Inspection · 2024-03-07
Date
2024-03-07
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
(804) 588-2367
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on March 7, 2024 from approximately 10:30 am to 12:00 pm. There were 18 children in attendance and a total of 3 staff present. 8 staff records and 5 children?s records were viewed. All areas of the center were observed including classrooms, bathrooms, and the playground. The children were observed playing outside and participating in resource activities while the licensing inspector was on-site.
Violations were cited as a result of this inspection.
Please complete the plan of correction and ?date to be corrected? for each violation cited on the violation notice, sign, and return it to me within 5 business days from today, 03/28/2024. 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 measure(s).
Violations
8Standard 22.1-289.035-B-2
Repeat Violation
Based on records review and interview, the center did not ensure that five applicants for employment underwent fingerprinting through the Department or its designee prior to beginning employment.
Evidence:
1. The center did not forward the applicant's fingerprints and personal descriptive information for Staff # 4, Staff # 5, Staff # 6, Staff # 7, and Staff # 8 to the Department's designee, Office of Background Investigations.
2. The center instead obtained a (fingerprint-based) criminal history records check directly from the Virginia State Police for the five staff prior to employment.
A letter with a finding of "eligible" was not obtained for these staff from the Office of Background Investigations as required for a satisfactory criminal record check. The Code of Virginia requires that an applicant's fingerprints and personal descriptive information obtained pursuant to subdivision 2 of 22.1-289.035 be forwarded by the Department or its designee through the Central Criminal Records Exchange to the Federal Bureau of Investigation for the purpose of obtaining national criminal history record information regarding such applicant. The Department or its designee then reports to the child day center whether the applicant is eligible to have responsibility for the safety and well-being of children
Based on records review and interview, the center did not ensure that five applicants for employment underwent fingerprinting through the Department or its designee prior to beginning employment.
Evidence:
1. The center did not forward the applicant's fingerprints and personal descriptive information for Staff # 4, Staff # 5, Staff # 6, Staff # 7, and Staff # 8 to the Department's designee, Office of Background Investigations.
2. The center instead obtained a (fingerprint-based) criminal history records check directly from the Virginia State Police for the five staff prior to employment.
A letter with a finding of "eligible" was not obtained for these staff from the Office of Background Investigations as required for a satisfactory criminal record check. The Code of Virginia requires that an applicant's fingerprints and personal descriptive information obtained pursuant to subdivision 2 of 22.1-289.035 be forwarded by the Department or its designee through the Central Criminal Records Exchange to the Federal Bureau of Investigation for the purpose of obtaining national criminal history record information regarding such applicant. The Department or its designee then reports to the child day center whether the applicant is eligible to have responsibility for the safety and well-being of children
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on record review, and interview, the center failed to obtain a completed sworn statement or affirmation from an employee on or prior to the first day of employment.
Evidence:
1. The record for staff #4, staff #5, staff #6, staff #7, and staff #8 did not contain a completed sworn statement or affirmation.
2. Interview with administration revealed that resource staff are not required to complete a sworn statement on or prior to employment.
Evidence:
1. The record for staff #4, staff #5, staff #6, staff #7, and staff #8 did not contain a completed sworn statement or affirmation.
2. Interview with administration revealed that resource staff are not required to complete a sworn statement on or prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review, and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening.
Evidence:
1. The record for staff #4, date of employment 08/31/2000, did not contain documentation of a negative tuberculosis screening.
2. The record for staff #5, date of employment 08/1/2023, did not contain documentation of a negative tuberculosis screening.
3. The record for staff #6, date of employment 08/1/2022, did not contain documentation of a negative tuberculosis screening.
4. The record for staff #7, date of employment 08/1/2021, did not contain documentation of a negative tuberculosis screening.
5. The record for staff #8, date of employment 08/1/2023, did not contain documentation of a negative tuberculosis screening.
6. Interview with administration revealed that resource staff of the school are not required to obtain a tuberculosis screening prior to employment.
Evidence:
1. The record for staff #4, date of employment 08/31/2000, did not contain documentation of a negative tuberculosis screening.
2. The record for staff #5, date of employment 08/1/2023, did not contain documentation of a negative tuberculosis screening.
3. The record for staff #6, date of employment 08/1/2022, did not contain documentation of a negative tuberculosis screening.
4. The record for staff #7, date of employment 08/1/2021, did not contain documentation of a negative tuberculosis screening.
5. The record for staff #8, date of employment 08/1/2023, did not contain documentation of a negative tuberculosis screening.
6. Interview with administration revealed that resource staff of the school are not required to obtain a tuberculosis screening prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Based on record review, the center failed to ensure that all staff shall complete the Virginia Department of Education (VDOE)-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. The record for staff #5, staff #6, and staff #8 did not contain documentation of completion of the VDOE sponsored orientation course within 90 calendar days of employment.
Evidence:
1. The record for staff #5, staff #6, and staff #8 did not contain documentation of completion of the VDOE sponsored orientation course within 90 calendar days of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
Based on documentation review, and interview, the center failed to obtain an annual fire inspection report.
Evidence:
1. The most recent fire inspection was dated 10/31/22. An annual fire inspection was due on or before 10/31/2023.
2. Administration confirmed that an annual fire inspection was not conducted on or before 10/31/2023.
Evidence:
1. The most recent fire inspection was dated 10/31/22. An annual fire inspection was due on or before 10/31/2023.
2. Administration confirmed that an annual fire inspection was not conducted on or before 10/31/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
Based on documentation review, and interview, the center failed to obtain annual approval from the health department.
Evidence:
1. The most recent health inspection was dated 11/01/22. An annual health inspection was due on or before 11/01/2023.
2. Administration confirmed that an annual health inspection was not conducted on or before 11/01/2023.
Evidence:
1. The most recent health inspection was dated 11/01/22. An annual health inspection was due on or before 11/01/2023.
2. Administration confirmed that an annual health inspection was not conducted on or before 11/01/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
Based on record review, documentation review, and interview, the center failed to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan.
Evidence:
1. The record for child #4 contained a written care plan for a food allergy.
2. The posted allergy list did not have child #4 listed on it.
3. Administration confirmed that child #4 was not on the posted allergy list.
Evidence:
1. The record for child #4 contained a written care plan for a food allergy.
2. The posted allergy list did not have child #4 listed on it.
3. Administration confirmed that child #4 was not on the posted allergy list.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A-8
Based on record review, documentation review, and interview the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. The record for child #3 indicated a food allergy.
2. Child #3 is listed on the center allergy list.
3. The record for child #3 did not contain a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
4. Administration confirmed that the record for child #3 did not contain a written care plan.
Evidence:
1. The record for child #3 indicated a food allergy.
2. Child #3 is listed on the center allergy list.
3. The record for child #3 did not contain a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
4. Administration confirmed that the record for child #3 did not contain a written care plan.
Plan of Correction: Not available online. Contact Inspector for more information.