Inspection · 2021-11-17
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interview, and a virtual tour of the program.
A monitoring inspection was initiated on 11/17/21 and concluded on 11/22/21. The director was contacted by telephone and a virtual inspection was conducted. There were 25 children present, ranging in age from two-years to five-years-old, with five staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of three child records and three 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.
If you have questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.
Standard 22VAC40-185-160-A
Based on review of three staff records and interview with the provider, the center did not ensure that a staff member submitted documentation of a negative tuberculosis (TB) screening within 21 days of employment. Evidence: The record for Staff C, with a start date of 8/23/21, did not contain the results of a negative TB screening.
Plan of Correction: Staff C was given and completed a tuberculosis screening. Results are negative. Staff will be given materials at interview in the future.
Standard 22VAC40-185-160-C
Based on review of three staff records and interview with the provider, the center did not ensure that a staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: The most recent TB screening on record for Staff A was dated 1/5/19.
Plan of Correction: Staff A was given a tuberculosis screening and will return results by 12/17/21.
Standard 63.2(17)-1721.1-B-2
Based on review of three staff records and interview with the provider, the center did not obtain the results of a national fingerprint background check prior to date of hire for one staff. Evidence: The start date submitted by the center for Staff B was 8/23/21. Staff B's orientation was dated 8/23/21. The national fingerprint background check results on record for Staff B were dated 8/24/21.
Plan of Correction: Fingerprints are on record. The next director has been informed of the requirement and will be alert for issues.
Standard 63.2(17)-1721.1-B-4
Based on review of three staff records and interview with the provider, the center did not obtain the results of a criminal history record check or sex offender registry check from all states in which staff members have resided within the past five years prior to employment, or the results of a central registry check from all states in which staff members have resided within the past five years within 30 days of employment. Evidence: 1. The sworn statement on record for Staff B, dated 5/9/21, indicated that the staff member had lived in California within the past five years. The record for Staff B, with a start date of 8/23/21, does not contain the results of a criminal history record check, sex offender registry check, or central registry check from California. 2. The sworn statement on record for Staff C, dated 9/29/20, indicated that the staff member had lived in New Mexico within the past five years. The record for Staff C, with a re-hire date of 8/23/21, does not contain the results of a criminal history record check or central registry check from New Mexico.
Plan of Correction: Checks have been located and distributed. All checks will be sent by the end of next week, 12/17/21. Results may take longer to come in, but the next Director has been informed and will give all appropriate checks at interview in the future.