Inspection · 2023-03-23
Date
2023-03-23
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
(804) 807-3277
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
Inspector Notes
An annual monitoring inspection was initiated on 03/23/2023 and concluded on 03/23/2023. The inspector was on site at the center from approximately 3:00pm to 5:30pm. There were 67 children in care with 5 staff supervising. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The center?s playground and all classrooms were inspected today. Seven children?s records and eight employee records were reviewed during this inspection. Information gathered during the inspection determined areas of noncompliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
If you have any questions regarding this inspection, please contact the licensing inspector at (804) 929-3771.
Violations
6Standard 22.1-289.031-A-4
Based on record review, the center did not
ensure each person in a supervisory position
has been certified by a practicing physician or
physician assistant to be free from any
disability which would prevent him from caring
for children under his supervision.
Evidence:
1. The record of staff #4 (employment date:
3/20/2023) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
2. The record of staff #5 (employment date:
9/22/2022) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
3. The record of staff #6 (employment date:
7/25/2022) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
4. The record of staff #8 (employment date:
1/23/2023) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
ensure each person in a supervisory position
has been certified by a practicing physician or
physician assistant to be free from any
disability which would prevent him from caring
for children under his supervision.
Evidence:
1. The record of staff #4 (employment date:
3/20/2023) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
2. The record of staff #5 (employment date:
9/22/2022) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
3. The record of staff #6 (employment date:
7/25/2022) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
4. The record of staff #8 (employment date:
1/23/2023) did not have documentation showing
that they have been certified by a practicing
physician or physician assistant to be free from
any disability which would prevent him from
caring for children under his supervision.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-B-3
Based on record review and an interview, the
center did not ensure to have at least one
person on staff that has been trained to
conduct daily simple health screenings of
children.
Evidence:
During the inspection of eight staff records and
an interview with the center representative, it
was discovered there were no staff that
received training in daily health screenings
within the past three years. Religious exempt
requirements stipulate that a staff should be
able to conduct a daily simple health screening
and exclusion of sick children by a person
trained to perform such screenings. Daily
health screenings should be completed every
three years.
center did not ensure to have at least one
person on staff that has been trained to
conduct daily simple health screenings of
children.
Evidence:
During the inspection of eight staff records and
an interview with the center representative, it
was discovered there were no staff that
received training in daily health screenings
within the past three years. Religious exempt
requirements stipulate that a staff should be
able to conduct a daily simple health screening
and exclusion of sick children by a person
trained to perform such screenings. Daily
health screenings should be completed every
three years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-B-4
Based on observation, the center did not
ensure that all children in the center are in
compliance with the provisions of ? 32.1-46
regarding the immunization of children against
certain diseases.
Evidence:
1. The record of child #2 (enrollment date:
8/17/2022) did not have documentation of
immunizations.
ensure that all children in the center are in
compliance with the provisions of ? 32.1-46
regarding the immunization of children against
certain diseases.
Evidence:
1. The record of child #2 (enrollment date:
8/17/2022) did not have documentation of
immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-A
Based on record review, the facility failed to obtain repeat sworn statement or affirmation
for one staff within five years since the date of the last completed sworn statement or affirmation.
Evidence:
1. The record of staff #3 (employment date: 11/8/2012) had documentation of sworn statement or affirmation dated 12/6/2012.
for one staff within five years since the date of the last completed sworn statement or affirmation.
Evidence:
1. The record of staff #3 (employment date: 11/8/2012) had documentation of sworn statement or affirmation dated 12/6/2012.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Based on record review, the center did not
ensure five of eight staff records contained
documentation of fingerprint based national
criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (employment date:
11/7/2022) had documentation of
fingerprint based national criminal history
search results dated 11/9/2022.
2. The record of staff #2 (employment date:
8/19/2022) had documentation of
fingerprint based national criminal history
search results dated 3/3/2023.
3. The record of staff #3 (employment date:
11/8/2012) did not have documentation of
fingerprint based national criminal history
search results.
4. The record of staff #4 (employment date:
3/20/2023) did not have documentation of
fingerprint based national criminal history
search results.
5. The record of staff #5 (employment date:
9/22/2022) did not have documentation of
fingerprint based national criminal history
search results.
6. The record of staff #6 (employment date:
7/25/2022) did not have documentation of
fingerprint based national criminal history
search results.
7. The record of staff #8 (employment date:
1/23/2023) did not have documentation of
fingerprint based national criminal history
search results.
ensure five of eight staff records contained
documentation of fingerprint based national
criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (employment date:
11/7/2022) had documentation of
fingerprint based national criminal history
search results dated 11/9/2022.
2. The record of staff #2 (employment date:
8/19/2022) had documentation of
fingerprint based national criminal history
search results dated 3/3/2023.
3. The record of staff #3 (employment date:
11/8/2012) did not have documentation of
fingerprint based national criminal history
search results.
4. The record of staff #4 (employment date:
3/20/2023) did not have documentation of
fingerprint based national criminal history
search results.
5. The record of staff #5 (employment date:
9/22/2022) did not have documentation of
fingerprint based national criminal history
search results.
6. The record of staff #6 (employment date:
7/25/2022) did not have documentation of
fingerprint based national criminal history
search results.
7. The record of staff #8 (employment date:
1/23/2023) did not have documentation of
fingerprint based national criminal history
search results.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-40-D-2
Based on record review, the center did not ensure eight of eight staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (employment date: 11/7/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
2. The record of staff #2 (employment date: 8/19/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
3. The record of staff #3 (employment date: 11/8/2012) did not have documentation of central registry results.
4. The record of staff #4 (employment date: 3/20/2023) did not have documentation of a completed sworn statement or affirmation.
5. The record of staff #5 (employment date: 9/22/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
6. The record of staff #6 (employment date: 7/25/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
7. The record of staff #7 (employment date: 10/31/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
8. The record of staff #8 (employment date: 1/23/2023) did not have documentation of central registry results and a completed sworn statement or affirmation.
Evidence:
1. The record of staff #1 (employment date: 11/7/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
2. The record of staff #2 (employment date: 8/19/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
3. The record of staff #3 (employment date: 11/8/2012) did not have documentation of central registry results.
4. The record of staff #4 (employment date: 3/20/2023) did not have documentation of a completed sworn statement or affirmation.
5. The record of staff #5 (employment date: 9/22/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
6. The record of staff #6 (employment date: 7/25/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
7. The record of staff #7 (employment date: 10/31/2022) did not have documentation of central registry results and a completed sworn statement or affirmation.
8. The record of staff #8 (employment date: 1/23/2023) did not have documentation of central registry results and a completed sworn statement or affirmation.
Plan of Correction: Not available online. Contact Inspector for more information.