Inspection · 2024-11-22
Date
2024-11-22
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.
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
An unannounced , on-site monitoring inspection was initiated on 11/22/2024 and completed on 11/22//2024. The on-site inspection began at 9:50 am and ended at 12:50 pm. The inspector reviewed compliance in the areas listed above. There were 53 children present and 10 staff and 1 volunteer. The inspector reviewed 5 children's records on-site and 6 staff/1 volunteer records on-site on 11/22/2024.
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
12Standard 22.1-289.035-B-1
The center shall ensure that staff and volunteers shall provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. The completed sworn statement or affirmation shall be completed prior to employment, volunteer surface and contact with children.
There was no completed sworn statement or affirmation for volunteer 1 who was observed caring for children during the inspection. Volunteer 1 was needed to maintain the required classroom staff-to-child ratio she was observed in.
There was no completed sworn statement or affirmation for volunteer 1 who was observed caring for children during the inspection. Volunteer 1 was needed to maintain the required classroom staff-to-child ratio she was observed in.
Plan of Correction: Volunteer 1 will complete a sworn statement or affirmation.
Standard 22.1-289.035-B-2
The facility shall request a fingerprint background check prior to employment or volunteer service.
The facility had not requested and obtained the results of a fingerprint background check for volunteer 1 who was observed caring for children during the inspection. Volunteer 1 was needed to maintain the required classroom staff-to-child ratio she was observed in.
The facility had not requested and obtained the results of a fingerprint background check for volunteer 1 who was observed caring for children during the inspection. Volunteer 1 was needed to maintain the required classroom staff-to-child ratio she was observed in.
Plan of Correction: A fingerprint background check will be requested for volunteer 1.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening.
Staff 1 and Staff 2 lack written documentation of a TB screening.
Staff 1 and Staff 2 lack written documentation of a TB screening.
Plan of Correction: The program director stated that all outstanding TB screenings will be obtained. Going forward all staff will obtain a TB screening within 30 days prior to employment.
Standard 8VAC20-780-270-A
Equipment of the center shall be maintained in a safe condition.
An occupied infant seat was observed placed inside of a crib. The infant seat contained a warning label stating that the seat shall be placed on the floor when occupied by an infant.
An occupied infant seat was observed placed inside of a crib. The infant seat contained a warning label stating that the seat shall be placed on the floor when occupied by an infant.
Plan of Correction: The infant and infant seat was removed from the crib during the inspection. Staff will be reminded that occupied infant seats shall not be placed inside of cribs.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Cleaning agents to include disinfectants were observed in unlocked wall mounted cabinets in the three and four year old classrooms. These cleaning agents contained warning labels indicating contents as hazardous.
Cleaning agents to include disinfectants were observed in unlocked wall mounted cabinets in the three and four year old classrooms. These cleaning agents contained warning labels indicating contents as hazardous.
Plan of Correction: Cabinets were locked during the inspection. Staff have been reminded to lock all cabinets containing hazardous chemicals.
Standard 8VAC20-780-280-D
Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.
A sealed bag of pretzels was observed stored on a shelf below a shelf containing multiple disinfectant cleaning agents and hand sanitizer in the four-year old classroom.
A sealed bag of pretzels was observed stored on a shelf below a shelf containing multiple disinfectant cleaning agents and hand sanitizer in the four-year old classroom.
Plan of Correction: The bag of pretzels was removed during the inspection. Staff have been reminded that food shall not be stored in cabinets containing hazards chemicals.
Standard 8VAC20-780-290-A-3
Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.
One outlet in the three year old classroom lacked a protective cover.
One outlet in the three year old classroom lacked a protective cover.
Plan of Correction: The program director stated that maintenance staff had been contacted to replace outlet cover.
Standard 8VAC20-780-40-M
The center shall ensure that the allergy list of children's allergies, sensitivities and dietary restriction is confidential.
The allergy list in the three and four year classroom was not maintained confidentially as the list was posted in an area of each classroom that was visible.
The allergy list in the three and four year classroom was not maintained confidentially as the list was posted in an area of each classroom that was visible.
Plan of Correction: The allergy list will be covered to ensure confidentially.
Standard 8VAC20-780-500-B
The diapering area shall have a nonabsorbent surface for diapering or changing of children.
The diapering pad in the two-year classroom was covered with a cloth. This cloth cover does not allow for the surface to be nonabsorbent and prohibits the surface from being properly cleaned and sanitized after each diaper change.
The diapering pad in the two-year classroom was covered with a cloth. This cloth cover does not allow for the surface to be nonabsorbent and prohibits the surface from being properly cleaned and sanitized after each diaper change.
Plan of Correction: The cloth was removed from the diapering pad during the inspection.
Standard 8VAC20-780-570-E
Prepared infant formula shall be refrigerated, dated and labeled with the child's name.
A bottle of infant formula for infant 1 was not dated and labeled with the child's name.
A bottle of infant formula for infant 2 was not dated.
A bottle of infant formula for infant 1 was not dated and labeled with the child's name.
A bottle of infant formula for infant 2 was not dated.
Plan of Correction: Staff will be remined that all bottles of infant formula and breast milk are to be dated and labeled with the name of each child.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements.
1. The enrollment record for child 1 did not include the following required information:
a. Name, address and phone number for a second designated emergency contact.
b. Documentation of viewing proof of the child's age and identity.
2. The enrollment record for child 2 did not included the following required information:
a. The address for both designated emergency contacts.
b. Documentation of viewing proof of the child's age and identity.
3. The enrollment record for child 3 did not include the following required information:
a. Documentation of viewing proof of the child's age and identity.
4. The enrollment record for child 4 did not include the following required information:
a. Name and phone number of child's physician.
1. The enrollment record for child 1 did not include the following required information:
a. Name, address and phone number for a second designated emergency contact.
b. Documentation of viewing proof of the child's age and identity.
2. The enrollment record for child 2 did not included the following required information:
a. The address for both designated emergency contacts.
b. Documentation of viewing proof of the child's age and identity.
3. The enrollment record for child 3 did not include the following required information:
a. Documentation of viewing proof of the child's age and identity.
4. The enrollment record for child 4 did not include the following required information:
a. Name and phone number of child's physician.
Plan of Correction: The program director stated that children's records will be completed with missing information.
Standard 8VAC20-780-70
The following staff records shall be kept for each staff person:
1. The record for staff 1, staff 2 and staff 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.
a. Staff 1 and 2 have been employed for more than 8 weeks. Staff 3 has been employed for more than 12 months.
1. The record for staff 1, staff 2 and staff 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.
a. Staff 1 and 2 have been employed for more than 8 weeks. Staff 3 has been employed for more than 12 months.
Plan of Correction: The program director stated that reference checks will be added to staff records.