Inspection · 2024-12-10
Date
2024-12-10
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
(757) 404-0568
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 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 The License.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
Inspector Notes
An announced, on-site initial monitoring inspection was initiated on 12-10-2024 and completed on 12-10-2024. The on-site inspection began at 10:00am and ended at 1:55pm. The inspector reviewed compliance in the areas listed above.
The inspector reviewed 2 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements.
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 12-18-2024. A POC submitted after this date will not appear on the public website.
Violations
13Standard 22.1-289.058
A child day program that is licensed and serves preschool-age children, shall be equipped with at least one carbon monoxide detector. There was not a carbon monoxide detector in the center.
Plan of Correction: Cabon monoxide detector was bought put in place.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked, or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The following were observed and determined to pose as a hazard.
1.On the playground there was a fence gate door with 6 exposed protruding and a black hose that was hanging above the designated playground space and coming off the roof of adjacent building.
2.In the hallway near the2nd restroom there was a cord coming from an item near the ceiling that was plugged into the electrical outlet that was close to the floor.
3.In the 2nd restroom a ceiling light fixture is missing the fixture cover and exposing the lightbulb.
4.In the Snack room the doorstop was missing the endcap and protruding and sharp and there was chipped and peeling paint around the baseboard and chair rail.
5.In the TV/Game room there was chipped and peeling paint around the baseboard and chair rail.
6. in the Chalk room there was a pink and white nylon shelving unit that was not sturdy and a plastic toy cart that was missing a wheel.
7.The closet near the chalk room was unlocked and had multiple wires coming the ceiling and the ceiling tile as missing.
1.On the playground there was a fence gate door with 6 exposed protruding and a black hose that was hanging above the designated playground space and coming off the roof of adjacent building.
2.In the hallway near the2nd restroom there was a cord coming from an item near the ceiling that was plugged into the electrical outlet that was close to the floor.
3.In the 2nd restroom a ceiling light fixture is missing the fixture cover and exposing the lightbulb.
4.In the Snack room the doorstop was missing the endcap and protruding and sharp and there was chipped and peeling paint around the baseboard and chair rail.
5.In the TV/Game room there was chipped and peeling paint around the baseboard and chair rail.
6. in the Chalk room there was a pink and white nylon shelving unit that was not sturdy and a plastic toy cart that was missing a wheel.
7.The closet near the chalk room was unlocked and had multiple wires coming the ceiling and the ceiling tile as missing.
Plan of Correction: 1. Hose will be removed.
2. All wiring and cords will be covered.
3. Fixture covered will be replaced to hide light bulb.
4. Endcap has been ordered to cover the sharp edge.
5. All base boards are painted
6. Shelving has been removed and cart have been discarded.
7. Lock has been placed on door to restrict access to the room
2. All wiring and cords will be covered.
3. Fixture covered will be replaced to hide light bulb.
4. Endcap has been ordered to cover the sharp edge.
5. All base boards are painted
6. Shelving has been removed and cart have been discarded.
7. Lock has been placed on door to restrict access to the room
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. The following hazardous substances were observed stored in an unlocked manner and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning?.
1. On the diaper changing table there was a spray container of diaper rash ointment.
2. In the 2nd restroom there was a spray container of room deodorizer sitting on the sink.
3. In the snack room, there was container of soap sitting on the sink.
1. On the diaper changing table there was a spray container of diaper rash ointment.
2. In the 2nd restroom there was a spray container of room deodorizer sitting on the sink.
3. In the snack room, there was container of soap sitting on the sink.
Plan of Correction: 1. All hazardous items have been locked away in cabinet
2. Spray has been locked away.
3. Soap has been locked in cabinet.
2. Spray has been locked away.
3. Soap has been locked in cabinet.
Standard 8VAC20-780-290-A-3
In areas used by preschool age or younger children, electrical outlets shall have protective covers. There were 3 uncovered outlets in the 2nd restroom and uncovered in the snack room.
Plan of Correction: All outlets are covered with protective covers.
Standard 8VAC20-780-380-A
There shall be a posted daily schedule that allows for flexibility as children's needs require. The daily schedule need not apply on days occupied a majority of the time by a field trip or other special event. There was not a posted schedule
Plan of Correction: The completed schedule will be conspicuously posted in areas visible to staff, children, and parents (e.g., entrance, classroom, or activity area).
Standard 8VAC20-780-40-J
The center shall develop written procedures for injury prevention. The center did not have written injury prevention procedures.
Plan of Correction: Create a written policy including Steps for documenting injuries, notifying parents, and reviewing injury incidents to identify trends and implement corrective actions.
Standard 8VAC20-780-40-K
The center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. The center did not have written procedures for prevention of abusive head trauma or safe sleeping practices.
Plan of Correction: Written procedures have been devleoped and added to binder.
Standard 8VAC20-780-420-A
Before the child's first day of attending, parents shall be provided in writing the following all required information. The center does not have for parents? information related to the center's transportation policy and the center's policy regarding application of sunscreen and insect repellent.
Plan of Correction: 1.Develop a written Transportation Policy that includes: Whether the center provides transportation services. Guidelines for ensuring child safety during transportation. Procedures for authorizing pick-up and verifying drivers. This policy will be shared with all parents in writing prior to their child?s first day of attendance.
2.Create a written Sunscreen and Insect Repellent Policy that specifies:
Requirements for obtaining parental consent prior to application. Procedures for staff to apply sunscreen and insect repellent safely. Information regarding the products used (e.g., parent-provided or center-provided) and any guidelines for allergies or sensitivities. This policy will be provided to parents in writing before their child?s first day of attendance.
2.Create a written Sunscreen and Insect Repellent Policy that specifies:
Requirements for obtaining parental consent prior to application. Procedures for staff to apply sunscreen and insect repellent safely. Information regarding the products used (e.g., parent-provided or center-provided) and any guidelines for allergies or sensitivities. This policy will be provided to parents in writing before their child?s first day of attendance.
Standard 8VAC20-780-540-C
The first aid kits did not include all required items. The first aid kit was missing tweezers, antiseptic cleansing solution /pads, thermometer, triangular bandages and a first aid instructional manual.
Plan of Correction: All items have been ordered and readily available at center.
Standard 8VAC20-780-540-E
The center did not have all required nonmedical emergency supplies. The center was missing one working, battery-operated radio.
Plan of Correction: Center has bought battery operated radio and all non-emergency supplies.
Standard 8VAC20-780-550-B
The emergency preparedness plan shall contain all required procedural components. The plan was missing the following information;
1. Establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each
2. Evacuation procedure information did not include information for a secondary means of egress and information on allergies or food intolerances.
3. Accommodations or special requirements for children with special needs to ensure their safety during an evacuation, relocation, shelter in place or lock down.
4. Shelter-in-place procedures information did not information for a primary and secondary means of access and egress and information on securing of essential documents, including attendance records, parent contact information, emergency contact information, and information on allergies.
5. Lockdown procedures did not include methods to account for all children at the safe locations and procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
6. Procedures for emergencies did not include procedures for continuity of operations to ensure that essential functions are maintained during an emergency.
7. Procedures for emergencies did not include procedures for staff training requirement, drill frequency, and plan review and update.
1. Establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each
2. Evacuation procedure information did not include information for a secondary means of egress and information on allergies or food intolerances.
3. Accommodations or special requirements for children with special needs to ensure their safety during an evacuation, relocation, shelter in place or lock down.
4. Shelter-in-place procedures information did not information for a primary and secondary means of access and egress and information on securing of essential documents, including attendance records, parent contact information, emergency contact information, and information on allergies.
5. Lockdown procedures did not include methods to account for all children at the safe locations and procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
6. Procedures for emergencies did not include procedures for continuity of operations to ensure that essential functions are maintained during an emergency.
7. Procedures for emergencies did not include procedures for staff training requirement, drill frequency, and plan review and update.
Plan of Correction: 1. We will immediately assign an Emergency Officer and Back-up Officer.
Their names and 24-hour contact information will be documented and included in the Emergency Preparedness Plan.
2. The evacuation procedures will be updated to include a clearly defined secondary means of egress. Additionally, information on allergies and food intolerances will be documented and referenced during evacuation processes to ensure the safety of all children.
3. A comprehensive review of children with special needs will be conducted to
identify accommodations necessary for their safety. The Emergency preparedness plan will be updated to specify these accommodations for each emergency type, including required supports or equipment.
4. The shelter-in-place procedures will be updated to include both primary and
secondary means of access and egress. A protocol will be implemented to ensure all essential documents (attendance records, parent and emergency contacts) are secured and readily available during an emergency.
5. Add methods for accounting for all children at designated safe locations,
such as roll-call protocols and checklists.Include detailed procedures
for reunification, outlining verification of parent or authorized person
identification prior to release.
6. Develop a Continuity of Operations Plan (COOP) that identifies essential functions (e.g., care, communication, and record-keeping) and outlines processes to maintain these functions during emergencies.
7. Implement staff training requirements, ensuring all staff are trained annually and upon hire. Establish a drill schedule to include regular practice for evacuations, lockdowns, and shelter-in-place procedures (e.g., monthly or quarterly).Include procedures for an annual review and update of the Emergency Preparedness Plan to ensure compliance and relevance.
Their names and 24-hour contact information will be documented and included in the Emergency Preparedness Plan.
2. The evacuation procedures will be updated to include a clearly defined secondary means of egress. Additionally, information on allergies and food intolerances will be documented and referenced during evacuation processes to ensure the safety of all children.
3. A comprehensive review of children with special needs will be conducted to
identify accommodations necessary for their safety. The Emergency preparedness plan will be updated to specify these accommodations for each emergency type, including required supports or equipment.
4. The shelter-in-place procedures will be updated to include both primary and
secondary means of access and egress. A protocol will be implemented to ensure all essential documents (attendance records, parent and emergency contacts) are secured and readily available during an emergency.
5. Add methods for accounting for all children at designated safe locations,
such as roll-call protocols and checklists.Include detailed procedures
for reunification, outlining verification of parent or authorized person
identification prior to release.
6. Develop a Continuity of Operations Plan (COOP) that identifies essential functions (e.g., care, communication, and record-keeping) and outlines processes to maintain these functions during emergencies.
7. Implement staff training requirements, ensuring all staff are trained annually and upon hire. Establish a drill schedule to include regular practice for evacuations, lockdowns, and shelter-in-place procedures (e.g., monthly or quarterly).Include procedures for an annual review and update of the Emergency Preparedness Plan to ensure compliance and relevance.
Standard 8VAC20-780-550-C
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. The map posted did not include shelter in place.
Plan of Correction: Update all posted emergency maps to include shelter-in-place locations and the primary and secondary means of access and egress for shelter-in-place. Clearly mark designated shelter-in-place areas on the maps for each floor of each building
Standard 8VAC20-780-550-H
A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. One of the required phone numbers were posted.
Plan of Correction: All local emergency number have been posted and made visible