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Clover Hill Children's Center

Inspection · 2022-04-06

Date
2022-04-06
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Early Childhood Care and Education

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 April 6, 2022 and concluded on April 6, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 97 children present, ranging in ages from 8 months to 11 years, with 19 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 5 child records and 5 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.

The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification date, April 6, 2022.

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. 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 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

7
Standard 22.1-289.035-B-2
Based on a review of records and interview on April 6, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: 1. The record of staff #4 (hired 2/17/22) contained documentation of fingerprints dated 2/18/22.
2. The record of staff #5 (hired 12/6/21) contained documentation of fingerprints dated 12/7/21.
3. Administration acknowledged the fingerprints were late.
Plan of Correction: We will no longer begin any employee paperwork before fingerprint results are back.
Standard 22.1-289.035-B-4
Based on a review of staff records and interview on April 6, 2022, the center did not obtain results of a check of the out-of-state criminal history record check and out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years.
Evidence: 1. The record of staff #1 (hired 3/9/22) did not contain documentation of an out-of-state criminal history check, sex offender registry check, and central registry check. Staff #1 indicated living in two other states in the previous five years on the staff's sworn disclosure statement.
2. The record of staff #2 (hired 1/25/22) did not contain documentation of an out-of-state criminal history check for two states, a sex offender check and central registry check for two states. Staff #2 indicated living in three other states in the previous five years on the staff's sworn disclosure statement.
3. Administration confirmed the out-of-state background checks were not completed.
Plan of Correction: A background check has been applied for 4/7/22 (sent to inspector). For future plan, these out of state checks will be sent at the time of VA background checks.
Standard 8VAC20-770-60-C-2
Based on a review of staff records and interview on April 6, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: 1. The record of staff #4 (hired 2/17/22) did not contain documentation of a central registry check.
2. Administration acknowledged the result was not complete.
Plan of Correction: Written documentation of central registry follow-up will be placed inside staff files.
Standard 8VAC20-780-140-A
Based on a review of children's records on April 6, 2022, the center did not ensure to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance.
Evidence: The record of child #3 (enrolled 11/15/21) contained documentation of a physical dated 4/5/22. Administration confirmed it was late.
Plan of Correction: All children's enrollment paperwork will be complete before child is able to attend.
Standard 8VAC20-780-260-A
Based on a review of records and interview, the center did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence: The record of the annual fire inspection is dated 1/19/21. Administration acknowledged they did not contact the local fire official until 3/31/22.
Plan of Correction: Recontacted 4/7/22 waiting for call back. Will continue to call until appointment made. Scheduled 4/13/22 at 10am.
Standard 8VAC20-780-340-D
Based on a review of staff records and interview on April 6, 2022, the center failed to ensure that there is a qualified program leader regularly present in each grouping of children.
Evidence: Staff #4 was identified by administration as the program leader for the 4 year old classroom. Administration reported staff #4 works as the only teacher in the room Monday-Friday from 3-6pm. Administration reported that staff #4 does not have 6 months programmatic experience. The record of staff #4 did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Staff #4 does not meet the qualifications for the position.
Plan of Correction: Staff 4 is working on obtaining copy of the high school diploma as well as prior experience working at another center. Until this is received, staff 4 will not be alone with children. For future hiring we will obtain educational documents & more in depth work history.
Standard 8VAC20-780-70
Based on a review of staff records and interview on April 6, 2022, the center did not ensure that each staff record contains all required information.
Evidence: 1. The record of staff #4 (hired 2/17/22) contained documentation of references that were checked after employment dated 2/21/22. Administration acknowledged they were late.
2. The record of staff #3 (hired 2/11/22) did not contain documentation of 24 hours of program leader training. Administration reported that staff #3 is a program leader and they have not documented the required training in the staff's record.
Plan of Correction: Future prevention plan is to ensure no paperwork for new staff done before criminal fingerprints are back. A checklist has been added to notate the 24 hours training and will begin during orientation.
View original record on Virginia Department of Social Services