Inspection · 2024-07-25
Date
2024-07-25
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
(757) 404-2601
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
An unannounced, on-site renewal inspection was initiated and completed on July 27, 2024, as a part of the conditional licensure period. The on-site inspection began at 9:44 and ended at 1:15. The inspector reviewed compliance in the areas listed above. There were 40 children present and 12 staff. The inspector reviewed seven children?s records and six staff records on-site. This inspection included
- document review,
- emergency equipment,
- emergency drills,
- tour of the facility,
- interviews 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 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 6, 2024. A POC submitted after this date will not appear on the public website
Violations
11Standard 8VAC20-780-130-E
Based on record review the center failed to maintain immunization documentation as required.
Evidence:
The record for Child #3, an 18 month old, did not include documentation of immunization updates every six months. The documented date of enrollment for Child #3 was September 3, 2023. The only immunization in the record was dated September 12, 2023.
Evidence:
The record for Child #3, an 18 month old, did not include documentation of immunization updates every six months. The documented date of enrollment for Child #3 was September 3, 2023. The only immunization in the record was dated September 12, 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Based on record review the center failed to ensure that all required physical examination is obtained.
Evidence:
The physical examination in the record of Child #2 was not dated.
Evidence:
The physical examination in the record of Child #2 was not dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation and interview the center failed to maintain areas in safe condition.
Evidence:
1 - In the toddler room and school age room there were electrical wires/cords dangling down from shelves and devices within reach of children. These dangling cords pose an entanglement and or a toppling hazard.
2 - In the 2 1/2 - three year old room there was a wooden cabinet, approximately 3 feet tall, 3 feet wide and six inches deep, that was not secured to the wall and poses toppling hazard.
Evidence:
1 - In the toddler room and school age room there were electrical wires/cords dangling down from shelves and devices within reach of children. These dangling cords pose an entanglement and or a toppling hazard.
2 - In the 2 1/2 - three year old room there was a wooden cabinet, approximately 3 feet tall, 3 feet wide and six inches deep, that was not secured to the wall and poses toppling hazard.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation and interview the center failed to ensure that hazardous substances are kept in locked place.
Evidence:
1 - In the toddler room there were unlocked chemicals in the classroom; on an open shelf, a pump bottle of hand sanitizer was stored. In the bather in an unlocked cabinet above the toilet there was disinfectant, Lysol and bleach water solution.
2 - Staff #5 confirmed that the items were in unlocked locations.
Evidence:
1 - In the toddler room there were unlocked chemicals in the classroom; on an open shelf, a pump bottle of hand sanitizer was stored. In the bather in an unlocked cabinet above the toilet there was disinfectant, Lysol and bleach water solution.
2 - Staff #5 confirmed that the items were in unlocked locations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Based on observation and interview the center failed to ensure that allergy lists available in classrooms include all required information.
1 - The allergy lists available to staff did not include the date or the corresponding action plan.
2 - Staff #1 confirmed that the information provided was incomplete.
1 - The allergy lists available to staff did not include the date or the corresponding action plan.
2 - Staff #1 confirmed that the information provided was incomplete.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-E
Based on observation and interview the center failed to ensure that prepared infant formula is dated.
Evidence:
Nine out of 23 infant bottles stored in the infant room refrigerator were not labeled with date as required.
Evidence:
Nine out of 23 infant bottles stored in the infant room refrigerator were not labeled with date as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-I
Based on observation the center failed to maintain a one-day's supply of emergency disposable bottles, nipples and commercial formula.
Evidence:
1 - Six of 10 emergency bottles available today were expired as June 2024.
2 - 10 bottles would not be sufficient to meet the needs of eight bottle fed infants for one day.
Evidence:
1 - Six of 10 emergency bottles available today were expired as June 2024.
2 - 10 bottles would not be sufficient to meet the needs of eight bottle fed infants for one day.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-K
Based on observation and interview the center failed to ensure that semisolid food is fed with a spoon.
Evidence:
1 - Infant bottles stored in the infant room refrigerator were labeled for Child #1 and contained a thick substance.
2 - Staff present in the infant room, Staff #2, #3 and #4 report the child was fed the thick liquid through her bottles.
3 - Staff #1 stated the bottle was a mix of cereal and formula.
4 - Additionally, Staff #1 stated that there was not a doctor's note instructing staff to feed semisolid food through a bottle rather than a spoon.
Evidence:
1 - Infant bottles stored in the infant room refrigerator were labeled for Child #1 and contained a thick substance.
2 - Staff present in the infant room, Staff #2, #3 and #4 report the child was fed the thick liquid through her bottles.
3 - Staff #1 stated the bottle was a mix of cereal and formula.
4 - Additionally, Staff #1 stated that there was not a doctor's note instructing staff to feed semisolid food through a bottle rather than a spoon.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on record review and interview the center failed to maintain children's records as required.
Evidence:
1 - The record for Child #1 listed a parent as one of two emergency contacts where two people other than parents are required.
2 - Staff #1 confirmed that the parent was listed as one of two required emergency contacts.
Evidence:
1 - The record for Child #1 listed a parent as one of two emergency contacts where two people other than parents are required.
2 - Staff #1 confirmed that the parent was listed as one of two required emergency contacts.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review the center failed to ensure that each staff record contains all required information.
Evidence:
1 - The records for Staff #5, #6 and #7 did not include documentation that orientation training had been completed.
2 - The record for Staff #8 did not contain documentation that she possesses the training, education, certification, and experience required by the job position of program leader.
a. Staff #7 was observed working alone in a classroom with a group of three - four year children.
Evidence:
1 - The records for Staff #5, #6 and #7 did not include documentation that orientation training had been completed.
2 - The record for Staff #8 did not contain documentation that she possesses the training, education, certification, and experience required by the job position of program leader.
a. Staff #7 was observed working alone in a classroom with a group of three - four year children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-820-120-A-7
Based on observation and interview the center failed to ensure that terms of license are followed.
Evidence:
1 - On the day of the inspection there were approximately 20 children in care under the age of 2 1/2 years old. However, the terms of the license state"no more than nine (9) children under the age of 2 ? years may be in care at any one time."
2 - There were four children in care in a room without egress to outside. However, the terms of license state "Children 2. 1/2 years of age and younger may be in care in rooms with direct egress to outside only.
3 - Staff #1 stated that she did not know that the stipulations applied to the current configuration of the building.
Evidence:
1 - On the day of the inspection there were approximately 20 children in care under the age of 2 1/2 years old. However, the terms of the license state"no more than nine (9) children under the age of 2 ? years may be in care at any one time."
2 - There were four children in care in a room without egress to outside. However, the terms of license state "Children 2. 1/2 years of age and younger may be in care in rooms with direct egress to outside only.
3 - Staff #1 stated that she did not know that the stipulations applied to the current configuration of the building.
Plan of Correction: There are 20 students currently in care during the
inspection:
- 3 students will be moved to our Miller Street
location
- We will transfer information
viaProcare and a copy of their
documents will be kept at both
centers.
- Parents will sign a temporary change
of location form.
- 8 Students will remain at home and not
attend care for the first week. We will
communicate with the parents each
Thursday by 12pm to provide an update of
attendance. This will continue until we have
received the updated occupancy from the
city.
- Contacted the city and we have the updated plans w/
increased occupancy from 9 to 30. Once we
receive the updated certificate of occupancy,
we will submit an application via the portal to
modify the license based upon the new
occupancy load.
-
inspection:
- 3 students will be moved to our Miller Street
location
- We will transfer information
viaProcare and a copy of their
documents will be kept at both
centers.
- Parents will sign a temporary change
of location form.
- 8 Students will remain at home and not
attend care for the first week. We will
communicate with the parents each
Thursday by 12pm to provide an update of
attendance. This will continue until we have
received the updated occupancy from the
city.
- Contacted the city and we have the updated plans w/
increased occupancy from 9 to 30. Once we
receive the updated certificate of occupancy,
we will submit an application via the portal to
modify the license based upon the new
occupancy load.
-