VIRGINIA DEPARTMENT OF SOCIAL SERVICES

HRCAP St. Mary's Head Start
921 Holt Street
Norfolk, VA 23504
(757) 965-3027

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Dec. 4, 2023

Complaint Related: 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. 8VAC20-770 Background Checks (8VAC20-770) 22 Checks Code, Carbon Monoxide.1 Background 63.2 Child Abuse & Neglect

Technical Assistance:

The designated emergency contacts should be individuals that are different from the child's parents. Standard 280.H was reviewed in terms of staff purses.

Comments:

An unannounced renewal inspection was conducted on 12/04/2023 from 10:20 am - 12:10 pm. At the time of entrance there were 21 preschool children in care with four teaching staff. Children were observed during morning program time and lunch. Records were reviewed for four children and six staff. Based on the information gathered violations were found in the areas of administration, physical plant and emergency supplies. These violations are listed on the violation notice issued to the facility and were reviewed with administrative staff at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-780-40-M
Description:	Based on review and interview, it was determined that the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The allergy list for the facility was not maintained in classroom A. a. Classroom staff confirmed the allergy list was not maintained in their classroom.
Plan of Correction:	Administrative staff stated that the allergy listed will be posted in all classrooms going forward.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center failed to ensure that children's records contain all of the required elements. Evidence: 1. The enrollment record for child 1 lacks a second emergency contact. Two are required. 2. The enrollment record for child 2 lacks two emergency contacts. 3. The enrollment record for child 3 lacks two emergency contacts. 4. The enrollment record for child 4 lacks a second emergency contact. a. The address is not listed for the first emergency contact. 5. Staff indicated that this information was not on file in the record or elsewhere.
Plan of Correction:	Administrative staff stated that each parent will be asked to provide emergency contacts.
Standard #:	8VAC20-780-245-J-3
Description:	Based on record review and interview, the center failed to ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member with current medication administration certification.(MAT) Evidence: 1. There was a child in care with an emergency medication on hand however, none of the staff in the facility during the inspection were MAT certified. 2. The MAT certified individual was not present and staff present all verified they did not hold a current MAT certificate.
Plan of Correction:	Administrative staff stated that the MAT certified teacher was unexpectedly absent. Going forward a system will be put in place to ensure a MAT certified individual is present when children are in care who may require administration of emergency medications.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that areas and equipment of the center shall be maintained in a clean and operable condition. Evidence: 1. The window blinds in classroom A were not operable as they were broken and hanging & dangling down by one thread. a. One set of blinds had warped blind slats; b. A second set of blinds was broken off at the bottom and dangling by two blind cords; c. A third set of blinds was completely broken from the top and dangling down on the window ledge by one blind cord. 2. Approximately 30 dead flies were observed on one window ledge in classroom A. a. There was widespread areas of dirt and debris around this window ledge and window seal. b. Approximately 7 dead flies were observed on a second window ledge in classroom A
Plan of Correction:	Administrative staff stated that a maintenance request will be placed to have the areas around the windows cleaned and blinds repaired or removed or replaced.
Standard #:	8VAC20-780-280-B
Description:	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. Two bottles of hand sanitizer were stored on the window ledge in classroom A. a. These bottles were within reach of children in care and contained multiple warning labels indicating the contents as hazardous.
Plan of Correction:	Hand sanitizer was removed and locked up during inspection. Administrative staff stated that staff will be reminded that these products are considered hazardous and must be maintained in a locked location.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interview, the center failed to ensure there was one working battery-operated radio in each building used by children. Evidence: 1. The radio lacked working batteries. a. Administrative staff stated additional batteries were not available for the radio.
Plan of Correction:	Administrative staff stated that working batteries will be obtained for the radio.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interview, the center failed to ensure there was one working battery-operated radio in each building used by children. Evidence: 1. The radio lacked working batteries. a. Administrative staff stated additional batteries were not available for the radio.
Plan of Correction:	Administrative staff stated that working batteries will be obtained for the radio.