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Toras Chaim

Inspection · 2025-03-06

Date
2025-03-06
Complaint Related
No
Licensing Inspector
Rene Old
(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)
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 renewal inspection was initiated on 03/06/2025 and completed on 03/06/2025. The on-site inspection began at 10:13 am and ended at 12:45 pm. The inspector reviewed compliance in the areas listed above. There were 51 children present and 12 staff. The inspector reviewed 5 children's records and 5 staff records on-site on 03/06/2025.

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.

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 03/24/2025. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 22.1-289.011-F
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

The inspection summary and violation notice from the most recent inspection, conducted on 11/22/2024, was not posted.
Plan of Correction: Inspection summary and violation notice is now posted outside the Director's office.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The most recent immunization record on file for child 2 indicates the most recent immunizations were administrated more than 7 months ago.
Plan of Correction: Both parents were notified that they need to send updated immunization records within the week.

They were told in person, and through email.
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section.

The most recent TB screening on file for staff 1 was conducted more than 2 years ago.
Plan of Correction: Staff 1 had her TB test.
Standard 8VAC20-780-280-B
Repeat Violation

Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

Unlocked cleaning and disinfecting agents were observed in the two-year old, three-year old and four-year old classrooms. Most were in wall mounted cabinets however, 2 disinfectant sprays were observed placed in areas within reach of children in the four-year old and two-year old classroom.
Plan of Correction: Staff has been informed over the years many times. I will reiterate and do spot checks to look for hazardous substances left out on a weekly basis.

Weekly, I will put a blurb to remind staff in our daily schedule that is sent to the Early Childhood staff.
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department.

Ten (10 ) infants were observed playing on the infant/toddler playground. The terms of the current license state: Due to space available, no more than six (6) children may be on infant/toddler outdoor play at any one time.
Plan of Correction: We will expand the baby/toddler play yard by 11 feet to accommodate more children.

We will stay within the 6 child limit until the said extension is built.
Standard 8VAC20-780-440-J
There shall be at least thirty inches of space between the service sides of occupied cribs where that space is the walkway for staff to gain access to any occupied crib.

Child 1's crib was blocked in by a crib on one side, a wall on two sides, and a crib placed at the end of the crib.
Plan of Correction: Space has been marked with tape on the carpet as a constant reminder to have the cribs in the correct boundaries.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water after toileting.

Child 1's hands were not washed with soap and running water after a diaper change.
Plan of Correction: This is unacceptable as the staff has been informed and reminded often. There are posters by the sink as reminders. This will be included in my weekly spot checks.
Standard 8VAC20-780-550-H
The center shall maintain a record of the dates of the practice drills for one year.

The emergency log for the facility did not have written documentation of a practice fire drill for the month of February 2025.
Plan of Correction: Not to make excuses, but the schedule was delayed due to snow days, and though an email was sent to have one at the end of February, the Director was ill, and the backup did not follow through. March's drill is done, and out Shelter-in-Place is to take place this week.
Standard 8VAC20-780-560-G
When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identifies the owner.

4 of 8 lunch containers reviewed in the two-year old class lacked a name and date label.
Plan of Correction: Staff is aware to have the food containers labeled correctly, but have gotten lax due to our close knit community.

This will be added to the weekly spot checks.
Standard 8VAC20-780-570-B
Bottles shall not be used while the child is in his designated sleeping location.

Child 1 and child 2 were observed napping/resting in their crib with a bottle of formula.
Plan of Correction: The staff were notified of this violation, and are now aware that this is not to happen at any time.
Standard 8VAC20-780-70
Staff records shall contain all of the required elements.

The record for staff 2 lacked documentation to demonstrate that she possesses the education, certification, and experience required by her job position. Staff 2 is listed as a program leader in her employment file and was observed functioning as a program leader position during the inspection.
Plan of Correction: Staff 2 will have a conference to review necessary requirements for a program lead.

We will ensure that if she doesn't have the required documentation on hand that she will work toward the necessary requirements.
View original record on Virginia Department of Social Services