Inspection · 2023-02-10
Date
2023-02-10
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
(804) 807-3278
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
Inspector Notes
An annual monitoring inspection was initiated on 02/10/2023 and concluded on 02/10/2023. The inspector was on site at the center from 9:40am to 11:00pm. There were 16 children in care with 3 staff supervising. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The center?s playground and all classrooms were inspected today. Five children?s records and five employee records were reviewed during this inspection. Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
Violations
6Standard 22.1-289.031-A
Based on interview and documentation review, the center did not disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and the qualifications of the personnel employed.
Evidence:
During the inspection, information given to parents or guardians was reviewed. The documents did not contain information regarding the center being exempt from licensure and qualifications of personnel. The center representative stated she was not aware of this being a requirement.
Evidence:
During the inspection, information given to parents or guardians was reviewed. The documents did not contain information regarding the center being exempt from licensure and qualifications of personnel. The center representative stated she was not aware of this being a requirement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-A-6
Based on review of documentation and interview, the center did not describe in written statement to parents or guardians and made available to general public aspects regarding the center's operations concerning physical facilities, enrollment capacity, food services, health requirements for staff and public liability insurance.
Evidence:
During the inspection, the licensing inspector reviewed documentation that is given to parents and guardians. The information reviewed did not contain information describing physical facilities, enrollment capacity, food services, health requirements for staff and public liability insurance. The center representative stated she was not aware it was a requirement to have this information available in writing.
Evidence:
During the inspection, the licensing inspector reviewed documentation that is given to parents and guardians. The information reviewed did not contain information describing physical facilities, enrollment capacity, food services, health requirements for staff and public liability insurance. The center representative stated she was not aware it was a requirement to have this information available in writing.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Based on record review, the vendor did not ensure five of five staff records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (employment date: 10/15/2020) did not have documentation of fingerprint based national criminal history search results.
2. The record of staff #2 (employment date: 8/7/2017) did not have documentation of fingerprint based national criminal history search results.
3. The record of staff #3 (employment date: 8/8/2022) did not have documentation of fingerprint based national criminal history search results.
4. The record of staff #4 (employment date: 8/20/2019) did not have documentation of fingerprint based national criminal history search results.
5. The record of staff #5 (employment date: 4/16/2021) did not have documentation of fingerprint based national criminal history search results.
Evidence:
1. The record of staff #1 (employment date: 10/15/2020) did not have documentation of fingerprint based national criminal history search results.
2. The record of staff #2 (employment date: 8/7/2017) did not have documentation of fingerprint based national criminal history search results.
3. The record of staff #3 (employment date: 8/8/2022) did not have documentation of fingerprint based national criminal history search results.
4. The record of staff #4 (employment date: 8/20/2019) did not have documentation of fingerprint based national criminal history search results.
5. The record of staff #5 (employment date: 4/16/2021) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Based on record review, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
Evidence:
1. The record of staff #4 (employment date: 8/20/2019) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request.
2. The record of staff #4 indicated that the staff member has lived outside of Virginia within the last 5 years.
Evidence:
1. The record of staff #4 (employment date: 8/20/2019) did not have documentation of out of state criminal history record results, sex offender registry check results and a child abuse and neglect search request.
2. The record of staff #4 indicated that the staff member has lived outside of Virginia within the last 5 years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.058
Based on observation and an interview, the center did not ensure that the building serving preschool aged children was equipped with at least one carbon monoxide detector.
Evidence:
The licensing inspector did not see a carbon monoxide detector installed in the center. The center?s administrator stated that a carbon monoxide detector is not currently installed in the building.
Evidence:
The licensing inspector did not see a carbon monoxide detector installed in the center. The center?s administrator stated that a carbon monoxide detector is not currently installed in the building.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-40-D-2
Based on record review, the provider did not ensure 5 of 5 staff records had documentation of central registry results within 30 days of employment.
Evidence:
1. The record of staff #1 (employment date: 10/15/20) did not have documentation of central registry results.
1. The record of staff #2 (employment date: 8/7/17) did not have documentation of central registry results.
2. The record of staff #3 (employment date: 8/8/22) did not have documentation of central registry results.
3. The record of staff #4 (employment date: 8/20/19) did not have documentation of central registry results.
4. The record of staff #5 (employment date: 4/16/21) did not have documentation of central registry results.
Evidence:
1. The record of staff #1 (employment date: 10/15/20) did not have documentation of central registry results.
1. The record of staff #2 (employment date: 8/7/17) did not have documentation of central registry results.
2. The record of staff #3 (employment date: 8/8/22) did not have documentation of central registry results.
3. The record of staff #4 (employment date: 8/20/19) did not have documentation of central registry results.
4. The record of staff #5 (employment date: 4/16/21) did not have documentation of central registry results.
Plan of Correction: Not available online. Contact Inspector for more information.