Inspection · 2023-02-07
Date
2023-02-07
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
(757) 404-5261
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
Inspector Notes
A code compliance inspection was initiated on February 7, 2023 and concluded on February 9, 2023.
There were 22 children present, ranging in ages from 2 years to 11 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 5 staff records were reviewed. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the
violation notice issued to the program.
Violations
7Standard 22.1-289.031-A
Based on observation and staff interviews, the center did not ensure, to post the fact that it is exempt from licensure in a visible location on the premises.
Evidence: Center director confirmed there was nothing posted regarding exemption from licensure.
Evidence: Center director confirmed there was nothing posted regarding exemption from licensure.
Plan of Correction: Post exemption in foyer
Standard 22.1-289.031-A-4
Based on record review and interview with staff, the center did not ensure each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability that would prevent them from caring for children under their supervision.
Evidence: The records for Staff #1 and Staff #5 did not include the annual staff report at the time of the inspection. Center Director confirmed Staff #1 and Staff #5 were working with children in a supervisory capacity.
Evidence: The records for Staff #1 and Staff #5 did not include the annual staff report at the time of the inspection. Center Director confirmed Staff #1 and Staff #5 were working with children in a supervisory capacity.
Plan of Correction: Get Health report
Standard 22.1-289.031-B-1
Based on observation and interview with staff, the center did not ensure handwashing by staff and children before eating and after toileting / diapering.
Evidence: Staff #1 confirmed they only use hand sanitizer on the children?s hands before eating.
Evidence: Staff #1 confirmed they only use hand sanitizer on the children?s hands before eating.
Plan of Correction: Talked to all staff in a staff meeting about handwashing procedure.
Standard 22.1-289.031-B-2
Based on observation and staff interviews, the center did not ensure staff followed the center?s established procedures related to appropriate supervision of children.
Evidence: At 4:15pm on 2-7-2023, there were 8 school age children, ages 8 to 11 were observed in the cafeteria and there was not a staff member/adult providing supervision. Center Director confirmed the center?s established supervision procedure is ?to have sight and sound supervision over the children at all times?. Center Director (who was the designated person supervising the school age children) confirmed they were out of the school age room/cafeteria selling snacks across the hall for about 5 minutes and they ?could hear them but did not have sight of them?. The center did not follow their established procedure for supervision.
Evidence: At 4:15pm on 2-7-2023, there were 8 school age children, ages 8 to 11 were observed in the cafeteria and there was not a staff member/adult providing supervision. Center Director confirmed the center?s established supervision procedure is ?to have sight and sound supervision over the children at all times?. Center Director (who was the designated person supervising the school age children) confirmed they were out of the school age room/cafeteria selling snacks across the hall for about 5 minutes and they ?could hear them but did not have sight of them?. The center did not follow their established procedure for supervision.
Plan of Correction: Make sure of sight supervision at all times.
Standard 22.1-289.035-A
Based on record review and staff interviews, the center did not ensure, all staff had obtained updated background checks as required every 5 years.
Evidence: Two out of 5 records had outdated background checks as listed below;
1)The record for Staff #1 included the most recent Sworn Statement dated 1/17/2018.
2) The record for Staff #3 included the most recent Criminal Records check dated 2/6/2018.
Staff #1 and #3 were observed working during the inspection.
Evidence: Two out of 5 records had outdated background checks as listed below;
1)The record for Staff #1 included the most recent Sworn Statement dated 1/17/2018.
2) The record for Staff #3 included the most recent Criminal Records check dated 2/6/2018.
Staff #1 and #3 were observed working during the inspection.
Plan of Correction: Updated
Standard 22.1-289.035-B-2
Based on record review and staff interviews, the center did not ensure, all staff had obtained an out of state criminal history name check (CRC) prior to the first day of employment.
Evidence: The record for staff #5 did not include a CRC prior to the first day of employment. The CRC was dated 2-9-23. Center Director confirmed Staff #5 had been working since the summer of 2022 and had worked on the day of the inspection, 2-7-2023.
Evidence: The record for staff #5 did not include a CRC prior to the first day of employment. The CRC was dated 2-9-23. Center Director confirmed Staff #5 had been working since the summer of 2022 and had worked on the day of the inspection, 2-7-2023.
Plan of Correction: Submitted
Standard 8VAC20-770-40-D-2
Based on a review of 5 staff records and staff interviews, the provider did not ensure each staff member had obtained by their first day or employment a sworn statement of affirmation and by end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia.
Evidence: The following records did not include background checks as required.
1) Staff #3 does not have documentation of a sworn statement.
2) Staff # 4 does not have documentation of a CPS check conducted. Center director confirmed Staff #4 was hired during the summer of 2023 and confirmed the CPS check was not obtained. Staff #3 and #4 were observed working during the inspection.
Evidence: The following records did not include background checks as required.
1) Staff #3 does not have documentation of a sworn statement.
2) Staff # 4 does not have documentation of a CPS check conducted. Center director confirmed Staff #4 was hired during the summer of 2023 and confirmed the CPS check was not obtained. Staff #3 and #4 were observed working during the inspection.
Plan of Correction: Staff #5 was hired in the summer