Inspection · 2023-07-20
Licensing Inspector
Anita Drewry
(757) 404-5261
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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. 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 December 2, 2024 and concluded on December 3, 2024. The on-site inspection began at 3:10 pm and ended at 6:00 pm. The inspector reviewed compliance in the areas listed above. There were fifty-one children present and twelve staff. The inspector reviewed five children?s records and five staff records on-site on December 2, 2024 and electronically on December 3, 2024. An additional seven staff records were reviewed to verify background checks. 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 issued to the program.
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 December 16, 2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, #2, #3, #9, and #11, who had been employed employed between one month through four months, did not have documentation of date central registry search was requested to demonstrate they were requested prior to beginning employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5 and Staff #7, employed for more than five months, did not have documentation of requesting out of state central registry check and sex offender check for those states.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
(Repeat violation) For staff hired before July 1, 2024, centers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #4, #10 and #12 did not have a completed central registry and they have been employed between five months through a year.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5, who is working with children, has not yet completed this course which is overdue by two months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
The center shall ensure there is annual health inspection. The most recent health inspection report available for review was completed 7/20/2023 which is overdue by four months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list was not dated.
Plan of Correction: Not available online. Contact Inspector for more information.