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The Nansemond-Suffolk Academy Association, Incorporated-Main Cam

Inspection · 2024-08-28

Date
2024-08-28
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Inspector Notes

An unannounced, on-site renewal inspection was initiated on August 28, 2024 and completed on August 29, 2024. The on-site inspection began at 12:50 pm and ended at 1:45 pm. The inspector reviewed compliance in the areas listed above. There were 50 children present and 6 staff. The inspector reviewed 5 children?s records and 5 staff records electronically on August 28, 2024 and August 29, 2024. This inspection included document review, tour of the facility, interviews and observations. 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 6, 2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-780-150-B
Based on review, facility did not ensure 1 of 5 immunization record is signed by a physician, physician's designee or an official of a local health department.

Evidence: The record for child #5 had an immunization that was not signed by the physician, designee or health department official.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation, facility did not ensure hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

Evidence: A container of disinfectant wipes, labeled "caution" and "keep out of reach of children" was stored on a desk in the 2's classroom.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Based on observation, facility did not ensure diapering requirements are met.

Evidence: A plastic tub of children's toys were observed on the diapering pad in the 2's classroom. The diapering surface is to be used for diapering only.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-G
Based on review, facility did not ensure there is documentation of completed emergency drills.

Evidence: There was not documentation of emergency evacuation drills conducted in June and July 2024 however staff reported they were done.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on review, facility did not ensure 3 of 5 staff records have documentation of required information.

Evidence: The records for staff #3, staff #4 and staff #5 did not have documentation of training required to demonstrate 16 hours were completed annually. The training transcripts provided did not document the hours for each training. Information was requested and as of August 29, 2024 at 4:00 pm, the information was not submitted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
Based on observation and interview, facility did not ensure for each group of children there is a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: There was not documentation of attendance showing children present for each group/class of children. Staff reported the electronic record only documents children absent and not children present.
Plan of Correction: Not available online. Contact Inspector for more information.