Inspection · 2024-10-23
(804) 929-3771
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site renewal inspection was initiated and completed on 10/23/2024. The on-site inspection began at 9:55 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 74 children present and 16 staff. The inspector reviewed 7 children?s records and 5 staff records on-site.
The inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/06/2024. A POC submitted after this date will not appear on the public website.
Violations
6Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
1. The screening for staff #1 was completed 4 days after employment.
2. The screening for staff #2 has not been completed. Staff #2 has been employed for 3 weeks.
3. The screening for staff #3 was completed 3 weeks after employment.
4. The screening for staff #4 was completed 2 days after employment.
A tuberculosis (TB) screening is required every two years from the last screening.
The initial screening for staff #5 was completed on 08/11/2022 and the follow up screening was completed on 09/11/2024.
There were two high chairs in the infant room that had the legs removed. The seat portion of the high chairs were bolted to a piece of wood that was attached to the wall. The high chairs were not being used in a safe or the original operable condition.
The infant room has an infant walker that is used.
Child #5 requires a long term prescription medication. The medication was on site. There was not a written authorization signed by the child's physician and parent giving permission to give the medication.
The record for child #7, enrolled for 2 months, was missing the required components. The name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached is required. The record had one designated contact listed.