Inspection · 2021-08-27
(804) 807-3278
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.
8VAC20-820 HEARINGS PROCEDURES.
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 9/29/2023 from approximately 11:46 a.m. - 3:20 p.m. There were 11 children present and 2 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of 5 child records and 6 staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. Please sign, complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice, and return it to me within 5 business days from today. 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 preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Violations
5Evidence:
The record for S2, employed 07/01/2023 documented background check results received on 07/10/2023.
The record for S3, employed 07/01/2022 documented background check results received on 07/07/2022.
Evidence: S2 documented on the sworn disclosure statement having lived out-of-state in the last five years. Record for S2, employed 07/01/2023 did not contain a sex offender registry check prior to the 1st day of employment. The record for S2, employed 07/01/2023 did not contain results for an out-of-state child abuse and neglect search.
documentation of a negative tuberculosis screening at least every two years from the date of the initial screening.
Evidence: The record for S5, documented a screening completed 08/27/2021.
Based on the review of emergency evacuation documents, the provider failed to ensure that the center implemented monthly practice evacuation drill.
Evidence: Records did not document a monthly practice drill in May 2023.
Evidence: The record for C1, enrolled 09/03/2023 did not contain a written agreement between the center and the parent as required by 8VAC20-780-90.