Inspection · 2021-09-20
(804) 588-2367
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.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.
A monitoring inspection was initiated on 09/20/2021 and concluded on 09/21/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 14 children present, ranging in ages from 3 to 5 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 2 child records and 2 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.
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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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
5Evidence:
1. The record of child #1 (DOE: 8/17/2021) contained a physical dated 4/3/2019.
2. Administration acknowledged that the physical did not meet the required time period.
Evidence:
1. The record of staff #1 (DOH: 7/1/2021) did not contain the results of a negative TB screening.
2. Administration acknowledged that the TB screening had not been completed.
Evidence:
1. The record of staff #1 (DOH: 7/1/2021) contained central registry findings dated 2/14/2020.
2. Administration acknowledged that the central registry findings were over 90 days prior to hire.
Evidence:
1. The record of staff #2 (DOH: 8/5/2020) did not contain the results of a central registry finding.
2. Administration stated that it had been completed but it could not be located.
Evidence:
1. The record of staff #1 (DOH: 7/1/2021) contained the results of a fingerprint background check dated 2/11/2020.
2. Administration acknowledged that the fingerprint check was completed more than 90 days prior to the employee's start date.