to the first day of employment and an out of state child abuse and neglect search (CPS) was request by the 30th day of employment for any state where they lived within the last five years from date of employment.
Evidence: The following staff did not have out of state background checks as required.
1.Staff #1?s record did not include results of an out of state CRC prior to first day of employment (3-18-2024).
2. Staff #6?s record did not include results of an out of state CRC prior to first day of employment (5-1-2024).
Evidence: The following staff did not have out of state background checks as required.
1.Staff #1?s record did not include results of an out of state CRC prior to first day of employment (3-18-2024).
2. Staff #6?s record did not include results of an out of state CRC prior to first day of employment (5-1-2024).
Plan of Correction: Center Director and Assistant Director will ensure that every new staff member starting has the proper out of state checks completed, and complete the out of state checks for the existing staff members.
Standard 8VAC20-780-270-A
Repeat
Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin
Evidence: On the younger children?s playground, the plastic playground border had 3 protruding bolts and there were 2 rusty nails protruding from the wooden platform under the metal train.
Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin
Evidence: On the younger children?s playground, the plastic playground border had 3 protruding bolts and there were 2 rusty nails protruding from the wooden platform under the metal train.
Plan of Correction: The Center Director has already submitted a request in coorporate's service Chanel portal to get this fixed.
Standard 8VAC20-780-440-J
Based on observation and measurements, the licensee did not ensure the center shall Thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib.
Evidence: Two infants were observed sleeping in their cribs and there was only 21 inches of space on their service sides.
Evidence: Two infants were observed sleeping in their cribs and there was only 21 inches of space on their service sides.
Plan of Correction: Management and infant teachers have already moved the infant cribs and trained the staff on this. We now have tape on the wall to indicate the 30 inches apart to make lining it up correctly easy
Standard 8VAC20-780-510-G
Based on observations and staff interviews, the licensee did not ensure medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.
Evidence:
1. One medication for Child #2 was not labeled with the dosage amount and the time or times to be given.
Evidence:
1. One medication for Child #2 was not labeled with the dosage amount and the time or times to be given.
Plan of Correction: Management has already received updated packaging for the medication that includes these elements, and we will ensure we never accept medication without them in the future.
Standard 8VAC20-780-510-I
Based on review of documentation and staff interviews, the licensee did not ensure to administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent or guardian.
Evidence: The medication authorization for Child #3 was reviewed and the parent authorization expired on 5-24-2024. The medication log for Child #5 was reviewed and medication had been administered a total of 11 times between June 3, 2024, and July 8, 2024.
Evidence: The medication authorization for Child #3 was reviewed and the parent authorization expired on 5-24-2024. The medication log for Child #5 was reviewed and medication had been administered a total of 11 times between June 3, 2024, and July 8, 2024.
Plan of Correction: Center Director and Assistant Director will ensure every medication authorization is updated every 10 days by the parent, or has a physician's signature. We have already updated the medication authorizations or discontinued medication administration to each of those students, depending on the circumstance.
Standard 8VAC20-780-510-P
Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
Evidence:
1.There were two expired authorizations for medications observed at the center and the parents were not notified that the medications needed to be picked up, the authorizations were not renewed nor had the medications been disposed of by the center.
2. The authorization for Child #2 expired on 6-4-2024 and the authorization for Child #3 expired on 5-24-2024.
Evidence:
1.There were two expired authorizations for medications observed at the center and the parents were not notified that the medications needed to be picked up, the authorizations were not renewed nor had the medications been disposed of by the center.
2. The authorization for Child #2 expired on 6-4-2024 and the authorization for Child #3 expired on 5-24-2024.
Plan of Correction: The Center Director has already spoken with all the parents involved and either updated their medical authorizations, or discontinued use of the medication and discarded it.
Standard 8VAC20-780-520-D
Based on review of documentation and staff interviews, the licensee did not ensure if insect repellent is used, it shall be in the original container and labeled with the child's name.
Evidence: Insect repellent patches for Child #5 was observed stored in a plastic bag and not kept in the original box/packaging.
Evidence: Insect repellent patches for Child #5 was observed stored in a plastic bag and not kept in the original box/packaging.
Plan of Correction: The Center Director has already spoken with the parent and discarded the insect repellent.
Standard 8VAC20-780-550-K
Based on observation and staff interviews, the licensee did not ensure the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.
Evidence: Center Director confirmed the school age children left the building for a field trip the previous week and there was not a document with potential shelters, hospitals, evacuation routes for their specific field trip
Evidence: Center Director confirmed the school age children left the building for a field trip the previous week and there was not a document with potential shelters, hospitals, evacuation routes for their specific field trip
Plan of Correction: For all future field trips, Management and the Summer Camp teachers will have this information in our transportation binder.