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Bears and Blankets Academy of Early Learning

Inspection · 2024-05-20

Date
2024-05-20
Complaint Related
No
Licensing Inspector
Beth Orebaugh
(540) 847-9173
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A renewal inspection was initiated on 05/20/2024 and concluded on 05/20/2024 from 11:50 AM to 2:30 PM. There were 74 children present, ranging in ages from infants to five with 14 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of seven children?s records and the five staff/agent records were reviewed/updated.

Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. The date the POC is due is close of business Tuesday, June 6, 2024. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

4
Standard 22.1-289.036-A
Based on record review, the center failed to obtain the required repeat background checks for one agent on the business entity every five years.

Evidence:
1. The record of Agent 2 did not have updated fingerprint based national criminal record background check. The documentation of the fingerprint based national criminal record background check was dated 04/13/20218.
2. Administration confirmed Agent 2 did not have an updated fingerprint background check.
Plan of Correction: Fingerprint record already completed and received.
Standard 8VAC20-780-160-A
REPEAT VIOLATION/SYSTEMIC DEFICIENCY

Based on a review of staff records, the center failed to ensure each staff member completed tuberculosis screening within the last 30 calendar days prior to beginning employment.

Evidence:
1. The record of Staff 3 (DOH: 04/12/2024) contained documentation of a tuberculosis screening dated 02/19/2024.
2. The record of Staff 5 (DOH: 02/01/2024) contained documentation of a tuberculosis screening dated 11/27/2023.
3. Administration confirmed the dates of the documentation for Staff 3 and Staff 5.
Plan of Correction: will ensure TB screenings are secured no more than 30 days before employment going forward
Standard 8VAC20-780-550-B
Based on a review of the emergency preparedness plan the center did not ensure the emergency preparedness plan contained all procedural components.

Evidence:
1.The emergency preparedness plan did not contain the following components: 1) securing emergency contact information and information on allergies or food intolerances; 2)methods to ensure any health care needs to include medications and care plans; emergency contact information for staff; and supplies are taken to the assembly point or relocation site; 3) includes method of communication with emergency responders; and 4) procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
2. The emergency preparedness plan was not updated when program moved to the new building in 05/2023.
3. Administration confirmed that the emergency plan was not updated.
Plan of Correction: continuing to work on updating the plan and will review annually.
Standard 8VAC20-780-70
Based on a review of records, the center failed to ensure that each staff record contains all required documentation.

Evidence:
1. The record of Staff 4 contains only one reference.
2. Administration confirmed that there are not two references for Staff 4.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services