Inspection · 2024-10-01
(757) 404-2575
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
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 monitoring inspection was initiated and completed on 10/01/2024, as a part of the conditional licensure period. The on-site inspection began at 10:50 AM and ended at 2:17 PM. The inspector reviewed compliance in the areas listed above. There were 32 children present and 11 staff. The inspector reviewed 4 children?s records and 12 staff records on site. This inspection included:
- document review (i.e. Injury logs, emergency drill logs, medication administration logs, authorization forms),
- 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 October 8, 2024. A POC submitted after this date will not appear on the public website.
Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.
Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.
The department's inspection findings are subject to public disclosure.
Violations
6There was a five foot long thin rubber strip intended to cover the top edge of the cove base along the floor of a children's bathroom in the preschool classroom. The cove base is peeling away from the base of the wall.
Work Order has been placed for the rubber strip in bathroom and material has been ordered. Center Director and District Manage have escalated these issues to the Facilities Manager to get them addressed as soon as possible.
The door to the area labeled the electrical room was not locked at the beginning of the inspection and again later in the day. There were numerous hazardous materials such as oven cleaner, glass cleaner and sanitizing fluid, all with warning labels, stored on the floor of this closet
There was an open bin of what staff identified as sanitizing fluid on the low sink in the Infant 2 classroom.
Staff had a refresher training at the Staff Meeting on 10/17 to review the expectation of keeping all hazardous substances locked at all times. Center Management will check that hazardous substances are being kept locked away whenever they are stepping into classrooms.
The door to the closet accessed from the gymnasium in which confidential children's records are stored was unlocked.
Gym door has been locked. Moving forward, key is stored in the office with Center Management to ensure the closet remains locked.
There was not a working battery-operated radio.
Battery operated radio was stored on a different shelf in the storage area. Radio has been moved back to the emergency kit suitcase so all staff members can locate it easily in the event of an emergency.
An injury record dated 9/25/2024 for child 5 did not include the time the parent was notified of the injury.
Staff had a refresher training at the Staff Meeting on 10/17 to review expectations and injury record procedures. Center Management will ensure that all injury reports are completely filled out prior to parent pick up.
The record provided for child 1 did not contain the name and telephone number of the child's physician and included only one person to be contacted in an emergency if a parent cannot be reached.
The record provided for child 2 did not include the street address of one of the persons to be contacted in an emergency if a parent cannot be reached.
Record for child 2 and 2 were updated to fill in missing information. Moving forward, child files transferred from any LCG school will be reviewed & updated as necessary before child's first day of attendance.