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The Sprout School at St. Andrews

Inspection · 2025-01-13

Date
2025-01-13
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
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
63.2 Child Abuse & Neglect
22.1 Early Childhood Care and Education
20 Access to minor?s records

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on January 13, 2025, and completed on January 14, 2025, as a part of the conditional licensure period. The on-site inspection began at 11:00 am and ended at 2:30 pm. The inspector reviewed compliance in the areas listed above. There were 19 children present and seven staff. The inspector reviewed five children?s records and nine staff records on-site. Additional staff record documentation was reviewed electronically on January 14, 2025. This inspection included document review, 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.

Violations

5
Standard 8VAC20-780-150-B
Each child?s report of immunizations and physical shall be signed by a physician, his designee, or an official of a local health department.
The record of child #2, contained documentation of immunizations and a physical that were not signed by a physician, his designee, or an official of a local health department.
Plan of Correction: Per the director: I will reach out to the parent to have them obtain a signed physical and immunization form.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.
Staff #4 did not wash the hands of child #1 after being diapered.
Plan of Correction: Per the director: I will review proper procedures with teachers.
Standard 8VAC20-780-500-B
The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.
After conducting a diaper change, staff #4 did not clean with soap and water and sanitized the diapering surface.
Plan of Correction: Per the director: I will review proper procedures with the teachers.
Standard 8VAC20-780-510-L
Medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.
1. Medication for child #5 and child #6 were kept in an unlocked box in the classroom cabinet.
2. An over-the-counter medication for staff was kept unlocked in the classroom cabinet.
Plan of Correction: Per the director: I provided a code for the lock box to staff and reminded staff to lock the box at all times.
Standard 8VAC20-780-510-P
Repeat
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
1. The medication authorization for child #6, expired 12 weeks ago. The medication was still on site.
2. The medication on site for child #5, did not have an authorization form.
Plan of Correction: Per the director: I will return medication to the parents and infer we can accept and administer once a doctor signs off on the form.