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Tuckaway-Barony Child Development Center

Inspection · 2021-11-03

Date
2021-11-03
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
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 contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on 11/03/2021 and concluded on 11/03/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 44 children present with seven 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.

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 the date of receipt. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).

Violations

3
Standard 22VAC40-185-160-C
Based on a review of three staff records and interview, the center did not ensure one staff member resubmitted the results of a follow-up tuberculosis (TB) screening every two years from the date of the first initial screening or testing.

Evidence: 1) The most recent tuberculosis (TB) screening results in the record for Staff #3, hired on 07/10/2007, were dated 04/04/2018. The TB expired on 04/04/2020. 2) During interview, a member of management confirmed this is the most recent TB screening on file for Staff #3. Staff should resubmit TB test results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.
Plan of Correction: Per the Center: "During the pandemic, it was hard to get TB tests. Staff #3 got theirs done 11/12/21. Going forward the director will maintain staff TB tests."
Standard 22VAC40-185-70-A
Based on a review of three staff records and interviews, the center did not ensure that one staff record contained all the required information.

Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #1, hired on 07/01/2021, were dated 09/08/2021. 2) During interview, a member of management acknowledged the TB results for Staff #1 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.
Plan of Correction: Per the Center: "During the pandemic, it was hard to get TB tests. The director will ensure going forward that they are done in time."
Standard 22VAC40-191-60-C-2
Based on a review of three staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The central registry finding in the record for Staff #1, hired on 07/01/2021, was dated 08/18/2021. 2) During interview, a member of management reported the central registry finding for Staff #1 had not been received within 30 days of employment.
Plan of Correction: Per the Center: "The director will set a calendar reminder at day of hire to follow up with central registry if she has not received findings."
View original record on Virginia Department of Social Services