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Inspection · 2022-07-21

Date

2022-07-21

Complaint Related

Licensing Inspector

Michelle Argenbright
(540) 848-4123

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.
8VAC20-820 THE LICENSING PROCESS.
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

A renewal inspection was initiated on 7/21/2022 and concluded on7/27/2022. There were 16 children present, ranging in ages from 7 months to 7 years, with five staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of three child records and four staff records were reviewed.
Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
If you have questions or concerns contact the licensing inspector at (540) 848-4123.

Violations

Standard 22.1-289.036-A

Based on record review and interview, the center failed to obtain an updated sworn statement and central registry background check every five years.

Evidence:

1. The record for board officer 1 contained a sworn statement dated 8/26/16 and a central registry background check dated 10/6/16.
2. The director verified the center does not have an updated sworn statement and central registry for board officer 1.

Plan of Correction: Board officer 1 will complete a sworn statement and the documentation to send for a central registry background check within 10 days. Proof of completing this will be forwarded to the licensing inspector.
In the future administration will ensure all staff and board officer's background checks are updated every five years.

Standard 8VAC20-780-140-A

Based on record review and interview the center failed to have a physical examination by or under the direction of a physician within 30 days after first day of attendance.

Evidence:

1. The record for child 2 (start date 2/10/22) did not contain documentation of a physical examination.
2. The director verified they do not have documentation of a physical examination for child 2.

Plan of Correction: The parent of child 2 has been advised to provide documentation of a physical examination.
In the future the director will ensure the center has documentation of physical examinations within 30 days of care for all children enrolled.

Standard 8VAC20-780-40-K

Based on interview, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

Evidence:

The director stated this procedure had not been developed.

Plan of Correction: The director will develop a standard operating procedure (SOP) for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. All staff will be trained on the SOP.

Standard 8VAC20-780-60-A

Based on record review and interview, the center failed to obtain all required information for a child's record.

Evidence:

1. The record for child 2 (start date 2/10/22) did not contain the father's work information and proof of age and identity.
2. The director verified the center did not have this information at the time of the inspection.

Plan of Correction: The father's information and proof of identity for child 2 has been obtained and added to the child's record.
In the future all required information will be obtained prior to the first day of attendance.

View original record on Virginia Department of Social Services