Inspection · 2022-09-14
Date
2022-09-14
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
(703) 479-4678
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 in person monitoring inspection was conducted today.
All rooms were in ratio during the inspection.
Medications were reviewed and were in compliance. 3 staff and 3 child records were reviewed. See Violation Notice for non-compliances.
If you have any questions, please contact me at (703) 479-4678 or at sarah.marbert@doe.virginia.gov
Violations
9Standard 22.1-289.035-B-2
Based on a review of records, 2 staff records do not contain documentation of a nationwide fingerprint search, prior to employment.
Evidence:
2 of 2 staff records reviewed did not have new fingerprint results on file. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted.
(Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)
Evidence:
2 of 2 staff records reviewed did not have new fingerprint results on file. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted.
(Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)
Plan of Correction: New search apt. scheduled for same day
Standard 8VAC20-770-60-B
Based on a review of records, 2 staff records do not include documentation of a completed (SDS) prior to employment,
Evidence:
2 of 2 staff records reviewed did not include a SDS prior to employment at this facility. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with a new SDS being completed. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)
Evidence:
2 of 2 staff records reviewed did not include a SDS prior to employment at this facility. Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with a new SDS being completed. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)
Plan of Correction: Orientation/new SDS completed
Standard 8VAC20-770-60-C-2
Based on a review of records, 2 staff records do not contain documentation of a completed Central Registry Search (CPS) within 30 days of employment.
Evidence:
Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)
Evidence:
Both staff transferred from another center that is not operated by the same Limited Liability Company (LLC). The staff must be considered as new employees with new searches being conducted. (Staff A: date of transfer: 7/11/22) (Staff B: date of transfer: 8/1/22)
Plan of Correction: New search sent out
Standard 8VAC20-780-440-B
Based on observation, cots are not identified for use by specific children.
Evidence:
The cots in the 2's rooms and the preschool room were not labeled with names for use by specific children.
Evidence:
The cots in the 2's rooms and the preschool room were not labeled with names for use by specific children.
Plan of Correction: Cots labeled and assigned
Standard 8VAC20-780-440-E
Based on observation, there is not 12 inches of space between occupied cots in the 2's room.
Evidence:
At approximately 2:40PM the younger 2's room was observed to have 8 children resting on cots. There was not 12" of space between all occupied cots on the carpeted area.
Evidence:
At approximately 2:40PM the younger 2's room was observed to have 8 children resting on cots. There was not 12" of space between all occupied cots on the carpeted area.
Plan of Correction: Corrected during visit & staff refresh.
Standard 8VAC20-780-500-A
Based on observation, children's hands were not washed with soap and running water;
1. Before or after eating meals or snacks
2. After toileting
3.Staff's hands were not washed between diaper changes for children.
Evidence:
*During the inspection in the Toddler room, LI observed multiple children receive a diaper change and not have their hands washed afterwards.
*The same multiple children were then seated in feeding chairs and given snack.
*LI observed staff change 3 child diapers without washing her hands between the diaper changes.
*In the Preschool room, children did not wash hands prior to eating snack. Children's hands were washed prior to lying down on cots for rest; however, all children did not sleep. 15 of the 17 children were observed by the LI awake and playing with toys, playing with shoes, or putting their hands on the floor.
1. Before or after eating meals or snacks
2. After toileting
3.Staff's hands were not washed between diaper changes for children.
Evidence:
*During the inspection in the Toddler room, LI observed multiple children receive a diaper change and not have their hands washed afterwards.
*The same multiple children were then seated in feeding chairs and given snack.
*LI observed staff change 3 child diapers without washing her hands between the diaper changes.
*In the Preschool room, children did not wash hands prior to eating snack. Children's hands were washed prior to lying down on cots for rest; however, all children did not sleep. 15 of the 17 children were observed by the LI awake and playing with toys, playing with shoes, or putting their hands on the floor.
Plan of Correction: handwashing & diaper change procedures discussed with all staff as refresh.
Standard 8VAC20-780-500-B
Based on observation disposable diapers were not disposed of in a leakproof or plastic- lined storage system that is foot operated.
Evidence:
In the Toddler room, LI observed a staff member using her hand to open the diaper disposable container. The container is a foot operated trash can; however, the can is placed on an elevated container where the foot operated pedal cannot be used.
Evidence:
In the Toddler room, LI observed a staff member using her hand to open the diaper disposable container. The container is a foot operated trash can; however, the can is placed on an elevated container where the foot operated pedal cannot be used.
Plan of Correction: Trash can placed on floor & use foot pedal.
Standard 8VAC20-780-560-F
Based on observation and staff statement, children were not allowed second helpings of food listed in the USDA's child and adult care meal plans.
Evidence:
LI observed a child in the Preschool room ask for more snack. The staff member replied there was no more snack available.
Evidence:
LI observed a child in the Preschool room ask for more snack. The staff member replied there was no more snack available.
Plan of Correction: Spoke to teachers & cook to provide more food or ask management for more food when needed.
Standard 8VAC20-820-120-E-2
Based on observation, the results of the most recent inspection were not posted.
Evidence;
No inspection report is posted at the facility.
Evidence;
No inspection report is posted at the facility.
Plan of Correction: Posted during inspection - fell off.