Inspection · 2024-04-22
Date
2024-04-22
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
8VAC20-820 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 inspection was conducted on April 22, 2024 from 12:00pm to 2:35pm. At the time of the inspection there were 67 children in care and 11 staff members. Children were observed participating in various activities including handwashing, lunch and nap. Records were reviewed for five children and five staff members. Evacuation drills, emergency supplies and other required records and postings were reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed with the director during the exit interview.
Violations
5Standard 8VAC20-780-130-E
REPEAT VIOLATION
Based on record review, the center did not ensure that documentation of additional immunizations once every six months for children under the age of two years were in the record.
Evidence:
1. The most recent immunizations on file for child #2 (age 15 months), were administered on March 16, 2023, according to documentation on file.
2. Staff #1 (Director) confirmed that immunization record has not been updated.
Based on record review, the center did not ensure that documentation of additional immunizations once every six months for children under the age of two years were in the record.
Evidence:
1. The most recent immunizations on file for child #2 (age 15 months), were administered on March 16, 2023, according to documentation on file.
2. Staff #1 (Director) confirmed that immunization record has not been updated.
Plan of Correction: Repeat Violation: Following the monitoring visit on 4/22/24 The Director searched school email and was able to locate immunization for the child file in violation and made sure to place updated immunizations in child?s file. Moving forward director will ensure to have updated and current shots and immunization records in each child?s file. Director will utilize children file tracker work book to stay aware of dates for updated shots and immunization records.
Standard 8VAC20-780-280-D
Based on observation, the center did not ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.
Evidence:
1. A spray bottle of cleaning solution was stored in a cabinet above a jar of apple butter.
2. Staff #1 (Director) confirmed that the bottle of cleaning solution was stored in a cabinet above a jar of apple butter.
Evidence:
1. A spray bottle of cleaning solution was stored in a cabinet above a jar of apple butter.
2. Staff #1 (Director) confirmed that the bottle of cleaning solution was stored in a cabinet above a jar of apple butter.
Plan of Correction: Following monitoring visit a staff meeting will held 5/15/24 to retrain on the procedures of storing chemicals, moving forward no food or drinks will be stored in a cabinet underneath store chemical?s. Director will perform weekly cabinet and chemical checks.
Standard 8VAC20-780-350-B-1
Based on observation, the center did not ensure that the staff to child ratio for birth to up to 16 months had a ratio of 1:4 while children were in care.
Evidence:
1. The toddler room (age 16 months to two years old) had 10 children and 2 staff when reviewed by the inspector at approximately 2:50pm. The staff was using a 1:5 ratio but should have been using a 1:4 ratio because one child in care, Child #1, was 15 months.
a. "Toddler" means children from 16 months up to two years.
2. Staff #1 (Director) confirmed that that child 1 was under 16 months of age and further acknowledged that a third staff was needed.
Evidence:
1. The toddler room (age 16 months to two years old) had 10 children and 2 staff when reviewed by the inspector at approximately 2:50pm. The staff was using a 1:5 ratio but should have been using a 1:4 ratio because one child in care, Child #1, was 15 months.
a. "Toddler" means children from 16 months up to two years.
2. Staff #1 (Director) confirmed that that child 1 was under 16 months of age and further acknowledged that a third staff was needed.
Plan of Correction: Following the monitoring visit on 4/22/24 a third staff was added to the toddler class to maintain the 1-4 ratio as of 5/15/24 all children enrolled in the toddler class are 16 months or older, moving forward the director will ensure all classrooms maintain compliance of children to staff ratios at all times.
Standard 8VAC20-780-500-B
Based on observation, the center did not ensure that the diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and
sanitized after each use.
Evidence:
1. Inspector observed a diapering cleaning process and the staff was observed wiping the sanitizing solution immediately after spraying it on the changing table.
a. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.
2. Staff #1 (Director) confirmed that the staff wiped the sanitizing solution immediately after spraying it on the changing table.
sanitized after each use.
Evidence:
1. Inspector observed a diapering cleaning process and the staff was observed wiping the sanitizing solution immediately after spraying it on the changing table.
a. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.
2. Staff #1 (Director) confirmed that the staff wiped the sanitizing solution immediately after spraying it on the changing table.
Plan of Correction: Following the monitoring visit on 4/22/24 the director will be conducting a center wide diaper changing re training on 5/16/24.
Standard 8VAC20-780-580-B
Based on observation, the center did not ensure that the vehicle shall meet the safety standards set by the Department of Motor Vehicles
Evidence:
1. The state inspection sticker for the bus expired in November 2023.
2. Staff #1 (Director) confirmed that the bus state inspection sticker was expired.
Evidence:
1. The state inspection sticker for the bus expired in November 2023.
2. Staff #1 (Director) confirmed that the bus state inspection sticker was expired.
Plan of Correction: Following the monitoring visit on 4/22/24 The director has contacted the fleet department to correct inspection for bus moving forward director will comply with inspection expiration dates before the date of expire. Bus will be dropped off for inspection 5/17/24