Inspection · 2023-07-31
Date
2023-07-31
Complaint Related
No
Licensing Inspector
Shahana Green
(571) 423-6735
(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.
8VAC20-820 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
Today an unannounced investigation was conducted regarding a self-reported incident by the center regarding behavior guidance. A monitoring inspection was conducted as well. This visit was conducted between 10:55am-12:45pm. The investigation involved interviews, a review of documents and observations. After carefully interviewing all involved parties, the self-reported incident is unfounded, however, there were other violations found during this visit. The violations are listed on the Violation Notice. If you have any questions, please e-mail me at shahana.green@doe.virginia.gov.
Violations
8Standard 22.1-289.035-A
Based on a review of staff records, 1 out of 4 staff did not undergo a central registry background check every five years thereafter the initial central registry background check.
Evidence:
1. Staff #1's (doh:10/11/2011) most recent central registry background check on file was dated 8/25/2017.
Evidence:
1. Staff #1's (doh:10/11/2011) most recent central registry background check on file was dated 8/25/2017.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-B-2
Based on a review of staff records, 1 out of 4 staff did not submit to fingerprinting as required.
Evidence:
1. Staff #4 (doh: 6/1/2023) did not have documentation of fingerprinting results on file at the time of the inspection.
Evidence:
1. Staff #4 (doh: 6/1/2023) did not have documentation of fingerprinting results on file at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on a review of staff records, 1 out of 4 staff were employed prior to the agency having the person's completed sworn statement or affirmation.
Evidence:
1. Staff #4 (doh: 6/1/2023) did not have documentation of a sworn statement on file at the time of the inspection.
Evidence:
1. Staff #4 (doh: 6/1/2023) did not have documentation of a sworn statement on file at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on a review of staff records, 2 out of 4 staff did not have a central registry finding within 30 days of employment.
Evidence:
1. Staff #3 (doh: 4/23/2023) did not have a central registry finding on file at the time of the inspection.
2. Staff #4 (doh: 6/1/2023) did not have a central registry finding on file at the time of the inspection.
Evidence:
1. Staff #3 (doh: 4/23/2023) did not have a central registry finding on file at the time of the inspection.
2. Staff #4 (doh: 6/1/2023) did not have a central registry finding on file at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on a review of staff records, each staff member did not submit documentation of a negative tuberculosis screening.
Evidence:
1. Staff #3 (doh: 4/23/2023) had a tb screening dated 5/2/2023.
Evidence:
1. Staff #3 (doh: 4/23/2023) had a tb screening dated 5/2/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Based on a review of staff records, 2 out of 4 staff did not complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1. Staff #3 (doh: 4/23/2023) did not have documentation of orientation training on file at the time of the inspection.
2. Staff #4 (6/1/2023) did not have documentation of orientation training on file at the time of the inspection.
Evidence:
1. Staff #3 (doh: 4/23/2023) did not have documentation of orientation training on file at the time of the inspection.
2. Staff #4 (6/1/2023) did not have documentation of orientation training on file at the time of the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.
Evidence:
1. The mulch on the playground was very large and had pieces with jagged, sharp edges.
2. In the Infant A room, there was damage to the wall by the changing table where drywall was coming off and there was green paint peeling from the wall.
3. On the school-age playground, there was a large broken flower pot and a broken plastic basketball hoop with sharp edges.
4. On the school-age playground, the white siding of the building had broken off in multiple areas and there were sharp edges left where pieces of the siding had broken off.
Evidence:
1. The mulch on the playground was very large and had pieces with jagged, sharp edges.
2. In the Infant A room, there was damage to the wall by the changing table where drywall was coming off and there was green paint peeling from the wall.
3. On the school-age playground, there was a large broken flower pot and a broken plastic basketball hoop with sharp edges.
4. On the school-age playground, the white siding of the building had broken off in multiple areas and there were sharp edges left where pieces of the siding had broken off.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on a review of staff records, 1 out of 4 staff did not have the required records kept on file.
Evidence:
1. Staff #4 (doh: 6/1/2023) did not have documentation of 2 of 2 required references of character and reputation prior to employment.
Evidence:
1. Staff #4 (doh: 6/1/2023) did not have documentation of 2 of 2 required references of character and reputation prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.