Inspection · 2024-12-19
Date
2024-12-19
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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.
Yes
Areas Reviewed
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified
63.2 Child abuse and neglect
8VAC20-770 Background Checks
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers
Inspector Notes
An unannounced , on-site subsidy health and safety inspection was initiated on 12/19/2024 and completed on 12/19/2024. The on-site inspection began at 2:20 pm and ended at 5:48 pm. The inspector reviewed compliance in the areas listed above. There were 39 children present and 5 staff. The inspector reviewed 6 children's records on-site and 6 staff records on-site.
The inspection included:
*Document Review
*Tour of the Facility
*Interviews
*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.
Violations
13Standard 22.1-289.035-B-2
The vendor shall obtain the results of a fingerprint background check prior to employment.
Background checks do not transfer from one entity to another.
1. The results of the fingerprint background check for staff 1 was obtained 18 days after employment.
2. The results of the fingerprint background check for staff 3 were obtained by a previous
employer more than 2 years ago.
3. The results of the fingerprint background check for staff 6 was obtained 2 days after employment.
Background checks do not transfer from one entity to another.
1. The results of the fingerprint background check for staff 1 was obtained 18 days after employment.
2. The results of the fingerprint background check for staff 3 were obtained by a previous
employer more than 2 years ago.
3. The results of the fingerprint background check for staff 6 was obtained 2 days after employment.
Plan of Correction: All staff have gotten background checks through Impact Church.
Standard 22.1-289.035-B-3
The vendor failed to obtain for staff a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him.
The CRS shall be requested no more than 90 days prior to employment and does not transfer to another entity.
1. There was no central registry finding on file for staff 1 and staff 4. These staff have been employed for more than 30 days and were observed caring for children during the inspection.
2. The central registry check for staff 3 was completed more than 2 years after employment. This check was not obtained by the current religious institution.
The CRS shall be requested no more than 90 days prior to employment and does not transfer to another entity.
1. There was no central registry finding on file for staff 1 and staff 4. These staff have been employed for more than 30 days and were observed caring for children during the inspection.
2. The central registry check for staff 3 was completed more than 2 years after employment. This check was not obtained by the current religious institution.
Plan of Correction: Central registry for staff 1 will be attached.
Staff 4 application was complete and we are waiting on results as they are pending.
Staff 4 application was complete and we are waiting on results as they are pending.
Standard 8VAC20-790-540-B
The vendor failed to ensure that children's records contain all of the required elements.
1. The enrollment record for child 1 lacked the following required information:
a. The place of employment for each custodial parent.
2. The enrollment record for child 2 lacked the following required information:
a. The name, address and telephone number of each custodial parents place of employment.
3. The enrollment record for child 3 lacked the following required information:
a. The place of employment of each custodial parent.
b. The address for the designated emergency contact.
4. The enrollment record for child 4 lacked the following required information:
a. A written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested.
b. Written authorization for emergency medical care.
5. The enrollment record for child 6 lacked the following required information:
a. Place of employment for each custodial parent.
1. The enrollment record for child 1 lacked the following required information:
a. The place of employment for each custodial parent.
2. The enrollment record for child 2 lacked the following required information:
a. The name, address and telephone number of each custodial parents place of employment.
3. The enrollment record for child 3 lacked the following required information:
a. The place of employment of each custodial parent.
b. The address for the designated emergency contact.
4. The enrollment record for child 4 lacked the following required information:
a. A written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested.
b. Written authorization for emergency medical care.
5. The enrollment record for child 6 lacked the following required information:
a. Place of employment for each custodial parent.
Plan of Correction: Records Attached / Forwarded to Inspector.
This information is contained in the Parent handbook. All handbooks are available upon request and each parent receives a handbook.
This information is contained in the Parent handbook. All handbooks are available upon request and each parent receives a handbook.
Standard 8VAC20-790-560-A
The documentation of the required tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment.
1. The TB screening for staff 1 and staff 4 was completed more than 120 days prior to employment.
2. The TB screening for staff 3 was completed 9 days after employment.
3. The TB screening for staff 5 was completed more than 120 days after employment.
4. The TB screening for staff 6 was completed 15 days after employment.
1. The TB screening for staff 1 and staff 4 was completed more than 120 days prior to employment.
2. The TB screening for staff 3 was completed 9 days after employment.
3. The TB screening for staff 5 was completed more than 120 days after employment.
4. The TB screening for staff 6 was completed 15 days after employment.
Plan of Correction: We understand that these have to be done before the time of initial hire by our center and pervious TB results will not transfer. Moving forward we will practice this with new hires.
Standard 8VAC20-790-580-A
The vendor shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Documentation of required immunizations were not on file for child 2, child 5 and child 6. All of these children were in care during the inspection.
Documentation of required immunizations were not on file for child 2, child 5 and child 6. All of these children were in care during the inspection.
Plan of Correction: Child 2 and 5 records will be attached while child 6 has an religious exemption that will also be attached.
Standard 8VAC20-790-580-B
The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age.
The immunization record for child 1 was not current as updated immunization information was not on file. Child 1 was in care during the inspection.
The immunization record for child 1 was not current as updated immunization information was not on file. Child 1 was in care during the inspection.
Plan of Correction: We are actively receiving updated immunization records.
Standard 8VAC20-790-600-C
Orientation training for staff shall be completed on the following facility specific topics prior to the staff member working alone with children and within seven days of the date of employment or the date of subsidy vendor approval.
There is no written documentation to demonstrate that staff 2, staff 5 and staff 6 have completed orientation training. All of these staff were present during the inspection and have been employed more than seven days.
There is no written documentation to demonstrate that staff 2, staff 5 and staff 6 have completed orientation training. All of these staff were present during the inspection and have been employed more than seven days.
Plan of Correction: Orientation training forms have been completed for staff 2, 5 and 6.
Standard 8VAC20-790-630-A
Areas and equipment of the center, shall be maintained in a safe condition.
Accessible cords was observed on the floor of a bathroom observed in use by school age children. These cords were of the length to create a trip hazard.
Accessible cords was observed on the floor of a bathroom observed in use by school age children. These cords were of the length to create a trip hazard.
Plan of Correction: All cords have been secured to ensure that there are no tripping hazard.
Standard 8VAC20-790-640-A
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
An unlocked cleaning agent were observed on a table in the school age restroom. A child was observed coming out of this bathroom.
An unlocked cleaning agent were observed on a table in the school age restroom. A child was observed coming out of this bathroom.
Plan of Correction: Air freshener was exposed in an area where children are not allowed. Updated policies and trainings completed to ensure future compliance.
Standard 8VAC20-790-670-C-4
Facilities operated by, or under the auspices of, a religious institution and exempt from license shall ensure the following ratio requirements are maintained:
1. One staff member to 10 children from ages 36 months to five years;
2. One staff member to 20 children from ages five years to nine years;
3. One staff member to 25 children from ages nine years to 12 years.
When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group.
At 2:55 pm the inspector observed 13 children, ages 3 years - school age, with only one staff present.
1. One staff member to 10 children from ages 36 months to five years;
2. One staff member to 20 children from ages five years to nine years;
3. One staff member to 25 children from ages nine years to 12 years.
When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group.
At 2:55 pm the inspector observed 13 children, ages 3 years - school age, with only one staff present.
Plan of Correction: Director went to see if anything was needed for the inspection which put the teacher out of ratio. Students who have special needs will have snack and transition to proper age group. Updated policies and trainings took place to ensure.
Standard 8VAC20-790-670-H
Children less than 10 years of age shall always be within actual sight and sound supervision of staff.
9 children ranging in age from 2 years - 4 years, were alone in a classroom without any adult supervision of any staff member when the inspector entered the classroom at approximately 2:36 pm. The inspector did not see any staff member in the hallway area.
9 children ranging in age from 2 years - 4 years, were alone in a classroom without any adult supervision of any staff member when the inspector entered the classroom at approximately 2:36 pm. The inspector did not see any staff member in the hallway area.
Plan of Correction: The director of the school is normally the fill in person for ratio purpose however, when the inspector came he went over to ask if she needed anything for the inspection which took us out of ratio. Updated training took place with staff.
Standard 8VAC20-790-760-A-1
Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.
Children in the school age cafeteria used hand sanitizer to wash hands prior to snack that was served at 2:30 pm.
Children in the school age cafeteria used hand sanitizer to wash hands prior to snack that was served at 2:30 pm.
Plan of Correction: Children over the age of 5 will use the alcohol approved wipes to clean hands when coming into the center while under 5 will use baby wipes.
Standard 8VAC20-790-790-C
Shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.
Shelter-in-place procedures or maps were not included on the posted evacuation map.
Shelter-in-place procedures or maps were not included on the posted evacuation map.
Plan of Correction: Evacuation maps have been updated with the shelter in place listed. All teachers have this plan in the classroom and above fire hydrants.