Inspection · 2023-12-14
Date
2023-12-14
Complaint Related
No
Licensing Inspector
Nicole Scott
(804) 588-2372
(804) 588-2372
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 LICENSE PROCESS
8VAC20-820 HEARING PROCEDURES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
Inspector Notes
An unannounced renewal inspection was initiated and completed on 12/14/2023. The inspector was on site from 9:50am until 1:00pm.
There were 43 children, ages 4 months to 4 years old under the supervision of 12 staff. Children were observed during indoor free play, lunch time and nap. Five children's records, two medical records and five staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
If you have any questions about this inspection, please contact
Nicole Scott, Licensing Inspector
Phone-804.588.2372
Email- nicole.scott@doe.virginia.gov.
Violations
10Standard 8VAC20-770-60-C-2
Based on record review, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment.
Evidence: Staff #5 had an employment date of 3/20/2023. There were no results from the Central Registry on file during the inspection 12/14/2023
Evidence: Staff #5 had an employment date of 3/20/2023. There were no results from the Central Registry on file during the inspection 12/14/2023
Plan of Correction: HR has been informed to make sure employees complete their registry before starting. Received teacher #2 back on 12/19/23.
Standard 8VAC20-780-140-A
REPEAT VIOLATION
SYSTEMIC VIOLATION
Based on record review, the center failed to obtain a copy of the child physical examination before child?s first day or within 30 days after first day of attendance.
Evidence:
Child #1 was enrolled on 8/14/2023 had no documentation of a physical on file during the inspection on 12/11/2023.
SYSTEMIC VIOLATION
Based on record review, the center failed to obtain a copy of the child physical examination before child?s first day or within 30 days after first day of attendance.
Evidence:
Child #1 was enrolled on 8/14/2023 had no documentation of a physical on file during the inspection on 12/11/2023.
Plan of Correction: The PD will ensure the child?s physical will be obtained within thirty days from Start. Parent brought in on 1/4/24.
Standard 8VAC20-780-160-A
SYSTEMIC VIOLATION
Based on record review, the center failed to have documentation of the TB screening completed within the last 30 calendar days of the date of employment.
Evidence:
Staff #1 had an employment date of 8/22/2023. The TB screening on file was dated 4/11/2023 which is more than 30 days from the employment date.
Based on record review, the center failed to have documentation of the TB screening completed within the last 30 calendar days of the date of employment.
Evidence:
Staff #1 had an employment date of 8/22/2023. The TB screening on file was dated 4/11/2023 which is more than 30 days from the employment date.
Plan of Correction: HR has been informed to have TB screenings with 30 days of employment. Corrected 12/14/23.
Standard 8VAC20-780-270-A
REPEAT VIOLATION
SYSTEMIC VIOLATION
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
1.In the preschool classroom, there was paint peeling off the wall by the bulletin board and by the exit door to the playground. Children were observed in that area.
2.The picture boarder leading out the door to the playground had one side of the boarder coming off and the screws were exposed. Children were observed in that area.
3.In the two?s classroom, one of the doors to the diaper changer had come off. This door was propped against the changing table, screws from the door were exposed. Children were observed in that area.
4. The cabinet drawer facing in two?s room was missing; exposing hardware and broken, jagged, sharp wood. Children were observed in this area.
5. On the playground, there was a 2-inch drop from the asphalt to the mulch where the children play. This is a tripping hazard for children.
6. On the school age playground, the top of the wooden boarder was separated from bottom boarder creating approximately a 3 inch gap. This is a tripping hazard for children.
SYSTEMIC VIOLATION
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence:
1.In the preschool classroom, there was paint peeling off the wall by the bulletin board and by the exit door to the playground. Children were observed in that area.
2.The picture boarder leading out the door to the playground had one side of the boarder coming off and the screws were exposed. Children were observed in that area.
3.In the two?s classroom, one of the doors to the diaper changer had come off. This door was propped against the changing table, screws from the door were exposed. Children were observed in that area.
4. The cabinet drawer facing in two?s room was missing; exposing hardware and broken, jagged, sharp wood. Children were observed in this area.
5. On the playground, there was a 2-inch drop from the asphalt to the mulch where the children play. This is a tripping hazard for children.
6. On the school age playground, the top of the wooden boarder was separated from bottom boarder creating approximately a 3 inch gap. This is a tripping hazard for children.
Plan of Correction: Maintenance came out and started working on all items listed. Will be completed on January 10, 2024.
Standard 8VAC20-780-320-B
SYSTEMIC VIOLATION
Based on observation, the center failed to ensure the restrooms were equipped with soap.
Evidence:
In the restrooms in the hallway, used by all children in the center, there was no soap in the girls or boys bathroom.
Based on observation, the center failed to ensure the restrooms were equipped with soap.
Evidence:
In the restrooms in the hallway, used by all children in the center, there was no soap in the girls or boys bathroom.
Plan of Correction: This has been corrected 12/14/23.
Standard 8VAC20-780-330-B
REPEAT VIOLATION
SYSTEMIC VIOLATION
Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.
Evidence:
1.On the preschool playground, observed a non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.
2.On the preschool playground there was climbable a toy Jeep. This had a fall zone of approximately 3 feet to the end of the slide, which is stationary.
SYSTEMIC VIOLATION
Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.
Evidence:
1.On the preschool playground, observed a non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.
2.On the preschool playground there was climbable a toy Jeep. This had a fall zone of approximately 3 feet to the end of the slide, which is stationary.
Plan of Correction: Maintenance will be bringing mulch for #1 and #2, jeep will be removed. Completed January 4, 2024.
Standard 8VAC20-780-500-B
Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering or changing and that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the system during disposal.
Evidence:
1.In the infant class, the changing pad used for diapering had rips in the pad.
2.The diaper pale in the two year old classroom was not foot operable. That part of the diaper pale was broken.
Evidence:
1.In the infant class, the changing pad used for diapering had rips in the pad.
2.The diaper pale in the two year old classroom was not foot operable. That part of the diaper pale was broken.
Plan of Correction: This has been corrected 12/14/23.
Standard 8VAC20-780-510-I
Based on review of medication, the center failed to obtain written authorization from a parent or guardian for prescription medication or have medication administered by a staff person who meets the requirements per the standards.
Evidence:
1. Child #5 had medication on site during the inspection on 12/14/2023. There was no authorization from the parent to administer the medication.
2. Medication was administered by Staff 6 on 11/28/2023, 12/5/2023 and 12/7/2023 to Child 6. Medication was administered by Staff 6 on 12/4/2023 to Child 7. Staff 6 does not have current MAT certification
Evidence:
1. Child #5 had medication on site during the inspection on 12/14/2023. There was no authorization from the parent to administer the medication.
2. Medication was administered by Staff 6 on 11/28/2023, 12/5/2023 and 12/7/2023 to Child 6. Medication was administered by Staff 6 on 12/4/2023 to Child 7. Staff 6 does not have current MAT certification
Plan of Correction: New mat form has been obtained for child #5, PD will ensure to have a mat person on site to give medicine. Staff MAT certified on 12/27/23.
Standard 8VAC20-780-570-C
Based on documentation review and interview, the center failed to ensure that the record of each child on formula shall contain the brand of formula.
Evidence:
In the infant class, the children?s schedules did not contain which brand of formula each child required.
Evidence:
In the infant class, the children?s schedules did not contain which brand of formula each child required.
Plan of Correction: This has been corrected 12/14/23.
Standard 8VAC20-780-570-E
Based on observation, the center failed to ensure that all infant prepared formula shall be refrigerated, dated and labeled with the child?s name.
Evidence:
In the infant class, there were bottles in the refrigerator and on the counter that had no label to show ownership or dates.
Evidence:
In the infant class, there were bottles in the refrigerator and on the counter that had no label to show ownership or dates.
Plan of Correction: The PD discussed with Lead Teacher that all bottles must be labeled and dated. Completed 12/14/23.