Inspection · 2021-05-11
Date
2021-05-11
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
(804) 625-2304
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
32.1 Report by person other than physician
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A code compliance inspection was initiated on 05/11/2021 and concluded on 05/11/2021. The director was contacted via video call to initiate the inspection. There were 19 children present and 3 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 6 staff records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the facility.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
Violations
3Standard 22VAC40-191-40-D-2
Based on staff record review, the center did not ensure five of six staff records had documentation of central registry results within 30 days of employment and/or a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (start date: 8/17/20) had documentation of a completed sworn statement or affirmation dated 10/8/20.
2. The record of staff #2 (start date: 8/17/20) had documentation of central registry results dated 10/14/20 and a completed sworn statement or affirmation dated 10/13/20.
3. The record of staff #4 (start date: 1/28/21) had documentation of a completed sworn statement or affirmation dated 5/11/21.
4. The record of staff #5 (start date: 8/17/20) had documentation of central registry results dated 11/23/20 and a completed sworn statement or affirmation dated 5/11/21.
5. The record of staff #6 (start date: 8/17/20) had documentation of a completed sworn statement or affirmation dated 10/12/20.
Evidence:
1. The record of staff #1 (start date: 8/17/20) had documentation of a completed sworn statement or affirmation dated 10/8/20.
2. The record of staff #2 (start date: 8/17/20) had documentation of central registry results dated 10/14/20 and a completed sworn statement or affirmation dated 10/13/20.
3. The record of staff #4 (start date: 1/28/21) had documentation of a completed sworn statement or affirmation dated 5/11/21.
4. The record of staff #5 (start date: 8/17/20) had documentation of central registry results dated 11/23/20 and a completed sworn statement or affirmation dated 5/11/21.
5. The record of staff #6 (start date: 8/17/20) had documentation of a completed sworn statement or affirmation dated 10/12/20.
Plan of Correction: All 6 of our staff members have both Central Registry Review results on file as well as their Sworn Statements. We have revised our personnel procedures in conjunction with hiring a new HR professional who will be responsible to ensure compliance. The new procedure calls for the completion of the Sworn Statement and Central Registry check within one week after a verbal offer of a position. A new staff member cannot begin work until the documentation is received with clearance to employ.
Standard 63.2(17)-1720.1-B-2
Based on staff record review, the center did not ensure four of six staff records had documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 10/13/20.
2. The record of staff #2 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 10/19/20.
3. The record of staff #5 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 5/6/21.
4. The record of staff #6 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 5/11/21.
Evidence:
1. The record of staff #1 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 10/13/20.
2. The record of staff #2 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 10/19/20.
3. The record of staff #5 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 5/6/21.
4. The record of staff #6 (start date: 8/17/20) had documentation of fingerprint based national criminal history search results dated 5/11/21.
Plan of Correction: All of our current faculty and staff have had their background checks successfully completed. We have revised our personnel procedures in conjunction with hiring a new HR professional who will be responsible to ensure compliance. The new procedure calls for the completion of the background check within one week after a verbal offer of a position. The new staff member cannot begin work until the report is received with clearance to employ.
Standard 63.2(17)-1720.1-B-4
Based on record review, the center did not ensure one of six staff records contained documentation of criminal history record results, a sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
Evidence:
1. The record of staff #5 (start date: 8/17/2020) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
2. The Sworn Statement or Affirmation for staff #5 indicated that the staff has lived in one other state within the past five years.
Evidence:
1. The record of staff #5 (start date: 8/17/2020) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
2. The Sworn Statement or Affirmation for staff #5 indicated that the staff has lived in one other state within the past five years.
Plan of Correction: The Consent to Release Information Form from the State of Indiana has been completed by Staff #5 and it has been emailed to [Indiana Representative] at DSS per instructions from the Indiana Office of Early Childhood and Out of School Learning. Their office indicated the background check process could take 5-10 days before a report is issued to us. We will forward a copy of the report once we receive it.
We have revised our personal procedures in conjunction with hiring a new HR professional who will be responsible to ensure compliance. All applications for successful applicants will be reviewed. Any individuals who have not lived in Virginia for the 5 years prior to applying will have to wait for the out-of-state review before a contract is signed.
Effective May, 17, 2021 for future staff
Effective May 18, 2021 for Staff #5.
We have revised our personal procedures in conjunction with hiring a new HR professional who will be responsible to ensure compliance. All applications for successful applicants will be reviewed. Any individuals who have not lived in Virginia for the 5 years prior to applying will have to wait for the out-of-state review before a contract is signed.
Effective May, 17, 2021 for future staff
Effective May 18, 2021 for Staff #5.