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Cape Henry Collegiate

Inspection · 2024-09-20

Date
2024-09-20
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 09/20/2024 and completed on 09/20/2024. The in-site inspection began at 9:45 am and ended at 1:46 pm. The inspector reviewed compliane in the areas listed above. There were 55 children present and 9 staff. The inspector reviewed 6 children's records and 12 staff records on-site.

This inspection included:
*Document reviewed ( injury logs, policies & procedures, emergency drill logs, medication administration logs and authorization forms)
*Tour of the facility
*Interviews
*Observations

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.

Violations

6
Standard 22.1-289.035-A
All applicants employees shall undergo a background check every five years thereafter.

1. The most recent criminal record check and central registry check for staff 5 was completed six years ago.
2. The most recent criminal record check for staff 6 was completed six years ago and the central registry check was completed more than five years ago.
3. The most recent criminal record check for staff 7 was completed more than five years ago and the central registry check was completed more than six years ago.
4. The most recent criminal record check for staff 8 was completed more than five years ago.
5. The most recent central registry check for staff 9 was completed more than six years ago.
Plan of Correction: Administrative staff stated that all background checks will be updated every five years as required.
Standard 22.1-289.035-B-1
Prior to employment staff shall provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

Staff 2, who has been employed for 13 months, does not have a completed sworn statement or affirmation on file.
Plan of Correction: Administrative staff stated that staff 2 will complete a sworn statement or affirmation.
Standard 22.1-289.035-B-4
The facility shall obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Staff 1, who has been employed for 32 months, does not have a search of the child abuse and nglect registry from another state she has resided in within the past five years.
Plan of Correction: Administrative staff stated that the out-of-state background check will be requested.
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Staff 3 has not obtained an updated TB screening as the most recent screeing was completed 3 years ago.
Plan of Correction: Administrative staff stated that an updated TB screening will be obtained for staff 3.
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

1, The following staff do not have documentation that they have completed the Virginia Department of Education-sponsored orientation course.
a. Staff 1 - employed for 32 months;
b. Staff 2 - employed for 13 months;
c. Staff 3 - employed for 33 months;
d. Staff 4 - employed for 17 months.
Plan of Correction: Administrative staff stated that all staff are in the process of completing this training.
Standard 8VAC20-780-430-C
Play equipment used by children shall have no pinch points.

The steering wheel on the preschool outdoor play structure was loose creating a pinch point when the wheel moved back and forth from the metal attachment.
Plan of Correction: The steering wheel was repaired during the inspection.
View original record on Virginia Department of Social Services