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Horizons Unlimited Early Learning Center
221 Marston Avenue
Urbanna, VA 23175
(804) 758-0711

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Jan. 25, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
An unannounced Subsidy Health and Safety Inspection (SHSI) was conducted on January 25, 2019, from approximately 12:45 pm until 3:10 pm. Upon entrance there were 23 children and 5 staff present with children. There were additional staff on site for administrative and program purposes. The record review sample consisted of 5 children's records and 3 staff records. Children were observed during nap time and eating snack. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover the subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Areas of noncompliance are identified on the violation notice. The results of the inspection were reviewed and verified by the Program Director on this date. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:
Standard #: 22VAC40-665-500-F
Description: Based on observation and staff interviews, the vendor did not ensure to 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: During the inspection on January 25, 2019, in the Pre-K-1 there was a visible list posted of food allergies and a child's name (child #1) and the food restriction was listed and it was not dated. Center staff confirmed the child has a food restriction.

Plan of Correction: The vendor will remove the list and make a new list and keep it confidential and dated.

Standard #: 22VAC40-665-580-D
Description: Based on record review and staff interviews, the vendor did not ensure 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: During the inspection on January 25, 2019, there was not documentation of the required training topics for staff #1 (date of hire 1-1-18), staff #2 (date of hire 8-22-18) and staff #3 date of hire 12-27-18. The facility specific training topics not obtained are listed below; 1) Staff who work with children that have food allergies shall receive training in preventing exposure to foods to which the child is allergic, preventing cross contamination, and recognizing and responding to any allergic reactions 2) Emergency preparedness plan as required 3) Prevention of shaken baby syndrome and abusive head trauma including coping with crying babies and fussy or distraught children 4) Prevention of Sudden Infant Death Syndrome (SIDS) and Safe Sleep practices

Plan of Correction: The vendor will ensure training will be completed for all staff.

Standard #: 22VAC40-665-650-E
Description: Based on documentation review and staff interviews, the vendor did not ensure to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: During the inspection on January 25, 2019, there was not documentation of the required policy/procedure.

Plan of Correction: The vendor will develop procedure and include it in the policy.

Standard #: 22VAC40-665-770-B-5
Description: Based on documentation review and staff interviews, the vendor did not ensure to have in the emergency plan a written procedure for continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: During the inspection on January 25, 2019, there was not documentation of the required procedure.

Plan of Correction: The vendor will develop procedure and include it in the policy.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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