Inspection · 2024-09-09
(804) 588-2368
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, on-site monitoring inspection was completed on 09/09/2024. The inspection began at 2:40 p.m. and ended at 4:05 p.m. The inspector reviewed compliance in the areas listed above. There were 10 children present and 2 staff. The inspector reviewed 5 children?s records and 2 staff records on-site. This inspection included document review, tour of the 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 09/26/2024. A POC submitted after this date will not appear on the public website.
Violations
7Based on child record review, the provider failed to ensure that each child shall have a
physical examination by or under the direction of a physician.
Evidence:
The records C2 did not contain physical examination report.
Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a physician, the physician?s designee, or an official of a local health department.
Evidence:
The immunization record for C2 was not signed by the licensed physician, the physician?s designee, or an official of a local health department.
Screening form every two years from the date of the previous tuberculosis screening.
Evidence:
The TB screening for S2 was dated 06/05/2022.
fire inspection report from the appropriate fire official having jurisdiction.
Evidence:
The fire inspection available during the inspection was dated 03/08/2022. There was no updated fire inspection available for review during the inspection.
health department inspection report from the appropriate health official having jurisdiction.
Evidence:
The last health inspection was dated 01/12/2022. There was no updated health inspection available for review during the inspection.
procedures based on documentation of injuries and a review of the activities and services.
Evidence:
The program director acknowledged that the injury prevention procedures had not been
reviewed annually.
Based on child record review, the provider failed to ensure that one of five contained
required documentation.
Evidence:
The record for C5 did not document proof of the child?s identity and age.