Inspection · 2024-02-14
Date
2024-02-14
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 on 2/14/2024 and completed on 2/20/2024. The inspector was on site from 9:50am until 2:10pm.
There were 136 children, ages 3 month to 5 years old under the supervision of 23 staff. Children were observed during indoor free play, outdoor play, lunch and nap time. Eight children's records and eight 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
9Standard 8VAC20-780-130-A
Based on record review and staff interviews, the center failed to obtain documentation that each child has received immunizations required by the State Board of Health the child can attend the center.
Evidence:
1.The record for Child 5 with an enrollment date of 3/21/2023, did not contain documentation that they received the immunizations required by the State Board of Health during the inspection on 2/14/2024.
Evidence:
1.The record for Child 5 with an enrollment date of 3/21/2023, did not contain documentation that they received the immunizations required by the State Board of Health during the inspection on 2/14/2024.
Plan of Correction: The PD will ensure that the physical will be before child's first day or within 30 days after first attendance. The family has until 3-8 to turn in and if not, the care will be discontinued.
Standard 8VAC20-780-140-A
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:
1.Child #5, which was enrolled on 3/21/2023 had no documentation of a physical on file during the inspection on 2/14/2024.
Evidence:
1.Child #5, which was enrolled on 3/21/2023 had no documentation of a physical on file during the inspection on 2/14/2024.
Plan of Correction: The PD will ensure that before enrollment that the child has the immunizations in in first day. The family has until 3-8 to turn in and if not, the care will be discontinued.
Standard 8VAC20-780-160-A
Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children.
Evidence:
1.Staff #4, which was hired on 12/5/2022 had a TB screening on file dating 12/6/2022 during the inspection on 2/14/2024.
Evidence:
1.Staff #4, which was hired on 12/5/2022 had a TB screening on file dating 12/6/2022 during the inspection on 2/14/2024.
Plan of Correction: The HR department will ensure that all TB's are done before the hire date.
Standard 8VAC20-780-160-C
Based on record review, the center failed to ensure each staff member has a documented TB test or screening every two years.
Evidence: Staff #3, with a hire date of 10/30/2020 had a TB screening dated 1/24/2023.
Evidence: Staff #3, with a hire date of 10/30/2020 had a TB screening dated 1/24/2023.
Plan of Correction: The staff person had completed a TB when hired however the updated one was in the file.
Standard 8VAC20-780-270-A
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 3 classroom, there was a children?s coat rack that had come unattached from the wall. The coat rack was hanging by one screw. The hooks from the coat rack were on the same level as the children, causing an hazard to the children.
Evidence:
1.In the Preschool 3 classroom, there was a children?s coat rack that had come unattached from the wall. The coat rack was hanging by one screw. The hooks from the coat rack were on the same level as the children, causing an hazard to the children.
Plan of Correction: Fixed on 2/15/24.
Standard 8VAC20-780-280-B
Based on observation, the center failed to ensure that hazardous substances,
shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1.In the pre-k 1 classroom, the chemicals were unlocked. The locking mechanism used to lock the cabinets was unlocked.
2.In the preschool 3 classroom, the cleaning supplies were under the sink in the children?s bathroom. There was no lock on the cabinet.
shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1.In the pre-k 1 classroom, the chemicals were unlocked. The locking mechanism used to lock the cabinets was unlocked.
2.In the preschool 3 classroom, the cleaning supplies were under the sink in the children?s bathroom. There was no lock on the cabinet.
Plan of Correction: Chemicals were removed them that day, and we replaced the lock.
Standard 8VAC20-780-500-B
Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering or changing.
Evidence:
1.In the toddler room, the pad used for diapering changing had rips in the mat.
Evidence:
1.In the toddler room, the pad used for diapering changing had rips in the mat.
Plan of Correction: A new changing pad has been ordered.
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:
1.In the toddler classroom, there were two bottles in the fridge that had no label to show ownership or dates.
Evidence:
1.In the toddler classroom, there were two bottles in the fridge that had no label to show ownership or dates.
Plan of Correction: They do not have bottles in that room and the children came in with them that morning. The PD has spoken with the teachers to ensure that all bottles are labeled with dates even if they are not going to use them.
Standard 8VAC20-780-70
REPEAT VIOLATION
Based on staff record review, the center failed to ensure that each staff member had two or more references checked before employment or volunteering.
Evidence:
1.Staff #3, who was hired on 10/30/2020 had reference checks on file but they had no dates.
2.Staff #7, who was hired on 10/4/2021 had reference check dated for 10/14/2021.
Based on staff record review, the center failed to ensure that each staff member had two or more references checked before employment or volunteering.
Evidence:
1.Staff #3, who was hired on 10/30/2020 had reference checks on file but they had no dates.
2.Staff #7, who was hired on 10/4/2021 had reference check dated for 10/14/2021.
Plan of Correction: The HR department will ensure that all references will have dates and will be checked before the hire date.