Inspection · 2021-10-26
(804) 807-3278
Areas Reviewed
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2(17) License & Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated on October 26, 2021 and concluded on October 26, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 65 children present, ranging in ages from 6 months to 5 years, with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 4 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
New requirements became effective on October 13, 2021. The facility has not yet [fully] complied with the following requirement(s): Written procedures for the prevention of shaken baby syndrome or abusive head trauma, coping with crying, safe sleep practices, and sudden infant death syndrome (8VAC20-780-40) and Emergency Preparedness (8VAC20-780-550). The facility is to review the new requirements and work with their assigned inspector to ensure future compliance.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Violations
1Evidence: 1. The record of Staff #3 (DOH 7/1/18) contained documentation of an out-of-state sex offender registry check dated 4/22/21.
2. Administration acknowledged the checks were not completed by the deadline.