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Inspire (John Wayland)

Inspection · 2023-10-11

Date
2023-10-11
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A monitoring inspection was initiated on 10/11/2023 and concluded on 10/11/2023 from 3:15 PM to 4:28 PM. There were 24 children present, ranging in ages from five to 10, with 2 staff and a volunteer. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of five children?s records and the three staff?s records were reviewed for updates.
Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

6
Standard 22.1-289.011-F
Based on observation and interview, the center failed to post the most recent license and inspection notice in a conspicuous place to be seen by the public.

Evidence:

1. The facility was observed inside and outside. An inspection and license was not posted.
2. The director stated she forgot to put the inspection and license out that day.
Plan of Correction: The license and inspection will be posted everyday from now on.
Standard 8VAC20-780-130-A
Based on record review and interview, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child first day of attending the center.

Evidence:

1. The record for child 2 documents the first day of attendance as 8/23/23. The record did not contain documentation of immunizations.
2. The director verified the center does not have immunizations for child 2.
Plan of Correction: The parents of child 2 will be advised to provide the immunization record. In the future the center will ensure immunization records are obtained for every child prior to attending the center.
Standard 8VAC20-780-140-A
Based on record review and interview, the center failed to obtain documentation of a physical examination by or under the direction of a physician before the child first day of attending the center.

Evidence:

1. The record for child 2 documents the first day of attendance as 8/23/23. The record did not contain documentation of a physical.
2. The director verified the center does not have a physical for child 2.
Plan of Correction: The parents of child 2 will be advised to provide the documentation of a physical. In the future the center will ensure documentation of a physical is obtained for every child by the 30th day of care.
Standard 8VAC20-780-245-J-3
Based on interview, the center failed to ensure any child for whom emergency medications have been prescribed shall always be in the care of a staff member that is MAT certified.

Evidence:

1. One child in care has an Auvi-Q at the center.
2. The owner advised there is not a staff member at this time with MAT certification.
Plan of Correction: A staff member will obtain MAT certification as soon as it can be scheduled.
Standard 8VAC20-780-550-D
Based on interview, the center failed to implement a monthly practice evacuation drills.

Evidence:

The center opened on 8/23/23. The director stated a practice evacuation drills not conducted until 10/11/23..
Plan of Correction: An emergency evacuation drill will be conducted every month from now on..
Standard 8VAC20-780-60-A
Based on record review and interview, the center failed to keep all the required documents in each child's record.

Evidence:

1. The record for child 2 documents the first day of attendance as 8/23/23. The child's record did not contain information (address, phone number, and place of work with phone number if applicable) regarding the child's mother.
2. The director verified the center did not have the mother's information.
3. The record for child 2 documented the mother did not have authorization to pick the child up. The record did not contain appropriate legal paperwork stating the child could not be released to the mother.
4. The director verified the center does not have legal paperwork for child 2.
Plan of Correction: The information will be obtained for child 2's record. In the future the center will ensure each child's record is complete before they attend the center.
View original record on Virginia Department of Social Services