Inspection · 2024-02-14
Date
2024-02-14
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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
A monitoring inspection was conducted on 02/14/2024. A tour of the facility was conducted, in addition to a record review and interviews with staff. The Inspector reviewed both children and staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
9Standard 22.1-289.035-B-4
Based on record review the center did not ensure all staff had the required out-of-state background checks, when applicable.
Evidence:
Staff #2 indicated on the sworn statement of affirmation, having lived outside the state of Virginia within the past 5 years. Staff #2 did not have out of state background checks for that state. Administration confirmed the staff did not have the required out-of-state checks.
Evidence:
Staff #2 indicated on the sworn statement of affirmation, having lived outside the state of Virginia within the past 5 years. Staff #2 did not have out of state background checks for that state. Administration confirmed the staff did not have the required out-of-state checks.
Plan of Correction: Administration will send for all background checks required and will document when it was sent.
Standard 8VAC20-780-140-A
Based on a record review the center did not ensure all children had documentation of a physical examination under the direction of a physician.
Evidence:
Child #1, enrolled 09/05/2023, did not have documentation of having a physical examination.
Evidence:
Child #1, enrolled 09/05/2023, did not have documentation of having a physical examination.
Plan of Correction: Children's records will be audited to ensure all required information is in each record. The parent of child #1 will be contacted to obtain a current physical.
Standard 8VAC20-780-240-A
Based on record review the center did not ensure all staff completed the Virginia Department of Education-sponsored orientation (Pre-service training) within 90 days of employment.
Evidence:
Staff #2 (hired 10/20/2022) and Staff #3 (hired 10/20/2023) did not have documentation of having completed the subsidy preservice training sponsored by the Virginia Department of Education
Evidence:
Staff #2 (hired 10/20/2022) and Staff #3 (hired 10/20/2023) did not have documentation of having completed the subsidy preservice training sponsored by the Virginia Department of Education
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Based on observation the center did not ensure there was an annual fire inspection.
Evidence:
The center's last fire inspection was dated 07/02/2022.
Evidence:
The center's last fire inspection was dated 07/02/2022.
Plan of Correction: The fire department was contacted and an inspection was requested.
Standard 8VAC20-780-330-B
Based on observation the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99.
Evidence:
The playground for building #1 had the following pieces of equipment that did not have any resilient surfacing underneath, as required: plastic slide, 2 swings and an airplane seesaw.
Evidence:
The playground for building #1 had the following pieces of equipment that did not have any resilient surfacing underneath, as required: plastic slide, 2 swings and an airplane seesaw.
Plan of Correction: The center will not allow the children to use the playground equipment until the required amount of mulch is under each piece of equipment.
Standard 8VAC20-780-400-A
Based on observation the center did not ensure behavioral guidance was used as required.
Evidence:
In the three year-old room, a child was observed crying and having difficulty settling down on her cot for nap. The staff was heard from outside the classroom door, using a raised volume and tone as she said, " lay down If you want your dino." The staff was seen through the window of the door, sitting back in a chair with her legged propped up and did not get up from that position to comfort or help the child lay on her cot.
Evidence:
In the three year-old room, a child was observed crying and having difficulty settling down on her cot for nap. The staff was heard from outside the classroom door, using a raised volume and tone as she said, " lay down If you want your dino." The staff was seen through the window of the door, sitting back in a chair with her legged propped up and did not get up from that position to comfort or help the child lay on her cot.
Plan of Correction: Administration will be looking into the behavioral guidance at the center and training will be provided to staff.
Standard 8VAC20-780-540-D
Based on observation the center did not ensure the required nonmedical emergency supplies were available.
Evidence:
The center did not have one working, battery-operated radio in each building used by children.
Evidence:
The center did not have one working, battery-operated radio in each building used by children.
Plan of Correction: Administration will look through all center first aid kits and emergency supplies to ensure that both buildings have kits with all required items.
Standard 8VAC20-780-570-I
Based on observation and interview, the center did not ensure all the requirements for special feeding needs were met.
Evidence:
The center did not have a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. The program director confirmed the center did not have the required supplies.
Evidence:
The center did not have a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. The program director confirmed the center did not have the required supplies.
Plan of Correction: Administration will ensure that the center has all required emergency supplies for infants readily accessible in the event of evacuation.
Standard 8VAC20-780-70
Based on record review and interview the center d did not have all the required information in each staff record.
Evidence:
The records for Staff #1, #4 and #5 did not have documentation to demonstrate possessing the education, certification, and/or experience required by the job position as a Program Leader.
Evidence:
The records for Staff #1, #4 and #5 did not have documentation to demonstrate possessing the education, certification, and/or experience required by the job position as a Program Leader.
Plan of Correction: Administration will have each staff person submit documentation of their qualifications for their positions and it will be documented in each record.