Inspection · 2023-09-05
Date
2023-09-05
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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 09/05/2023 from 10:55 a.m. to 2:10 p.m. There were 25 children present, ranging in ages from two to five years old with nine staff supervising. 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 five child records and five staff records were reviewed.
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
6Standard 8VAC20-770-60-B
Based on review of records, the center failed to obtain a Sworn Statement prior to the first day of employment.
Evidence:
1. Staff #2?s start date was 09/01/2023. Staff #1?s record did not contain a sworn statement.
2. Staff #3?s start date was 02/16/2023. Staff #3?s sworn statement was dated 02/27/2023
Evidence:
1. Staff #2?s start date was 09/01/2023. Staff #1?s record did not contain a sworn statement.
2. Staff #3?s start date was 02/16/2023. Staff #3?s sworn statement was dated 02/27/2023
Plan of Correction: We will make sure sworn statements are signed prior to employees' start date, effective immediately. Staff #2's sworn statement was signed on 9/01/23 and sent over on 9/7/23.
Standard 8VAC20-780-160-A
Based on review of records, each staff member failed to submit a negative tuberculosis (TB) screening with in the last 30 calendar days of the date of employment.
Evidence:
1. Staff #1?s start date was 08/28/2023. Staff #1 did not have a TB screening on file at the time of the inspection.
2. Staff #2?s start date was 09/01/2023. Staff #2 did not have a TB screening on file at the time of the inspection.
3. Staff #3?s start date was 02/16/2023. The date of Staff #3?s TB screening was 05/27/2023.
4. Staff #4?s start date was 04/03/2023. Staff #4 did not have a TB screening on file at the time of the inspection.
Evidence:
1. Staff #1?s start date was 08/28/2023. Staff #1 did not have a TB screening on file at the time of the inspection.
2. Staff #2?s start date was 09/01/2023. Staff #2 did not have a TB screening on file at the time of the inspection.
3. Staff #3?s start date was 02/16/2023. The date of Staff #3?s TB screening was 05/27/2023.
4. Staff #4?s start date was 04/03/2023. Staff #4 did not have a TB screening on file at the time of the inspection.
Plan of Correction: On 9/05/23 at 3:00PM TB screenings were completed. I emailed those screenings on 9/07/23. We will ensure TB screenings/ tests are done before the employees start date. Effective immediately.
Standard 8VAC20-780-245-A
Based on review of records, staff failed to complete a minimum of 16 hours of training annually
Evidence:
1. Staff #6?s start date was 08/23/2021. Staff #6?s file had 11 hours of training for the dates of 08/23/2022-08/22/2023. Staff #5 confirmed that Staff #6 did not complete the minimum 16 hours of annual training.
2. Staff #7?s start date was 08/25/2021. Staff #7?s file had four hours of training for the dates of 08/25/2022-08/24/2023. Staff #5 confirmed that Staff #7 did not complete the minimum 16 hours of annual training.
3. Staff #8?s start date was 02/05/2019. Staff #8 did not have training hours on file for the dates of 02/05/2022-02/04/2023. Staff #5 confirmed that Staff #8 did not complete the minimum 16 hours of annual training.
Evidence:
1. Staff #6?s start date was 08/23/2021. Staff #6?s file had 11 hours of training for the dates of 08/23/2022-08/22/2023. Staff #5 confirmed that Staff #6 did not complete the minimum 16 hours of annual training.
2. Staff #7?s start date was 08/25/2021. Staff #7?s file had four hours of training for the dates of 08/25/2022-08/24/2023. Staff #5 confirmed that Staff #7 did not complete the minimum 16 hours of annual training.
3. Staff #8?s start date was 02/05/2019. Staff #8 did not have training hours on file for the dates of 02/05/2022-02/04/2023. Staff #5 confirmed that Staff #8 did not complete the minimum 16 hours of annual training.
Plan of Correction: We have scheduled allotted times for each staff to have time to complete their 16 hours each year. This will be effective immediately.
Standard 8VAC20-780-270-A
Based on observation, the center failed to ensure that areas and equipment are maintained in a clean, safe and operable condition.
Evidence:
1. In the boy?s preschool restroom, the baseboard heater was missing the cover exposing sharp metal edges.
2.The wood picnic tables on the front playground were cracked and splintering.
Evidence:
1. In the boy?s preschool restroom, the baseboard heater was missing the cover exposing sharp metal edges.
2.The wood picnic tables on the front playground were cracked and splintering.
Plan of Correction: The baseboards were fixed on 9/7/23. They are now secure and have coverings on them. The wooden picnic tables will be sanded and sealed by the end of the month.
Standard 8VAC20-780-320-B
Based on observation and interview, the center failed to equip each restroom with toilet paper and disposable towels.
Evidence:
1. In the 2?s and 3?s classroom, the restroom on the right had no toilet paper.
2. In the girl?s restroom in the preschool classroom, there was no toilet paper.
3. In the preschool classroom, both restrooms had no paper towels. Staff #5 confirmed that the restrooms were missing paper towels.
Evidence:
1. In the 2?s and 3?s classroom, the restroom on the right had no toilet paper.
2. In the girl?s restroom in the preschool classroom, there was no toilet paper.
3. In the preschool classroom, both restrooms had no paper towels. Staff #5 confirmed that the restrooms were missing paper towels.
Plan of Correction: Paper towel dispensers and holders were placed in the bathroom so children have access to them. Opening staff will also make sure there is toilet paper and paper towels in the restrooms at the beginning of their shifts each day, effective immediately.
Standard 8VAC20-780-330-B
Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing complies with minimum safety standards.
Evidence:
1. On the back playground, there was grass covering the ground around the back side of the climber.
2. On the back playground, around the large climber was two picnic tables in the fall zone around the climber.
Evidence:
1. On the back playground, there was grass covering the ground around the back side of the climber.
2. On the back playground, around the large climber was two picnic tables in the fall zone around the climber.
Plan of Correction: We will have the grass removed from the mulched areas. We will also add and till mulch to be safer. We will correct this in the next month.