Inspection · 2024-11-18
(540) 359-5244
Areas Reviewed
8VAC20-780 Administration.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
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
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on November 18, 2024. The on-site inspection began at 9:20am and ended at 11:40am. The inspector reviewed compliance in the areas listed above. There were 5 children present and 1 staff. The inspector reviewed 5 children?s records and 4 staff records on-site. This inspection included document review, tour of facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on December 2, 2024. A POC submitted after this date will not appear on the public website.
Violations
9Child #4 (age 4), enrolled for over 2 months, had a physical examination dated thirteen months prior to attendance.
2. Obtain Physical examination records per standard
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.
Staff #1, employed for 2 years, had no record of a tuberculosis screening.
2. Staff #1 has provided copy of TB results
Staff #2 and staff #3 updated screenings were due over 1 month ago. The updated screenings have not yet been completed.
2. Until TB screenings are obtained employee will not be allowed to work with children
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.
Staff #1, who is working with children, has not yet completed this course which is overdue by 23 months.
2. Staff #1 will complete the training before being allowed to work with children
Staff shall 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.
Staff #1, employed for over two years, had no record of orientation training.
2. Complete and add orientation training to employee file
The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia.
Child #1, enrolled for over one year, had no record of proof of child identity and age.
2. Parents of child #1 have been contacted and provided proof of identity
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence.
Out of the ten written records of children's serious and minor injuries that occurred between June 2024 through August 2024 reviewed, six were missing any future action to prevent recurrence of the injury, four were missing date and time when parents were notified and how they were notified, two were missing one of two staff and parent signatures or two staff signatures and two were missing two of two staff and parent signatures or two staff signatures.
2. Review all incident reports and update documentation as necessary
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for child #1, enrolled for over one year, and the record for child #2, enrolled for over two months, were missing addresses for two of two emergency contacts.
2. Obtain missing information from parents for emergency contacts
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
Staff #1, who has been working at the center for over two years, did not have any completed reference verifications on file.
2. Add reference verifications to employee file