Inspection · 2023-10-23
Date
2023-10-23
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An announced initial inspection was conducted on 10/23/2023. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, emergencies, and nutrition. A total of 3 applicant records were reviewed. The center was measured to determine the license capacity and the required emergency supplies were reviewed. The inspector arrived for the inspection at 9:30 am and departed the center at 11:15 am. The inspection concluded on 10/25/2023 with the virtual review of the required policy/procedures.
Information gathered during the inspection determined non-compliance with applicable standards or laws and violations were documented on the violation notice issued to the provider.
Violations
4Standard 8VAC20-780-350-F
Based on staff interviews and document review, the center failed to develop a written policy and procedures that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.
Evidence: There were no written policies or procedures developed to ensure that children receive care by consistent staff or team of staff members.
Evidence: There were no written policies or procedures developed to ensure that children receive care by consistent staff or team of staff members.
Plan of Correction: The plans will be developed.
Standard 8VAC20-780-40-K
Based on document review, the center failed to develop written plans for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Evidence: The written plans for the prevention of shaken baby syndrome did not include information regarding coping with crying babies.
Evidence: The written plans for the prevention of shaken baby syndrome did not include information regarding coping with crying babies.
Plan of Correction: The plans will be developed.
Standard 8VAC20-780-540-E
Based on observations, the center failed to ensure that the required nonmedical emergency supplies are at the center.
Evidence: There was not a working battery-operated radio on site during the inspection.
Evidence: There was not a working battery-operated radio on site during the inspection.
Plan of Correction: Will get a battery operated radio.
Standard 8VAC20-780-550-B
Based on document review, the center failed to ensure that the emergency preparedness plan shall contain all of the procedural components as required by the standards.
Evidence:
1. The procedures for emergencies did into include the following information: Establishment of the center emergency officer and back-up officer to include 24-hour contact telephone number for each; notification of local authorities, such as fire and rescue, law enforcement, emergency medical services, poison control, health department, and parents and local media; and the availability and primary use of communication tools.
2. The evacuation procedures did not include the following information: methods to ensure any health care needs to include medications and care plans, emergency contact information for staff, and supplies are taken to the assembly point or relocation site; and accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation.
3. The shelter-in-place procedure did not include the following information: primary and secondary means of access and egress; securing of essential documents, including attendance records, parent contact information for staff and supplies are taken to the assembly point or relocation site; methods to ensure any health care needs to include medications and care plans, emergency contact information for staff, and supplies are taken to the assembly point or relocation site; accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during shelter-in-place; and procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
4. The lockdown procedures did not include the following information: facility containment procedures, such as closing of fire doors or other barriers, scenario applicability, assembly points, and methods to account for all children at their safe locations; accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation; and procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
5. The emergency preparedness plans did not include information regarding the continuity of operations to ensure that essential functions are maintained during an emergency.
Evidence:
1. The procedures for emergencies did into include the following information: Establishment of the center emergency officer and back-up officer to include 24-hour contact telephone number for each; notification of local authorities, such as fire and rescue, law enforcement, emergency medical services, poison control, health department, and parents and local media; and the availability and primary use of communication tools.
2. The evacuation procedures did not include the following information: methods to ensure any health care needs to include medications and care plans, emergency contact information for staff, and supplies are taken to the assembly point or relocation site; and accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation.
3. The shelter-in-place procedure did not include the following information: primary and secondary means of access and egress; securing of essential documents, including attendance records, parent contact information for staff and supplies are taken to the assembly point or relocation site; methods to ensure any health care needs to include medications and care plans, emergency contact information for staff, and supplies are taken to the assembly point or relocation site; accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during shelter-in-place; and procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
4. The lockdown procedures did not include the following information: facility containment procedures, such as closing of fire doors or other barriers, scenario applicability, assembly points, and methods to account for all children at their safe locations; accommodations or special instructions for infants, toddlers and children with special needs to ensure their safety during evacuation or relocation; and procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
5. The emergency preparedness plans did not include information regarding the continuity of operations to ensure that essential functions are maintained during an emergency.
Plan of Correction: The plans will be developed.