Inspection · 2022-06-14
Date
2022-06-14
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
(804) 629-3923
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
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced mandated monitoring inspection was conducted on June 14, 2022 from 10:40 a.m. to 1:00 p.m. There were 29 children present, ranging in ages from 2 years old to 11 years old with 9 staff present. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 7 staff records were reviewed. Other documents/items reviewed included Evacuation drills, required postings, First Aid Kit and non-medical emergency supplies.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923
Violations
10Standard 22.1-289.035-B-2
Based on review of records, the center failed to ensure that a National Fingerprint background check had been completed and on file before the staff?s first day of employment.
Evidence:
1. Staff #7?s first day of employment was 02/15/2022. There was not a National Fingerprint background check on file for Staff #7.
2. Staff #7?s confirmed that they National Fingerprint background check was not in the file.
Evidence:
1. Staff #7?s first day of employment was 02/15/2022. There was not a National Fingerprint background check on file for Staff #7.
2. Staff #7?s confirmed that they National Fingerprint background check was not in the file.
Plan of Correction: The required documentation was requested from the parents to be returned no later than 6/27/2022.
Standard 22.1-289.058
Based on observation and interview, the center failed to ensure that the center had a carbon monoxide detector on each floor of the building.
Evidence:
1. Staff #7 verified that there was no carbon monoxide detectors in the building.
Evidence:
1. Staff #7 verified that there was no carbon monoxide detectors in the building.
Plan of Correction: Carbon Monoxide Detectors were installed on 6/17/22.
Standard 8VAC20-770-60-C-2
Based on review of records, the center failed to ensure that all central registry check has been received by the end of the 30th day of employment.
Evidence:
1. Staff #7?s first day of employment was 02/15/2022. There was not a central registry check on file for Staff #7.
2. Staff #7's confirmed there was not a central registry check on file for Staff #7.
Evidence:
1. Staff #7?s first day of employment was 02/15/2022. There was not a central registry check on file for Staff #7.
2. Staff #7's confirmed there was not a central registry check on file for Staff #7.
Plan of Correction: Staff #7's Central Registry background check was completed and mailed.
Standard 8VAC20-780-130-A
Based on review of records and interview, the center failed to obtain documentation that each child had receive the immunization required by the State Board of Health before the child?s first day of attendance.
Evidence
1. Child #2?s first day of attendance was 04/12/2022. The center failed to show documentation of immunization for Child #2.
2. Child #5?s first day of attendance was 04/12/2022. The center failed to show documentation of immunization for Child #5.
3. Staff #7 confirmed that Child #2 and Child #5?s record did not have documentation of immunizations.
Evidence
1. Child #2?s first day of attendance was 04/12/2022. The center failed to show documentation of immunization for Child #2.
2. Child #5?s first day of attendance was 04/12/2022. The center failed to show documentation of immunization for Child #5.
3. Staff #7 confirmed that Child #2 and Child #5?s record did not have documentation of immunizations.
Plan of Correction: The required documentation was requested from to the parent to be returned no later than 6/27/2022.
Standard 8VAC20-780-140-A
Based on review of records and interview, the center failed to ensure that each child had a physical examination before the child?s attendance or within 30 days of the first day of attendance.
Evidence
1. Child #2?s first day of attendance was 04/12/2022. The center failed to show documentation of a physical examination for Child #2.
2. Child #3?s first day of attendance was 05/18/2022. The center failed to show documentation of immunization for Child #3.
3. Child #5?s first day of attendance was 04/14/2022. The center failed to show documentation of a physical examination for Child #5.
4. Staff #7 confirmed that Child #2, Child #3 and Child #5?s record did not have documentation of a physical examination.
Evidence
1. Child #2?s first day of attendance was 04/12/2022. The center failed to show documentation of a physical examination for Child #2.
2. Child #3?s first day of attendance was 05/18/2022. The center failed to show documentation of immunization for Child #3.
3. Child #5?s first day of attendance was 04/14/2022. The center failed to show documentation of a physical examination for Child #5.
4. Staff #7 confirmed that Child #2, Child #3 and Child #5?s record did not have documentation of a physical examination.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on review of staff files and interviews, the center did not ensure that each staff member had a negative tuberculous screening documented at the time of employment and prior to coming into contact with children.
Evidence
1. Staff #6?s start date was 09/08/2020. Staff #6?s file did not contain a TB screening.
2. Staff #7?s start date was 02/15/2022. Staff #7?s file did not contain a TB screening.
3. Staff #7 confirmed that Staff #6 and Staff #7 did not have a TB screenings on file.
Evidence
1. Staff #6?s start date was 09/08/2020. Staff #6?s file did not contain a TB screening.
2. Staff #7?s start date was 02/15/2022. Staff #7?s file did not contain a TB screening.
3. Staff #7 confirmed that Staff #6 and Staff #7 did not have a TB screenings on file.
Plan of Correction: Staff #7 completed a TB Screening and submitted the documentation to the Licensing Inspector.
Standard 8VAC20-780-240-A
Based on review of staff files and interviews, the center fail to ensure that each staff member had completed within 90 calendar days the Virginia Department of Education (VDOE) sponsor orientation course.
Evidence
1. Staff #7?s start date was 02/15/2022. Staff #7?s file did contain documentation that the VDOE sponsored orientation had been completed by 05/16./2022
2. Staff #7 confirmed that they did not complete the VDOE sponsored orientation.
Evidence
1. Staff #7?s start date was 02/15/2022. Staff #7?s file did contain documentation that the VDOE sponsored orientation had been completed by 05/16./2022
2. Staff #7 confirmed that they did not complete the VDOE sponsored orientation.
Plan of Correction: The center made contact with a company to repair the baseboards.
Standard 8VAC20-780-240-B
Based on review of staff files and interviews, the center failed to ensure that each staff member had completed orientation in facility specific policies.
Evidence
1. Staff #7?s start date was 02/15/2022. Staff #7?s file did contain documentation of orientation in facility specific policies.
2. Staff #7 confirmed that they did not complete orientation in facility specific policies
Evidence
1. Staff #7?s start date was 02/15/2022. Staff #7?s file did contain documentation of orientation in facility specific policies.
2. Staff #7 confirmed that they did not complete orientation in facility specific policies
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observations, the center failed to ensure that areas and equipment of the center, inside and outside, were maintained in a safe and operable condition.
Evidence:
1. The baseboard heater in Classroom #1 was broken, exposing sharp edges. The baseboard was accessible to the children.
2. The baseboard heater in Classroom #2 was missing the cover piece therefore exposing sharp edges. The baseboard was accessible to the children.
Evidence:
1. The baseboard heater in Classroom #1 was broken, exposing sharp edges. The baseboard was accessible to the children.
2. The baseboard heater in Classroom #2 was missing the cover piece therefore exposing sharp edges. The baseboard was accessible to the children.
Plan of Correction: Staff will complete the training on 7/1/22.
Standard 8VAC20-780-570-E
Based on interview, the center failed to ensure there was at least one working, battery operated flashlight on each floor and one working, battery operated radio in each building.
Evidence
1. Staff #5 and Staff #7 verified that there was not a working flashlight on site.
2. Staff #5 and Staff #7 verified that there was not a working radio on site.
Evidence
1. Staff #5 and Staff #7 verified that there was not a working flashlight on site.
2. Staff #5 and Staff #7 verified that there was not a working radio on site.
Plan of Correction: A radio and flashlight was purchased.