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Brunswick Academy Association, Inc.

Inspection · 2023-09-06

Date
2023-09-06
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced monitoring inspection was conducted on 9/6/2023. The inspector was on site from approximately 9:33 am-11:05 am. There were 31 children present, ranging in ages from 2 to 4 years, with 4 staff supervising. The inspector reviewed compliance in the areas
of administration, physical plant, staffing and supervision, programming, special care and emergencies, nutrition and background checks. A total of 5 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.

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

6
Standard 22.1-289.035-B-2
Based on a review of four staff records and interview, the center did not ensure to obtain a fingerprint background check for one staff prior to employment as required.

Evidence:
1. The record of staff #4 (date of employment:8/21/2023) did not contain a fingerprint background check.
2. Administration acknowledged that the results of the check had not been received.
Plan of Correction: HR is still waiting for the fingerprint background check results for Staff #4. HR will provide me with a copy of the results when received.
Standard 8VAC20-770-60-B
Based on a review of four staff records and interview, the center did not ensure to obtain a sworn statement background check for one staff prior to the first date of employment.

Evidence:
1. The record of staff #4 (date of employment: 8/21/2023) did not contain a sworn statement.
2. Administration acknowledged that the sworn statement had not been completed.
Plan of Correction: Staff #4 has completed the Sworn Statement.
Standard 8VAC20-780-130-A
Based on a review of five child records and interview, the center did not ensure that two children had received the immunizations required by the State Board of Health before the first date of attendance as required.

Evidence:
1. The records of child #2 (date of attendance: 8/21/2023) and child #5 (date of attendance: 8/21/2023) did not contain immunization records.
2. Administration acknowledged that the records had not been obtained.
Plan of Correction: I have reviewed all children's records. Requests have been made in writing for all missing copies of birth certificates, immunization records, and school entrance physical forms.
Standard 8VAC20-780-160-A
Based on a review of four staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff the time of employment and prior to coming into contact with children. The documentation must be completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Evidence:
1. The record of staff #4 (date of employment: 8/21/2023) did not contain a TB screening.
2. Administration acknowledged that a TB screening had not been obtained.
Plan of Correction: Staff #4 has the TB screening form and will make an appointment to get it completed ASAP.
Standard 8VAC20-780-60-A
Based on a review of five child records and interview, the center did not ensure that two children had a record that contained the required information.

Evidence:
1. The records of child #1 (date of enrollment: 8/21/2023) and child #2 (date of enrollment: 8/21/2023) did not contain documentation of viewing proof of the child's identity and age.
2. Administration acknowledged that the records did not contain documentation of viewing proof of the child's identity and age.
Plan of Correction: I have reviewed all children's records. Requests have been made in writing for all missing copies of birth certificates, immunization records, and school entrance physical forms.
Standard 8VAC20-780-70
Based on a review of four staff records and interview, the center did not ensure one record contained the required information.

Evidence:
1. The record of staff #4 (date of employment: 8/21/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. Administration acknowledged that the references had not been documented.
Plan of Correction: Staff #4 has provided me with two letters of reference.
View original record on Virginia Department of Social Services