Inspection · 2021-03-25
Date
2021-03-25
Complaint Related
No
Licensing Inspector
Lynette A Storr
(703) 309-9153
(703) 309-9153
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A renewal inspection was initiated on 3/25/2021 and concluded on 3/30/2021. The Director was contacted by telephone to initiate the inspection. There were 48 children present with 14 staff. The inspector emailed the Director a list of items required to complete the inspection. The inspector reviewed 4 children?s records, 4 staff records and 2 medications and authorizations submitted by the facility to ensure documentation was complete.
The information gathered during the inspection determined non-compliance with applicable standards or laws and violations were documented on the violation notice issued to the facility.
The licensing inspector has reviewed with the Provider COVID-19 Essential Guidance for Child Care programs.
Violations
8Standard 22VAC40-185-130-A
Based on record review and interview, the center did not obtain documentation of each child's immunizations prior to the first date of attendance.
Evidence: Child #1 (first date of attendance: 7/13/2020) record does not contain documentation of immunizations. The center Director confirmed that immunizations had not yet been obtained.
Evidence: Child #1 (first date of attendance: 7/13/2020) record does not contain documentation of immunizations. The center Director confirmed that immunizations had not yet been obtained.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-185-140-A
Based on record review and interview, the center did not obtain documentation of each child's physical exam within the first 30 days of attendance.
Evidence: Child #1 (first date of attendance: 7/13/2020) record does not contain documentation of a physical exam. The center Director confirmed that a physical had not yet been obtained.
Evidence: Child #1 (first date of attendance: 7/13/2020) record does not contain documentation of a physical exam. The center Director confirmed that a physical had not yet been obtained.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-185-160-A
Based on record review and interview, each staff has not submitted documentation of a negative tuberculosis (TB) screening within the first 21 days of employment.
Evidence:
1. Staff #2 (date of hire: 8/17/2020) file does not contain documentation of a TB screening.
2. Staff #4 (date of hire: 9/21/2020) file does not contain documentation of a TB screening.
Evidence:
1. Staff #2 (date of hire: 8/17/2020) file does not contain documentation of a TB screening.
2. Staff #4 (date of hire: 9/21/2020) file does not contain documentation of a TB screening.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-185-240-A
Based on record review and interview, staff have not received all of the required training by the end of their first day assuming job responsibilities.
Evidence:
1. Staff #3 (date of hire: 2/17/2021) record does not contain documentation of 'Recognizing child abuse and neglect' training.
2. Staff #4 (date of hire: 9/21/2020) record does not contain documentation of 'Recognizing child abuse and neglect' training.
Evidence:
1. Staff #3 (date of hire: 2/17/2021) record does not contain documentation of 'Recognizing child abuse and neglect' training.
2. Staff #4 (date of hire: 9/21/2020) record does not contain documentation of 'Recognizing child abuse and neglect' training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-185-60-A
Based on record review and interview, the center did not maintain an up-to-date record for each child.
Evidence: The most recent documentation of a review for Child #4's (date of enrollment: 3/10/2018) record is dated 3/10/2020. Records are required to be reviewed for updates annually.
Evidence: The most recent documentation of a review for Child #4's (date of enrollment: 3/10/2018) record is dated 3/10/2020. Records are required to be reviewed for updates annually.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-191-60-B
Based on record review and interview, each employee has not completed a sworn disclosure statement.
Evidence: Staff #3 (date of hire: 2/17/2021) file does not contain a sworn disclosure statement. The center Director confirmed that a sworn disclosure statement has not yet been completed.
Evidence: Staff #3 (date of hire: 2/17/2021) file does not contain a sworn disclosure statement. The center Director confirmed that a sworn disclosure statement has not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-191-60-C-2
Based on record review and interview, the center has not obtained a central registry background check for each employee within the first 30 days of employment.
Evidence: Staff #3 (date of hire: 2/17/2021) file does not contain the results of a central registry background check. The center Director was able to produce a photo copy of a background check that had been completed by the employee, however they do not know when or if it was mailed out for completion.
Evidence: Staff #3 (date of hire: 2/17/2021) file does not contain the results of a central registry background check. The center Director was able to produce a photo copy of a background check that had been completed by the employee, however they do not know when or if it was mailed out for completion.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 63.2(17)-1720.1-B-4
The center has not obtained an out-of-state child abuse and neglect search and/or an out-of-state sex offender registry background search for each employee that has resided outside of the state of Virginia within the first 30 days of employment.
Evidence:
1. Staff #4's sworn disclosure statement confirms that they have lived in the state of Maryland within 5 years prior to employment with the center.
2. Staff #4 (date of hire: 9/21/2020) file does not contain the results of a Maryland child abuse and neglect background check.
3. Staff #4 file does not contain the results of a Maryland sex offender registry search.
Evidence:
1. Staff #4's sworn disclosure statement confirms that they have lived in the state of Maryland within 5 years prior to employment with the center.
2. Staff #4 (date of hire: 9/21/2020) file does not contain the results of a Maryland child abuse and neglect background check.
3. Staff #4 file does not contain the results of a Maryland sex offender registry search.
Plan of Correction: Not available online. Contact Inspector for more information.