Inspection · 2024-08-22
Date
2024-08-22
Complaint Related
Yes
Licensing Inspector
Karen Dickens
(571) 423-6978
(571) 423-6978
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.
22.1 Background Checks Code
Inspector Notes
An unannounced inspection was initiated and completed on 8/22/24 in response to a complaint received by the licensing office on 8/16/24 relating to allegations of supervision, ratios and sanitation. The inspector reviewed 1 staff records on-site. This inspection included:
? document review (policies and procedures, attendance logs),
? tour of the facility,
? staff interviews,
? observations (this would include observations of photos, recordings, etc.), and ? measurements
The preponderance of evidence gathered during the investigation supports the allegation(s); therefore, the complaint is determined to be valid. Information gathered during the inspection determined noncompliance with applicable standards or law and the 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 (date). A POC submitted after this date will not appear on the public website.
Violations
7Standard 22.1-289.035-A
Based on record review, the center did not obtain a subsequent Sworn Disclosure Statement (SDS) for an employee, every five years.
Evidence: Staff # 1's most recent SDS was completed on 8/13/19. A repeat SDS was not completed in 5 years.
Evidence: Staff # 1's most recent SDS was completed on 8/13/19. A repeat SDS was not completed in 5 years.
Plan of Correction: Staff member completed new sworn form on 8/29/24.
Standard 8VAC20-780-340-A
Based on staff interviews and records review, staff supervising children did not always ensure the care, protection and guidance of children in care.
Evidence:
1. On 8/6/24, between 5:30pm to 5:40pm, Child # 1 (3 yrs. old) left the Preschool classroom unsupervised and alone, and went to the playground for approximately 3 minutes.
2. Staff # 1 stated that on 8/6/24 after the children had their evening snack between 5:00-5:15pm, it got busy with parents picking up their children.
3. Staff # 1 stated that between 5:30pm and 5:40pm, as she looked around the classroom she noticed that Child # 1 was not present in the room.
4. Staff # 1 opened the entrance door and asked Staff # 2 who had taken some of the Preschool children to the restroom from across the classroom if Staff # 2 had Child # 1. Staff # 2 said that she did not. Staff # 2 stated that she immediately went to the front of the building to search for Child # 1.
5. Staff # 1 then went to the Pre-K (4's) classroom and asked Staff # 3 if Child # 1 was in that room. Staff # 3 said that Child # 1 was not there. Staff # 3 stated that she started to look for Child # 1 as well.
6. Staff # 1 returned to the Preschool classroom and checked the playground. Staff # 1 went to the playground through the back door in the Preschool classroom and found Child # 1 by the back door, getting ready to get on a bike.
Evidence:
1. On 8/6/24, between 5:30pm to 5:40pm, Child # 1 (3 yrs. old) left the Preschool classroom unsupervised and alone, and went to the playground for approximately 3 minutes.
2. Staff # 1 stated that on 8/6/24 after the children had their evening snack between 5:00-5:15pm, it got busy with parents picking up their children.
3. Staff # 1 stated that between 5:30pm and 5:40pm, as she looked around the classroom she noticed that Child # 1 was not present in the room.
4. Staff # 1 opened the entrance door and asked Staff # 2 who had taken some of the Preschool children to the restroom from across the classroom if Staff # 2 had Child # 1. Staff # 2 said that she did not. Staff # 2 stated that she immediately went to the front of the building to search for Child # 1.
5. Staff # 1 then went to the Pre-K (4's) classroom and asked Staff # 3 if Child # 1 was in that room. Staff # 3 said that Child # 1 was not there. Staff # 3 stated that she started to look for Child # 1 as well.
6. Staff # 1 returned to the Preschool classroom and checked the playground. Staff # 1 went to the playground through the back door in the Preschool classroom and found Child # 1 by the back door, getting ready to get on a bike.
Plan of Correction: All staff completed active supervision, mastering transitions. All training completed on 8/16/24.
Standard 8VAC20-780-340-F
Based on staff interviews, children under the age of 10 years of age were not always within sight and sound supervision of staff.
Evidence:
1. On 8/6/24, Child # 1 (3 yrs. old) in the Preschool classroom was out of sight and sound supervision for approximately 3 minutes.
2. Staff # 1stated that between 5:30pm to 5:40pm, when she looked around the classroom Child # 1 was not present.
3. Staff # 1 checked with Staff # 2 and Staff # 3 if they had Child # 1 . Both staff members stated they did not have Child # 1.
4. After checking with other staff, Staff # 1 went through the Preschool backdoor that leads to the playground, and found Child # 1 on the playground about to get on one of the children's bikes.
Evidence:
1. On 8/6/24, Child # 1 (3 yrs. old) in the Preschool classroom was out of sight and sound supervision for approximately 3 minutes.
2. Staff # 1stated that between 5:30pm to 5:40pm, when she looked around the classroom Child # 1 was not present.
3. Staff # 1 checked with Staff # 2 and Staff # 3 if they had Child # 1 . Both staff members stated they did not have Child # 1.
4. After checking with other staff, Staff # 1 went through the Preschool backdoor that leads to the playground, and found Child # 1 on the playground about to get on one of the children's bikes.
Plan of Correction: All staff completed CSR training, mastering transitions, active supervision everywhere, mandated reporter training. Training completed on 8/16/24.
Standard 8VAC20-780-350-B-2
Based on records review the center did not maintain the staff to child ratio of 1 staff to 5 children for children ages 16 months to 24 months of age.
Evidence:
1. The "name to face" box and the "teacher/staff attendance" box on the Toddler Child Supervision Record (CSR) dated 8/12/24 showed that Staff # 4 was the only staff present with 6 toddlers in the room between 10:03 am to 12:30 pm; and then from 2:31 pm to 4:00 pm. Staff # 2 stated that nap time was from approximately 12:30 pm to 2:30 pm.
2. The Toddler CSR dated 8/16/24 showed that between 8:06 am and 8:25 am there were 7 toddlers with only 1 staff member.
Evidence:
1. The "name to face" box and the "teacher/staff attendance" box on the Toddler Child Supervision Record (CSR) dated 8/12/24 showed that Staff # 4 was the only staff present with 6 toddlers in the room between 10:03 am to 12:30 pm; and then from 2:31 pm to 4:00 pm. Staff # 2 stated that nap time was from approximately 12:30 pm to 2:30 pm.
2. The Toddler CSR dated 8/16/24 showed that between 8:06 am and 8:25 am there were 7 toddlers with only 1 staff member.
Plan of Correction: All staff completed training on CSR training on 8/16/24.
Standard 8VAC20-780-350-B-3
Based on records review, the center did not maintain the staff to child ratio of 1 staff to 8 children for children 2 years of age.
Evidence:
1. The 2's Child Supervision Record (CSR) dated 8/12/24 showed that from 8:18 am to 10:27 am Staff #5 did not maintain the staff to child ratio of 1 staff to 8 children in the classroom, as she was by herself.
2. At 8:08 am, Staff # 5 had 8 children by herself. From 8:18 am to 9:19 am, 5 more children arrived putting Staff # 5 out of ratio. Another staff person did not arrive to the room until 10:27 am.
Evidence:
1. The 2's Child Supervision Record (CSR) dated 8/12/24 showed that from 8:18 am to 10:27 am Staff #5 did not maintain the staff to child ratio of 1 staff to 8 children in the classroom, as she was by herself.
2. At 8:08 am, Staff # 5 had 8 children by herself. From 8:18 am to 9:19 am, 5 more children arrived putting Staff # 5 out of ratio. Another staff person did not arrive to the room until 10:27 am.
Plan of Correction: All staff completed CSR training on 8/16/24. Health and safety training on 8/16/24.
Standard 8VAC20-780-350-B-4
Based on records review, the center did not maintain the 1 staff to 10 children ratio for the 3-4 year old classroom.
Evidence:
1. The Child Supervision Record (CSR) for the Preschool classroom dated 8/12/24 showed the following name to face checks: a. At 10:00 am there were 22 children with 2 staff members; b. at 12 pm there were 22 children with 2 staff members; c. 2:00pm there were 22 children with 1 staff member; and d. at 4:00pm there were 21 children with 2 staff members.
2. On 8/12/24, Staff # 2 was in the Preschool classroom helping Staff # 7 with 22 children (ages 3-4 years old). Staff # 2 stated that between 10:30 am to 10:40 am, she had to leave the Preschool classroom for approximately 5 minutes. When Staff # 3 left the room, Staff # 7 had 22 children by herself.
3. The CSR for the Pre-K classroom dated 8/16/24 showed there were children ages 4-5 years old in the room.
3. The Pre-K (4 years old) CSR from 8/16/24 showed that Staff # 3 had 10 children until 8:03am. From 8:30 am to 11:04 am, 8 more children arrived to the room.
4. Staff # 3 was the only staff member with between 8:03 am to 11:04 am with a total of 18 children (ages 4-5 years old).
Evidence:
1. The Child Supervision Record (CSR) for the Preschool classroom dated 8/12/24 showed the following name to face checks: a. At 10:00 am there were 22 children with 2 staff members; b. at 12 pm there were 22 children with 2 staff members; c. 2:00pm there were 22 children with 1 staff member; and d. at 4:00pm there were 21 children with 2 staff members.
2. On 8/12/24, Staff # 2 was in the Preschool classroom helping Staff # 7 with 22 children (ages 3-4 years old). Staff # 2 stated that between 10:30 am to 10:40 am, she had to leave the Preschool classroom for approximately 5 minutes. When Staff # 3 left the room, Staff # 7 had 22 children by herself.
3. The CSR for the Pre-K classroom dated 8/16/24 showed there were children ages 4-5 years old in the room.
3. The Pre-K (4 years old) CSR from 8/16/24 showed that Staff # 3 had 10 children until 8:03am. From 8:30 am to 11:04 am, 8 more children arrived to the room.
4. Staff # 3 was the only staff member with between 8:03 am to 11:04 am with a total of 18 children (ages 4-5 years old).
Plan of Correction: All staff completed CSR training on 8/16/24. Health and safety training on 8/16/24.
Standard 8VAC20-780-350-B-5
Based on staff interview and record review, the center did not maintain the 1 staff to 18 children ratio for children from 5-9 years of age.
Evidence: The School Age Child Supervision Record (CSR) dated 8/12/24 showed that between 1:40 pm to 3:07 pm, Staff # 6 was the only staff member with 22 children (ages 5 years to 10 years old).
Evidence: The School Age Child Supervision Record (CSR) dated 8/12/24 showed that between 1:40 pm to 3:07 pm, Staff # 6 was the only staff member with 22 children (ages 5 years to 10 years old).
Plan of Correction: All staff completed training on CSR training on 8/16/24.