Inspection · 2023-05-31

Based on a review of seven staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for three staff within the required timeframe.

Evidence: 1) The record of Staff #4, employed on 05/16/22, did not contain the results of a national fingerprint-based criminal record search.

2) The record of Staff #5, employed on 03/08/23, did not contain the results of a national fingerprint-based criminal record search.

3) The record of Staff #7, employed on 05/10/23, contained the results of a national fingerprint-based criminal record search that were completed on 05/11/23.

4) During interview, a member of management reported the fingerprint-based criminal record search for Staff #4 and Staff #5 could not be located.

Based on a review of seven staff records and interview, the center did not obtain two required out-of-state background checks from any state in which one staff had resided in the preceding five years within the required timeframes.

Evidence: 1) The record for Staff #3, employed on 01/19/23, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment.

The out-of-state sex offender registry check was obtained on 01/23/23. The out-of-state sex offender registry check is required to be obtained prior to employment.

2) During interview, a member of management reported the out-of-state results of the child abuse and neglect registry could not be located.

Based on a review of seven staff records and interview, the center did not ensure two staff had a completed sworn statement or affirmation prior to employment.

Evidence: 1) The record of Staff #4, employed on 05/16/22, did not contain documentation of a sworn statement or affirmation.

2) The record of Staff #5, employed on 03/08/23, did not contain documentation of a sworn statement or affirmation.

3) During interview, a member of management reported the sworn statement or affirmation for Staff #4 and Staff #5 could not be located.

Based on a review of seven staff records and interview, the center did not ensure two staff members had a central registry finding within 30 days of employment.

Evidence: 1) The record of Staff #4, employed on 05/16/22, did not contain a central registry finding within 30 days of employment.

2) The record of Staff #5, employed on 03/08/23, did not contain a central registry finding within 30 days of employment.

3) During interview, a member of management confirmed the results of the central registry finding for Staff #4 and Staff #5 could not be located. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.

Based on a review of seven staff records and interview, the center did not ensure three staff submitted documentation of a negative tuberculosis screening within the required timeframe.

Evidence: 1) The record of Staff #4, employed on 05/16/22, did not contain documentation of a negative tuberculosis screening.

2) The record of Staff #5, employed on 03/08/23, did not contain documentation of a negative tuberculosis screening.

3) The record of Staff #6, employed on 05/15/23, did not contain documentation of a negative tuberculosis screening.

4) During interview, a member of management reported the tuberculosis screening for Staff #4, Staff #5, and Staff #6, could not be located and was unaware if they were completed prior to the staff beginning employment.

Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Based on a review of seven staff records and interview, the center did not ensure four staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment.

Evidence: 1) The record of Staff #1, employed on 12/26/22, did not contain documentation that the staff completed the VDOE orientation course.

2) The record of Staff #2, employed on 03/14/22, did not contain documentation that the staff completed the VDOE orientation course.

3) The record of Staff #3, employed on 01/19/23, did not contain documentation that the staff completed the VDOE orientation course.

4) The record of Staff #4, employed on 05/16/22, did not contain documentation that the staff completed the VDOE orientation course.

5) During interview, a member of management reported the VDOE orientation course for the staff could not be located.

Based on a review of records and interview, the center did not ensure that orientation training included all the required topics.

Evidence: 1) The record of Staff #2, employed 03/14/22, had documentation of an orientation training that did not include the topics on the prevention of sudden infant death syndrome and use of safe sleep practices; prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children; and prevention of and response to emergencies due to food and other allergic reactions.

2) During interview, a member of management reported the center did not have additional documentation that the staff received orientation on those topics.

Based on a review of seven staff records and interview, the center did not ensure two staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, within 30 days of the first day of employment.

Evidence: 1) The record of Staff #1, employed on 12/26/22, and the record of Staff #2, employed on 03/14/22, did not contain documentation that the staff completed first and CPR orientation within 30 days of employment.

2) During interview, a member of management reported the center did not have additional documentation that the staff completed additional orientation in first aid and CPR within the required timeframe.

Based on a review of seven staff records and interview, the center did not ensure two staff completed annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence: 1) The record of Staff #2, employed on 03/14/22, contained a total of 14.5 hours of annual training from 03/2022 - 03/2023.

2) The record of Staff #4, employed on 05/16/22, did not contain documentation that the staff completed annual training from 05/2022 ? 05/2023.

3) During interview, a member of management reported there was no additional training for Staff #2 from 03/2022 ? 03/2023. The record of Staff #4 could not be located.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition.

Evidence: During the inspection of the physical plant on 05/31/23, the inspector observed the following:
1. There was a water hose several feet long, sitting on the playground outside of the three-year-old classroom presenting an entanglement and tripping hazard.
2. The following playground structures and equipment had several rusted areas within the reach of children in care: swing chains and seat connectors.
3. There were several nails protruding from the plastic boards around the playground structures.

Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill.

Evidence: 1) The licensing inspector reviewed the emergency drill log for the year 2023. The last practice evacuation drill was documented on 03/08/2023. 2) During interview, a member of management reported a monthly evacuation drill was not practiced in April 2023.

Based on a review of documentation, the center did not ensure that written injury records contained the required information.

Evidence: Three out of four injury records reviewed did not contain documentation of the date and time the parents were notified of the injuries.

The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.

Based on a review of seven children?s records, the center did not ensure one child?s record contained the required information.

Evidence: The second emergency contact in the record of Child #2, enrolled on 10/29/21, did not contain an address or phone number for the designated contact.

A child?s record shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

Based on a review of seven staff records and interview, the center did not ensure four staff records contained the required information.

Evidence: 1) The records of Staff #4 (DOE: 05/16/22), Staff #5 (DOE: 03/08/23), Staff #6 (DOE: 05/15/23), and Staff #7 (DOE: 05/10/23) could not be located.

2) During interview, a member of management reported the staff records could not be located.

The following information was missing for each staff record: address, verification of age requirement, job title; name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering; documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required in 8VAC20-780-240 and 8VAC20-780-245; and information about any health problems that may interfere with fulfilling the job responsibilities.