Inspection · 2023-06-27
Date
2023-06-27
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
(703) 309-3963
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-790 Subsidy Regulations
Inspector Notes
An unannounced monitoring inspection was conducted today between the hours of 2:20pm-5:10pm. 51 children were observed directly supervised by 10 staff. The physical plant, 4 staff records, 5 children?s records, medications, evacuation drills, and emergency supplies were inspected. Children were observed engaging in free play, building with blocks, and identifying colors. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.
Violations
11Standard 8VAC20-770-60-C-2
Based on record review, the center did not have documentation of a central registry finding within 30 days of employment for 4 of 4 staff reviewed.
Evidence:
1. Staff #1 began employment on 11/23/2022. The record for Staff #1 did not contain documentation of the results of a Virginia central registry check.
2. Staff #2 began employment on 12/29/2022. The record for Staff #2 did not contain documentation of the results of a Virginia central registry check. The record contained documentation stating the central registry check was requested on 12/28/22; however there is no documentation in the record for Staff #2 indicating the center followed up regarding the results.
3. Staff #3 began employment on 2/6/2023. The record for Staff #3 did not contain documentation of the results of a Virginia central registry check.
4. Staff #4 began employment on 2/27/2023. The record for Staff #4 did not contain documentation of the results of a Virginia central registry check. The record contained documentation stating the central registry check was requested on 1/27/2023; however there is no documentation in the record for Staff #4 indicating the center followed up regarding the results.
Evidence:
1. Staff #1 began employment on 11/23/2022. The record for Staff #1 did not contain documentation of the results of a Virginia central registry check.
2. Staff #2 began employment on 12/29/2022. The record for Staff #2 did not contain documentation of the results of a Virginia central registry check. The record contained documentation stating the central registry check was requested on 12/28/22; however there is no documentation in the record for Staff #2 indicating the center followed up regarding the results.
3. Staff #3 began employment on 2/6/2023. The record for Staff #3 did not contain documentation of the results of a Virginia central registry check.
4. Staff #4 began employment on 2/27/2023. The record for Staff #4 did not contain documentation of the results of a Virginia central registry check. The record contained documentation stating the central registry check was requested on 1/27/2023; however there is no documentation in the record for Staff #4 indicating the center followed up regarding the results.
Plan of Correction: The center will provide documentation that the request was sent within 10 business days
Standard 8VAC20-780-130-A
Based on record review the center did not obtain documentation of immunizations before the first date of attendance for one child.
Evidence:
1. Child #3 began attending the center on 9/19/2022. The record for Child #3 does not contain documentation that the child has received the immunizations required by the State Board of Health.
Evidence:
1. Child #3 began attending the center on 9/19/2022. The record for Child #3 does not contain documentation that the child has received the immunizations required by the State Board of Health.
Plan of Correction: The center will ask the parent for the immunization document.
Standard 8VAC20-780-140-A
Based on record review, 1 of 5 children's records reviewed did not have documentation of a physical exam with 30 days of the child's first day.
Evidence:
1. Child #3 began attending the center on 9/19/2022. The record for Child #3 did not contain documentation of a physical exam.
Evidence:
1. Child #3 began attending the center on 9/19/2022. The record for Child #3 did not contain documentation of a physical exam.
Plan of Correction: The center will ask the parent for documentation of the physical exam.
Standard 8VAC20-780-160-A
Based on record review, 3 of 4 staff members did not obtain documentation of a negative tuberculosis screening within the last 30 calendar days prior to employment.
Evidence:
1. Staff #1 began employment on 11/23/2022. The results of the tuberculosis screening in the record for Staff #1 were dated 11/25/2022
2. Staff #2 began employment on 12/29/2022. The record for Staff #2 did not contain documentation of a negative tuberculosis screening.
3. Staff #3 began employment on 2/6/2023. The tuberculosis screening results in the record for Staff #3 were dated 6/17/2022, more than 30 days prior to the date of employment.
Evidence:
1. Staff #1 began employment on 11/23/2022. The results of the tuberculosis screening in the record for Staff #1 were dated 11/25/2022
2. Staff #2 began employment on 12/29/2022. The record for Staff #2 did not contain documentation of a negative tuberculosis screening.
3. Staff #3 began employment on 2/6/2023. The tuberculosis screening results in the record for Staff #3 were dated 6/17/2022, more than 30 days prior to the date of employment.
Plan of Correction: Staff will get new tuberculosis screening results.
Standard 8VAC20-780-240-A
Based on record review, 1 of 4 staff reviewed did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff #1 began employment on 11/23/2022. The record for Staff #1 did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course.
Evidence:
1. Staff #1 began employment on 11/23/2022. The record for Staff #1 did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course.
Plan of Correction: The center will verify with staff that the training has been completed. The completed training certificate will be placed in staff's record.
Standard 8VAC20-780-240-B
Based on record review, 1 of 4 staff reviewed did not complete orientation training within seven days of the date of employment.
Evidence:
1. Staff #4 began employment on 2/27/2023. The record for Staff #4 did not contain documentation of orientation training.
Evidence:
1. Staff #4 began employment on 2/27/2023. The record for Staff #4 did not contain documentation of orientation training.
Plan of Correction: The center will ensure the orientation has been completed and documentation of orientation will be placed in staff's record.
Standard 8VAC20-780-420-E-3
Based on record review, 1 of 5 children's records reviewed did not contain documented confirmation that the child's record is up to date.
Evidence:
1. The most recent confirmation in the record for Child #2 (8/31/2020) was dated 7/27/2021.
Evidence:
1. The most recent confirmation in the record for Child #2 (8/31/2020) was dated 7/27/2021.
Plan of Correction: The center will ask the parents for the information.
Standard 8VAC20-780-510-E
Based on review of medications, the center did not follow their procedures for administering long term medication.
Evidence:
1. Staff has administered medication to Child #9. The medication authorization on record for the medication is dated 1/3/2023-7/2/2023. The medication authorization form was not signed by the physician.
Evidence:
1. Staff has administered medication to Child #9. The medication authorization on record for the medication is dated 1/3/2023-7/2/2023. The medication authorization form was not signed by the physician.
Plan of Correction: The center will contact the parent to obtain a medication authorization that meets licensing standards for the duration of the authorization.
Standard 8VAC20-780-510-G
Based on observation and record review, 1 medication reviewed was not labeled with the child's name, dosage amount, and time to be given.
Evidence:
1. One medication for Child #8 did not contain the child's name, dosage amount, and time to be given.
Evidence:
1. One medication for Child #8 did not contain the child's name, dosage amount, and time to be given.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-780-510-P
Based on observation and record review, the center did not follow procedures regarding expired medication authorizations.
Evidence:
1. The medication authorization for Child #7 expired on 6/30/2022. The medication expired 12/2022. Medication was not picked up by the parent within 14 days or destroyed by the center.
Evidence:
1. The medication authorization for Child #7 expired on 6/30/2022. The medication expired 12/2022. Medication was not picked up by the parent within 14 days or destroyed by the center.
Plan of Correction: The center will contact the parents regarding the expired medication.
Standard 8VAC20-780-60-A
Based on record review, 2 of 5 children's records reviewed did not contain all required documentation.
Evidence:
1. The record for Child #1 did not contain documentation of the name and phone number of the second custodial parent's place of employment.
2. The record for Child #3 did not contain the name and phone number of the child's physician
Evidence:
1. The record for Child #1 did not contain documentation of the name and phone number of the second custodial parent's place of employment.
2. The record for Child #3 did not contain the name and phone number of the child's physician
Plan of Correction: The center will ask the parents for the information