VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Toras Chaim
3110 Sterling Point Drive
Portsmouth, VA 23703
(757) 686-2480

VDSS Contact: Rene Old (757) 404-1784

Inspection Date: June 7, 2024

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 32.1 Report by person other than physician 63.2 Child abuse and neglect 8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Technical Assistance:

The following was reviewed and discussed with the program director: 1. Background check requirements effective July 1, 2024; 2. Standard 640.A - All hazardous chemicals must be maintained a locked place when not in use; 3. Standard 760.B.6 - Diapers shall be disposed of in a foot operated system that does not allow for staff member's hands to touch the exterior surface during disposal; 4. Standard 760.B.8 - Procedures for cleaning and sanitizing diapering surface reviewed: 5. Standard 820.E - Infant bottles of formula shall be dated ( and labeled w/ child's name); 6. Standard 670.E - Staff shall be counted in the required staff-to-children ratio only when they are directly supervising children. Additionally reviewed requirements for staff TB screening and out-of-state background checks. Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

A subsidy health and safety inspection was conducted on 06/07/2024 from 10:20 am - 2:30 pm. There were 46 children present with 10 staff supervising. Children were observed during morning program time which included classroom activities and outdoor play. Records reviewed for 10 staff and 5 children. Information gathered during the inspection determined non-compliance with applicable standards and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-560-A
Description:	Based on record review and interview the vendor failed to ensure that staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. Staff 1, hire date 03/09/2024, lacks written documentation of a TB screening. 2. Administrative staff confirmed that staff 1 had not obtained a TB screening.
Plan of Correction:	Staff 1 will obtain a TB screening. Going forward all staff will obtain a TB screening prior to employment. The screening will be completed within 30 days prior to hire.
Standard #:	8VAC20-790-600-C
Description:	Based on record review and interview, the vendor failed to ensure that orientation training for staff shall be completed on the following facility specific topics prior to the staff member working alone with children and within seven days of the date of employment or the date of subsidy vendor approval. Evidence: 1. 9 of 10 staff records reviewed lacked documentation that staff had completed orientation training as required within seven days of the date of employment or subsidy vendor approval. 2. Administrative staff confirmed that documentation of subsidy specific orientation training had not been completed for these staff.
Plan of Correction:	The orientation forms are all filled out. All staff signed off individually and each staff received a refresher training.
Standard #:	8VAC20-790-630-A
Description:	Based on observation, the vendor failed to ensure that areas and equipment of the center shall be maintained in a safe condition. Unsafe conditions shall include components that entangle clothing or skin; and unstable heavy equipment, furniture, or other items that a child could pull down on himself. Evidence: 1. Two storage units in the four-year old classroom was not secured to the wall. This is a toppling hazard. 3. Dangling and accessible cords, from an air purification unit, were observed in the three-year old classroom. This is an entanglement hazard. 3. The storage of an air purification unit on top of the refrigerator, in the three-year old classroom, is a toppling hazard.
Plan of Correction:	Building maintenance will secure shelving. The air purifier was put on the floor and the cord wrapped.
Standard #:	8VAC20-790-800-A-3
Description:	Based on record review and interview, the vendor failed to ensure that lockdown procedures shall be practiced at least annually. Evidence: 1. The emergency practice log did not indicate that any lockdown drills had been conducted in 2023. 2. Administrative staff confirmed that a lockdown drill had not been completed in 2023.
Plan of Correction:	We had our first lockdown drill on 06/10/2024. Lockdown drills will be completed at least 1x annually going forward.