Inspection · 2024-06-28
Date
2024-06-28
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.
8VAC20-770 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 6/28/24 from 1:55pm to 5:40pm. At the time of the inspection there were 76 children in care and 14 staff members. Children were observed participating in various activities including nap, transition, snack, tummy time, and outside play. Records were reviewed for seven children and 10 staff members. Medication, evacuation drills, emergency supplies and other required records and postings were also 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 during the exit meeting.
Violations
7Standard 8VAC20-770-60-B
Based on record review and interview the center did not ensure that all staff have a sworn statement or affirmation completed prior to the 1st day of employment.
Evidence:
1.The record for Staff #1 did not contain a sworn statement or affirmation.
2. Staff #1 confirmed that there was no sworn statement or affirmation in their record.
Evidence:
1.The record for Staff #1 did not contain a sworn statement or affirmation.
2. Staff #1 confirmed that there was no sworn statement or affirmation in their record.
Plan of Correction: Sworn Disclosure Statement for staff #1 completed on 06/28/2024. Moving forward management will ensure that sworn statement of affirmation is completed prior to the first day of employment.
Standard 8VAC20-780-260-B
Based on record review the center did not ensure that annual approval from the health department was provided.
Evidence:
1.There was no documentation of a health department food establishment inspection for the center within the past year.
a. The food establishment inspection reviewed by the inspector was dated for 1/28/20.
2. Staff #1 confirmed that this is the last health inspection on file.
Evidence:
1.There was no documentation of a health department food establishment inspection for the center within the past year.
a. The food establishment inspection reviewed by the inspector was dated for 1/28/20.
2. Staff #1 confirmed that this is the last health inspection on file.
Plan of Correction: Management contacted the local health department regularly over the last year (Director has documentation of reaching out 6 times) requesting an annual inspection however was informed by the health department that they were backlogged. Annual inspection was completed on 07/10/2024.
Standard 8VAC20-780-560-F
Based on record review and interview the center did not ensure to follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
Evidence:
1. On the day of the inspection, 6/28/24, the children in care were served cheese crackers and water, which is only one of two of the nutritional requirements for snack time.
2.Staff #1 confirmed that the snack served for the day did not meet the two required nutritional components for snack time.
Evidence:
1. On the day of the inspection, 6/28/24, the children in care were served cheese crackers and water, which is only one of two of the nutritional requirements for snack time.
2.Staff #1 confirmed that the snack served for the day did not meet the two required nutritional components for snack time.
Plan of Correction: Standard#: 8VAC20-780-(8}-560-F
Food specialist was retrained on USDA child meal patterns including required meal components on 07/01/2024. Moving forward management will review menus & conduct daily audits of meals to ensure nutritional requirements are being met.
Food specialist was retrained on USDA child meal patterns including required meal components on 07/01/2024. Moving forward management will review menus & conduct daily audits of meals to ensure nutritional requirements are being met.
Standard 8VAC20-780-560-G
Based on observation and interview the center did not ensure that when food is brought from home, the food container is clearly dated and labeled in a way that identifies the owner.
Evidence:
1.Eight water bottles inspected were not labeled to show who each water bottle belonged to.
2. Staff #1 confirmed that the water bottles were not labeled with the children?s names.
Evidence:
1.Eight water bottles inspected were not labeled to show who each water bottle belonged to.
2. Staff #1 confirmed that the water bottles were not labeled with the children?s names.
Plan of Correction: Staff were retrained on LCG & VA state policies regarding health & safety procedures and to ensure all water bottles are labeled on 07/01/2024. Moving forward all safety captain and management staff will do periodic audits of water bottles to ensure water bottles are labeled correctly.
Standard 8VAC20-780-570-I
Based on observation and interview the center did not ensure that 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.
Evidence:
1. There was not a one day?s emergency supply of supply of disposable bottles, nipples, and commercial formulas maintained at the center.
2.Staff #1 confirmed that the center does not have a one-day?s emergency supply of disposable bottles, nipples, and commercial formulas, in case of an emergency.
Evidence:
1. There was not a one day?s emergency supply of supply of disposable bottles, nipples, and commercial formulas maintained at the center.
2.Staff #1 confirmed that the center does not have a one-day?s emergency supply of disposable bottles, nipples, and commercial formulas, in case of an emergency.
Plan of Correction: Will be corrected by 07/19/2024. Moving forward safety captain and management staff will conduct monthly audits of emergency bags to ensure compliance.
Standard 8VAC20-780-60-A
Based on record review the center did not ensure that children?s records contain all the required information.
Evidence:
1.The record for Child #1 did not contain the work phone number for one parent.
2.The record for Child #2 did not contain the work phone numbers for both parents or documentation of an annual update.
3.The record for Child #3 was missing the name and work phone number for one parent and documentation of an annual update.
4.The record for Child #4 was missing the work phone numbers for both parents and names of persons authorized to pick up the child.
Evidence:
1.The record for Child #1 did not contain the work phone number for one parent.
2.The record for Child #2 did not contain the work phone numbers for both parents or documentation of an annual update.
3.The record for Child #3 was missing the name and work phone number for one parent and documentation of an annual update.
4.The record for Child #4 was missing the work phone numbers for both parents and names of persons authorized to pick up the child.
Plan of Correction: Standard#: 8VAC20-780-(2}-60-A
Missing information & file updates completed & on file for child #1, child #2, child #3 & child #4 on 07/05/2025. Moving forward a paperwork appointment will be conducted with each family to ensure all files are in compliance prior to child's first day of enrollment.
Missing information & file updates completed & on file for child #1, child #2, child #3 & child #4 on 07/05/2025. Moving forward a paperwork appointment will be conducted with each family to ensure all files are in compliance prior to child's first day of enrollment.
Standard 8VAC20-820-120-E-6
Based on observation and interview the center did not ensure to have certain documents related to the terms of the license posted on the premises of the facility.
Evidence:
1. A copy of the special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises.
2.The notice of intent was not posted in a prominent place at each public entrance of the facility.
a. The notice of intent was placed in plastic frame behind a letter that families received and was not able to be seen by families/consumers.
b. Staff #1 confirmed that this required document was not posted in a way that is visible to families/consumers.
Evidence:
1. A copy of the special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises.
2.The notice of intent was not posted in a prominent place at each public entrance of the facility.
a. The notice of intent was placed in plastic frame behind a letter that families received and was not able to be seen by families/consumers.
b. Staff #1 confirmed that this required document was not posted in a way that is visible to families/consumers.
Plan of Correction: Was corrected on 06/28/2024 while licenser was still in building. Moving forward all licensing documents will be placed in own plastic frame in a prominent place at each public entrance of the facility.