Inspection · 2024-11-19
Licensing Inspector
Shahana Green
(571) 423-6735
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.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
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 monitoring inspection was initiated and completed on 11/19/2024, as a part of the licensure period. The on-site inspection began at 2:40pm and ended at 6pm. The inspector reviewed compliance in the areas listed above. The inspector reviewed 5 children?s records and 5 staff records on-site. This 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 12/6/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-2
Centers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who had been employed for 5 months, did not have a completed national criminal background check.
Plan of Correction: Staff #2 will complete background check.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for 5 months, did not have documentation of requesting a central registry check, and sex offender registry check from the state Staff #2 identified as a state in which they resided in the past 5 years. Staff #3, employed for less than 2 weeks, did not have documentation of requesting a central registry check and sex offender registry check from the state Staff #3 identified as a state in which they resided in the past 5 years.
Plan of Correction: Processing and obtaining background checks for Staff #2 and #3 by working with the business office.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The documentation shall have been completed within the last 30 calendar days of the date of employment. The screening for Staff #2 was completed 6 months prior to employment.
Plan of Correction: Staff #2 will complete and submit TB test.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. Staff #4's updated screening was due 6 months ago. The updated screening has not yet been completed.
Plan of Correction: TB test will be completed by Staff #4
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, who is working with children, has not yet completed this course which is overdue by 2 months.
Plan of Correction: Necessary coursework will be completed by Staff #2.
Standard 8VAC20-780-340-D
Each grouping of children shall have at least one staff regularly present who meets lead
teacher qualifications. Staff #2 and Staff #4, who did not have documentation to demonstrate staff meet lead teacher qualifications, were alone with a group of school age children.
Plan of Correction: Staff #2 and #4 will meet lead teacher requirements by taking online coursework.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for Child #1, #2, #4, and #5, were missing the following required components: first date of attendance; name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached
Plan of Correction: Center Director will work to update and audit files to bring them to completion.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for the past 5 months, did not have any completed reference verifications on file.
Plan of Correction: Center Director will work to update and audit files to bring them to completion.
Standard 8VAC20-780-90-A
The center is required to maintain in each child's record, a written agreement between the parent and the center, signed by the parent. The records for Child #1, 2, 4, and 5 did not contain the signed agreement between the parents and the center.
Plan of Correction: Center Director will obtain signed agreements for Children #1,2,4, and 5.