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Peabody School

Inspection · 2023-03-16

Date
2023-03-16
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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 monitoring inspection was initiated on 03/16/2023 and concluded on 03/16/2023 from 3:30 PM to 4:35 PM. There were 6 children present, ranging in ages from 3 to 5 years, with 1 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 five children?s records and two staff?s records were reviewed.
Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

3
Standard 22.1-289.036-A
Based on record review and interview, the center failed to update an agent of the applicant for licensure's central registry background check every five years.

Evidence:

1. The renewal application listed agent 1 on the entity page. A review of the record indicated the last central registry for agent 1 was dated 11/14/16.
2. Staff 1 stated they do not have an updated central registry for agent 1.
Plan of Correction: The central registry update was completed on 3/16/23 for Board Officer 1. In the future updated background checks will be completed within five years as required.
Standard 8VAC20-770-40-D-1-a
Based on record review and interview, the center failed to ensure an agent of the application for licensure completed a central registry background check within 30 days of start.

Evidence:

1. Agent 2 and agent 3 were listed on the entity page of the renewal application.
2. Staff 1 stated agent 2 and agent 3 started 01/01/2022 and central registry background checks were not completed for either board officers.
Plan of Correction: Central registry background checks have been mailed for the two board officers and the results will be forwarded to the licensing inspector as soon as they are received. In the future central registry background checks will be completed on new board officers as soon as they start.
Standard 8VAC20-780-60-A
Based on record review and interview, the center failed to obtain all the required information for one out of five children's records reviewed.

Evidence:

1. The record for child 4, start date 9/6/22 had the parents listed for the emergency contacts. Two emergency contacts besides the parents are required.
2. The director verified they did not have any other emergency contacts besides the parents.
Plan of Correction: The parents of child 4 will be asked to provide two emergency contacts to be added to the child's file. In the future children's records will be reviewed when received to verify all required information is obtained.
View original record on Virginia Department of Social Services