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Culpeper Human Services - Head Start

Inspection · 2022-10-26

Date
2022-10-26
Complaint Related
No
Licensing Inspector
Stephanie Reed
(540) 272-6558
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

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

A monitoring inspection was conducted on October 26, 2022 from 1:30 pm until 5:20 pm. There were one hundred forty-nine children present, with thirty-two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of ten child records, three medications and paperwork, and ten 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.

Please complete the plan of correction and date to be corrected sections 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).

Please contact your licensing inspector, Chrystal King, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you at 804-297-4469

Violations

1
Standard 8VAC20-770-60-C-2
Based on review of ten staff files, program failed to ensure that the results of a central registry check were completed within 30 days of employment for one staff.

Evidence:
1. The first day of employment for Staff #5 was 9/1/2022. There were no results in the file, but a copy of the request that was notarized on 8/26/2022.
2. The Operations Manager followed up with HR and they stated they had not received the request. The request was resubmitted to HR on 10/26/2022 for entry in the portal.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services