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Inspection · 2024-10-25

Date
2024-10-25
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 10/25/2024 and completed on 10/25/2024. The on-site inspection began at 10:18 am and ended at 2:15 pm. The inspector reviewed compliance in the areas listed above. There were 37 children present and seven staff. The inspector reviewed five children?s records and five staff records on-site on 10/25/2024.

This inspection included document review, tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/6/2024. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The central registry finding in the record for Staff #2 was completed one month after it expired.
Plan of Correction: The HR Manager and the Center Director will collaborate to ensure all background checks are done prior to expiration date.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

The tuberculosis screening in the record for Staff #1 was completed two weeks after its expiration date.
Plan of Correction: The HR Manager and the Center Director will collaborate to ensure employees TB screenings are done prior to expiration date.