Inspection · 2023-09-25
Date
2023-09-25
Complaint Related
No
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
(804) 629-5032
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 focus inspection was conducted on 9/18/2023 from 10:00 am-11:55 am. There were 43 children supervised by 9 direct care staff. The physical plant, 1 staff records, and medications were inspected. Children were observed participating in group play, tabletop activities, and playing outside. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov
Violations
10Standard 22.1-289.011-F
Based on record review and interview, not all required documentation was posted as required.
Evidence: On the date of inspection, the findings of the most recent inspection of the facility (07/27/2023) were not posted.
Evidence: On the date of inspection, the findings of the most recent inspection of the facility (07/27/2023) were not posted.
Plan of Correction: Posted inspection
Standard 8VAC20-780-160-A
REPEAT VIOLATION
Based on record review and interview, the facility did not ensure that each staff member submitted documentation of negative tuberculosis screening within the last 30 calendar days of the date of employment and prior to coming into contact with children.
Evidence: There was no documentation of a tuberculosis test on file for staff #1. The start date for Staff #1 is listed as 06/23/2023.
Based on record review and interview, the facility did not ensure that each staff member submitted documentation of negative tuberculosis screening within the last 30 calendar days of the date of employment and prior to coming into contact with children.
Evidence: There was no documentation of a tuberculosis test on file for staff #1. The start date for Staff #1 is listed as 06/23/2023.
Plan of Correction: Found document dated 6/3/2023 emailed to center 6/15/2023
Standard 8VAC20-780-240-E
Based on record review and staff interview, the center did not ensure within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Evidence: There was no documentation of first aid and CPR orientation for staff #1.
Evidence: There was no documentation of first aid and CPR orientation for staff #1.
Plan of Correction: Take first aid cpr
Standard 8VAC20-780-270-A
REPEAT VIOLATION
Based on observation and interview, areas and equipment of the center, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1. In the Discovery room, the white edge around the student cubbies is peeling and chipped in several areas, exposing the wood.
2. In the Pre-K room, the white edge around the student cubbies is peeling and chipped in several areas, exposing the wood.
Based on observation and interview, areas and equipment of the center, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1. In the Discovery room, the white edge around the student cubbies is peeling and chipped in several areas, exposing the wood.
2. In the Pre-K room, the white edge around the student cubbies is peeling and chipped in several areas, exposing the wood.
Plan of Correction: Placed work order
Standard 8VAC20-780-280-B
REPEAT VIOLATION
Based on observation and interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.
Evidence: In the Discovery classroom, two bottles of disinfectant cleaner were found under the diaper changing table unlocked.
Based on observation and interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.
Evidence: In the Discovery classroom, two bottles of disinfectant cleaner were found under the diaper changing table unlocked.
Plan of Correction: Change table lock store hazardous substances in locked place.
Standard 8VAC20-780-280-D
Based on observation and interview, cleaning and sanitizing materials were located above food, food equipment, utensils or single-service articles and were not stored in areas physically separate from food.
Evidence: Disinfectant cleaner was located on a shelf in a cabinet above plates, utensils, and Cheerios cereal.
Evidence: Disinfectant cleaner was located on a shelf in a cabinet above plates, utensils, and Cheerios cereal.
Plan of Correction: Store sep
Standard 8VAC20-780-320-B
Based on observation and interview, the center was not equipped with soap, toilet paper, and disposable towels, or an air dryer within reach of children.
Evidence: There were no disposable towels in the girls' hallway bathroom.
Evidence: There were no disposable towels in the girls' hallway bathroom.
Plan of Correction: Add disposable towels
Standard 8VAC20-780-330-B
Based on observation and interview, the center failed to have adequate resilient surfacing as required in the fall zones underneath and surrounding equipment.
Evidence:
1. There was no resilient surfacing at the bottom of the toddler playground slide.
2. There was no resilient surfacing at the bottom of the preschool playground slide.
3. The Director confirmed that the playground needs mulch and has spoken with maintenance about the need for it.
Evidence:
1. There was no resilient surfacing at the bottom of the toddler playground slide.
2. There was no resilient surfacing at the bottom of the preschool playground slide.
3. The Director confirmed that the playground needs mulch and has spoken with maintenance about the need for it.
Plan of Correction: Order mulch
Standard 8VAC20-780-340-D
REPEAT VIOLATION
Based on record review and interview, the center did not ensure that all staff met the qualifications to be a program leader.
Evidence:
1. Staff #1 in the three's classroom does not meet the lead teacher qualifications.
Based on record review and interview, the center did not ensure that all staff met the qualifications to be a program leader.
Evidence:
1. Staff #1 in the three's classroom does not meet the lead teacher qualifications.
Plan of Correction: Staff 1 is enrolled in CDA classes. Temp lead has been added (they co lead)
Standard 8VAC20-780-70
REPEAT VIOLATION:
Based on record review and interview, the center failed to ensure all staff records had all required documentation.
Evidence:
1. There was no documentation of education for Staff #1.
2. There was no verification of programmatic experience and employment dates for Staff #1.
3. 1 of 4 reference checks for Staff #1 did not list the company name contacted.
4. 3 of 4 reference checks for Staff #1 did not list the results of the reference checks.
5. 3 of 4 reference checks for Staff #1 were not signed by the person taking the reference.
6. 3 of 4 reference checks for Staff #1 did not have the dates of contact.
Based on record review and interview, the center failed to ensure all staff records had all required documentation.
Evidence:
1. There was no documentation of education for Staff #1.
2. There was no verification of programmatic experience and employment dates for Staff #1.
3. 1 of 4 reference checks for Staff #1 did not list the company name contacted.
4. 3 of 4 reference checks for Staff #1 did not list the results of the reference checks.
5. 3 of 4 reference checks for Staff #1 were not signed by the person taking the reference.
6. 3 of 4 reference checks for Staff #1 did not have the dates of contact.
Plan of Correction: Go over each file
add high school degree
add names to childcare reference
removed extra reference sheets
add high school degree
add names to childcare reference
removed extra reference sheets