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Community Improvement Council, Inc.

Inspection · 2023-09-27

Date
2023-09-27
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
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
20 ACCESS TO MINOR?S RECORDs
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT

Inspector Notes

An unannounced monitoring inspection was conducted on 09/27/2023. There were 135 children, ages 3 years-4 years, 18 staff providing direct care and supervision, and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies and nutrition. The children were observed in the following activities: participating in a special art project, free choice play in centers, participating in learning activities, during lunch, and preparing for rest time. A total of 10 children?s records, 10 staff records, and 1 medication were reviewed during the inspection. The inspector arrived for the inspection at 9:45 am and departed at 12:45 pm.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations

2
Standard 8VAC20-780-160-C
Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.

Evidence:
1. The most recent tuberculosis screening in the record for Staff 4 was dated 09/08/2021; there was not a follow-up tuberculosis screening for 2023 available for review.
2. The most recent tuberculosis screening in the record for Staff 6 was dated 08/14/2021; there was not a follow-up tuberculosis screening for 2023 available for review.
Plan of Correction: Will get them done by Monday.
Standard 8VAC20-780-80-A
Based on record review and staff interviews, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: The written record of daily attendance in Class 3 did not document the departure of each child as it occurred on 09/26/2023. Staff 7 confirmed that the departure of each child had not been documented on that date.
Plan of Correction: Reviewed with staff during the inspection. Will document the arrival and departure as it occurs.
View original record on Virginia Department of Social Services