Inspection · 2022-10-17
Date
2022-10-17
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
(757) 636-3427
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.
8VAC20-770 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 monitoring visit and facility tour was conducted on 10/17/2022. At the time of inspectors' arrival there were 6 preschool aged children in care with 2 staff members. Children were observed interacting with staff, nap, lunch and hand washing. A sample of 5 children's records and 2 staff records were reviewed. The Director reported that there have been no injuries and medications are not being administered at this time. Areas of noncompliance are identified on the violation notice and were discussed with the director in an exit meeting at the conclusion of this inspection.
Violations
11Standard 22.1-289.035-B-2
Based on record review and interview it was determined the center did not ensure that each staff member submit to fingerprinting prior to hire.
Evidence:
1. The record for staff #1(hired 8/1/22) did not contain documentation of fingerprinting.
2. The record for staff #2(rehired 8/1/22) did not contain documentation of updated fingerprinting.
Evidence:
1. The record for staff #1(hired 8/1/22) did not contain documentation of fingerprinting.
2. The record for staff #2(rehired 8/1/22) did not contain documentation of updated fingerprinting.
Plan of Correction: Staff will submit the required fingerprint checks.
Standard 8VAC20-780-130-A
Based on record review and interview it was determined the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record for child #1 and child #2. did not contain documentation of immunizations.
2. Staff confirmed these children were present and documents were not available during this inspection.
Evidence:
1. The record for child #1 and child #2. did not contain documentation of immunizations.
2. Staff confirmed these children were present and documents were not available during this inspection.
Plan of Correction: Staff will request this documentation from parents.
Standard 8VAC20-780-140-A
Based on record review and interview it was determined the center did not ensure that each child had a physical examination by or under the direction of a physician within the required time frame.
Evidence:
1. The record for child #1(enrolled 8/29/22) did not contain documentation of a physical exam.
2. The record for child #3(enrolled 8/15/22) did not contain documentation of a physical exam.
3. The record for child #4(enrolled 8/15/22) did not contain documentation of a physical exam.
Evidence:
1. The record for child #1(enrolled 8/29/22) did not contain documentation of a physical exam.
2. The record for child #3(enrolled 8/15/22) did not contain documentation of a physical exam.
3. The record for child #4(enrolled 8/15/22) did not contain documentation of a physical exam.
Plan of Correction: Staff will request this documentation from parents.
Standard 8VAC20-780-160-A
Based on record review and interview it was determined the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening.
Evidence:
1. The record for staff #1 did not contain documentation of a negative tuberculosis screening.
2. Staff confirmed that this documentation was not available during this inspection.
Evidence:
1. The record for staff #1 did not contain documentation of a negative tuberculosis screening.
2. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction: Staff will ensure all staff records are complete.
Standard 8VAC20-780-240-B
Based on record review and interview it was determined the center did not ensure that staff received the required orientation training prior to working alone with children.
Evidence:
1. The record for staff #1 did not contain documentation of the required orientation.
2. Staff confirmed that they did not receive this training.
Evidence:
1. The record for staff #1 did not contain documentation of the required orientation.
2. Staff confirmed that they did not receive this training.
Plan of Correction: Staff will ensure all staff records are complete.
Standard 8VAC20-780-260-A
Based on record review and interview it was determined the center could not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence:
1. The fire inspection report available was dated 5/11/21.
2. Staff confirmed that this was the most recent documentation available during this inspection.
Evidence:
1. The fire inspection report available was dated 5/11/21.
2. Staff confirmed that this was the most recent documentation available during this inspection.
Plan of Correction: Staff will request updated inspection from fire officials' office.
Standard 8VAC20-780-260-B
Based on record review and interview it was determined the center could not provide to the licensing representative an annual approval from the health department.
Evidence:
1. The health inspection report available was dated 5/12/21.
2. Staff confirmed that this was the most recent documentation available during this inspection.
Evidence:
1. The health inspection report available was dated 5/12/21.
2. Staff confirmed that this was the most recent documentation available during this inspection.
Plan of Correction: Staff will request updated inspection from health officials' office.
Standard 8VAC20-780-280-B
Based on observation it was determined the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children.
Evidence:
There were three bottles of cleaning solution unlocked on an upper shelf in the boys bathroom.
Evidence:
There were three bottles of cleaning solution unlocked on an upper shelf in the boys bathroom.
Plan of Correction: Staff will ensure all hazardous substances are locked.
Standard 8VAC20-780-290-A-3
Based on observation it was determined the center did not ensure that in areas accessible to preschool aged children all unused electrical outlets had protective covers.
Evidence:
1. There were 2 wall outlets and 16 outlets on surge protector strips uncapped in the areas utilized by the children in care.
2. There were 6 preschool aged children in care during this inspection.
Evidence:
1. There were 2 wall outlets and 16 outlets on surge protector strips uncapped in the areas utilized by the children in care.
2. There were 6 preschool aged children in care during this inspection.
Plan of Correction: Staff will ensure all unused electrical outlets are capped.
Standard 8VAC20-780-60-A
Based on record review and interview it was determined the center did not maintain and keep at the center a separate record for each child enrolled containing all of the required information.
Evidence:
1. The record for child #1 did not contain the work phone numbers for either parent and the proof of the child's identity and age.
2. The record for child #2 did not contain one of the two required emergency contacts.
3. The record for child #3 did not contain the mother's work phone number and the doctor's phone number.
4. The record for child #4 did not contain the address for one of the two emergency contacts.
5. The record for child #5 did not contain city, state, and zip code for the mother and the two emergency contacts.
6. Staff confirmed these children were enrolled in care and this information was not available during this inspection.
Evidence:
1. The record for child #1 did not contain the work phone numbers for either parent and the proof of the child's identity and age.
2. The record for child #2 did not contain one of the two required emergency contacts.
3. The record for child #3 did not contain the mother's work phone number and the doctor's phone number.
4. The record for child #4 did not contain the address for one of the two emergency contacts.
5. The record for child #5 did not contain city, state, and zip code for the mother and the two emergency contacts.
6. Staff confirmed these children were enrolled in care and this information was not available during this inspection.
Plan of Correction: Staff will request this documentation from parents.
Standard 8VAC20-780-70
Based on record review and interview it was determined the center did not ensure that the records kept for each staff person contained all of the required information.
Evidence:
1. The record for staff #1 did not contain the two required references and documentation of orientation.
2. The record for staff #2 did not contain the address for their emergency contact.
Evidence:
1. The record for staff #1 did not contain the two required references and documentation of orientation.
2. The record for staff #2 did not contain the address for their emergency contact.
Plan of Correction: Staff will ensure all staff records are complete.