Inspection · 2024-04-04
Date
2024-04-04
Complaint Related
No
Licensing Inspector
Adrianna Walden
(757) 404-2487
(757) 404-2487
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.
8VAC20-770 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 conducted on 04/04/2024. There were 16 children present with 5 staff. A tour of the facility was conducted, in addition to a record review and interviews with staff. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
13Standard 22.1-289.011-F
Based on observation the center did not ensure the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
Evidence:
The center's conditional license and the finding of the last inspection were not posted on the licensed premises. The owner confirmed she was not ware these documents were required to be posted.
Evidence:
The center's conditional license and the finding of the last inspection were not posted on the licensed premises. The owner confirmed she was not ware these documents were required to be posted.
Plan of Correction: The owner did not know the license and last inspection were to be posted in the center. The license will be posted and the last inspection will be posted in the front entrance of the center.
Standard 22.1-289.035-B-2
Based on a record review the center did not ensure staff had the required background checks:
Evidence:
1. Staff#6 did not have documentation of having a fingerprint.
2. Staff #6 was observed working with children at the time of inspection.
3. The owner confirmed the center did not have the results of a fingerprint for staff #1
Evidence:
1. Staff#6 did not have documentation of having a fingerprint.
2. Staff #6 was observed working with children at the time of inspection.
3. The owner confirmed the center did not have the results of a fingerprint for staff #1
Plan of Correction: Staff #6 will register for an appointment at field print to obtain fingerprinting. The results will be kept in the staff member's file.
Standard 8VAC20-770-60-B
Based on a record review the center did not ensure all staff had a completed sworn statement of Affirmation.
Evidence:
1. Staff #1, #2, #4, #5 did not have a sworn statement of affirmation.
2. The owner confirmed the center did not have documentation of sworn statements for the staff listed above.
Evidence:
1. Staff #1, #2, #4, #5 did not have a sworn statement of affirmation.
2. The owner confirmed the center did not have documentation of sworn statements for the staff listed above.
Plan of Correction: All staff missing a completed sworn statement of affirmation will be given one to complete and will be placed in their record.
Standard 8VAC20-770-60-C-2
Based on a record review the center did not ensure all staff had the required background checks:
1. Staff #1 did not have documentation of having a central registry background check.
a. The record did not include a hire date.
b. The owner confirmed Staff #1 has been employed for more than 30 days.
c. The owner confirmed the center did not have documentation of the results of a central registry check for Staff#1.
1. Staff #1 did not have documentation of having a central registry background check.
a. The record did not include a hire date.
b. The owner confirmed Staff #1 has been employed for more than 30 days.
c. The owner confirmed the center did not have documentation of the results of a central registry check for Staff#1.
Plan of Correction: The owner will send for a central registry check for Staff #1
Standard 8VAC20-780-130-A
Based on a record review the center did not ensure each child had received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
Child #1 (enrolled 03/04/2024) did not have a record of immunizations that were signed by the child's physician stating they are adequately immunized.
Evidence:
Child #1 (enrolled 03/04/2024) did not have a record of immunizations that were signed by the child's physician stating they are adequately immunized.
Plan of Correction: The child's parent will be contacted and asked to provide an updated immunization record that includes the physician's signature.
Standard 8VAC20-780-140-A
Based on a record review the center did not ensure each child had a physical examination by or under the direction of a physician.
Evidence:
Child #1 (enrolled 03/04/2024) and Child #2 (enrolled 12/27/2023) did not have documentation of having a physical examination.
Evidence:
Child #1 (enrolled 03/04/2024) and Child #2 (enrolled 12/27/2023) did not have documentation of having a physical examination.
Plan of Correction: The owner will contact the parents and ask for them to submit current physical exams for each child.
Standard 8VAC20-780-200-A
Based on interviews the center did not have a program director who is regularly be on site at least 50% of the center's hours of operation.
Evidence:
1. The center director is not regularly on site least 50% of the center's hours of operation.
a. The director was not present when the inspector arrived at the facility to conduct an
inspection.
b. Staff stated the director only works for 1 hour on 3 days of the week.
c. The owner confirmed the director has not been at the center for 50% of the center's hours
of operation, which are 7:00am - 6:00pm.
Evidence:
1. The center director is not regularly on site least 50% of the center's hours of operation.
a. The director was not present when the inspector arrived at the facility to conduct an
inspection.
b. Staff stated the director only works for 1 hour on 3 days of the week.
c. The owner confirmed the director has not been at the center for 50% of the center's hours
of operation, which are 7:00am - 6:00pm.
Plan of Correction: The director on the application has needed to cut hours for personal reasons. The owner plans to promote another staff member to the director position who can be present at the center at least 50% of the time.
Standard 8VAC20-780-280-B
Based on observation the center did not ensure all hazardous substances were kept in a locked lace using a safe locking method that prevents access by children.
Evidence:
In the children's bathroom there was a bottle of air freshener on the sink counter.
Evidence:
In the children's bathroom there was a bottle of air freshener on the sink counter.
Plan of Correction: Chemicals will be placed in a locked place. The owner will remind all staff on where to safely lock chemicals.
Standard 8VAC20-780-330-B
Based on observation and measurement the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99.
Evidence:
There was a plastic slide and a slide/rock climber on the center's playground that had approximately 5 inches of wood chips as the resilient surfacing ,where 9 inches was required.
Evidence:
There was a plastic slide and a slide/rock climber on the center's playground that had approximately 5 inches of wood chips as the resilient surfacing ,where 9 inches was required.
Plan of Correction: Mulch will be raked in and placed in the fall zones of the playground equipment, The owner will measure the mulch to ensure there is a t least 9 inches of resilient surfacing in these fall zones.
Standard 8VAC20-780-340-F
Based on observation the center did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff.
Evidence:
In the classroom in the back of the building there were 4 children, the youngest 3 years-of-age, sleeping with no supervision.
Evidence:
In the classroom in the back of the building there were 4 children, the youngest 3 years-of-age, sleeping with no supervision.
Plan of Correction: Staff will longer supervise two rooms of children at the same time.
Standard 8VAC20-780-350-M
Based on observation and interview the center one staff member did not supervise more than one room of area during rest.
Evidence:
A staff member was supervising more than one area during rest time.
1. A staff member was observed in a classroom with one child sleeping on a cot.
2. The room next to it had 4 children sleeping without a staff member in the room supervising.
3. The staff in the room with the 1 child said she was floating between the 2 classrooms.
4. The owner confirmed the staff had been supervising the 2 separate rooms with children in them during nap.
Evidence:
A staff member was supervising more than one area during rest time.
1. A staff member was observed in a classroom with one child sleeping on a cot.
2. The room next to it had 4 children sleeping without a staff member in the room supervising.
3. The staff in the room with the 1 child said she was floating between the 2 classrooms.
4. The owner confirmed the staff had been supervising the 2 separate rooms with children in them during nap.
Plan of Correction: Staff will longer supervise two rooms of children at the same time.
Standard 8VAC20-780-440-B
Based on observation the center did not ensure cribs were identified for use by a specific child.
Evidence:
Two infants were observed sleeping in cribs that did not identify the specific use of the children sleeping in them.
Evidence:
Two infants were observed sleeping in cribs that did not identify the specific use of the children sleeping in them.
Plan of Correction: All cribs will be labeled in such a way that identifies which child it is assigned to.
Standard 8VAC20-780-70
Based on a record review the center did not ensure all staff records had the required information.
Evidence:
1. 5 out of 8 Staff records listed below did not have the following required information in the record:
a. Staff #4 did not have a title, hire date, 2 references checked prior to employment, or
documentation of qualifications.
b. Staff #5 did not have a title, hire date, 2 references checked prior to employment,
documentation of qualifications or a complete emergency contact to include name,
address and phone number.
c. Staff #6 did not have a date of hire, documentation of qualifications or 2 references
checked prior to employment.
d. Staff #7 did not have a date of hire, documentation of qualifications, 2 references
checked prior to employment. or a complete emergency contact to include name,
address and phone number.
e. Staff #8 did not have a title, hire date, 2 references checked prior to employment,
documentation of qualifications or a complete emergency contact to include name,
address and phone number.
Evidence:
1. 5 out of 8 Staff records listed below did not have the following required information in the record:
a. Staff #4 did not have a title, hire date, 2 references checked prior to employment, or
documentation of qualifications.
b. Staff #5 did not have a title, hire date, 2 references checked prior to employment,
documentation of qualifications or a complete emergency contact to include name,
address and phone number.
c. Staff #6 did not have a date of hire, documentation of qualifications or 2 references
checked prior to employment.
d. Staff #7 did not have a date of hire, documentation of qualifications, 2 references
checked prior to employment. or a complete emergency contact to include name,
address and phone number.
e. Staff #8 did not have a title, hire date, 2 references checked prior to employment,
documentation of qualifications or a complete emergency contact to include name,
address and phone number.
Plan of Correction: Right now some records are kept electronically and some are hard copies. The owner is in the process of organizing all of the records and making sure each record has all required information.