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Precious Time, LLC

Inspection · 2023-04-05

Date
2023-04-05
Complaint Related
No
Licensing Inspector
Lynn Powers
(804) 840-8260
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
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was initiated on Monday, May 13, 2024, and concluded on May 16, 2024. On May 13, the inspector was on site from 11:15am to approximately 3:05pm. There were a total of 59 children in care in the direct care of 12 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility used by the children were inspected. The center is equipped with toys and supplies and items were available to the children. The required postings were reviewed and found to be in compliance. Transportation is provided and medication is administered when necessary. Five children's records and five staff records were reviewed. Additional documentation was submitted to the inspector on May 16, 2024.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

3
Standard 8VAC20-780-160-A
Based on a review of five staff records and interviews, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

Evidence: The TB screening in the record of Staff #2 (DOE: 04/03/2023) was dated 04/05/2023. During interview, a member of management confirmed the TB screening was completed on 04/05/2023.

Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.
Plan of Correction: All staff now provide a negative TB screening or testing prior to employment.
Standard 8VAC20-780-160-B
Based on a review of five staff records and interviews, the center did not ensure an acceptable form of documentation of tuberculosis (TB) screening was on file for one staff member.

Evidence: The most recent TB screening in the record of Staff #3 (DOE: 06/01/2020) was not signed by a physician, the physician's designee or an official of the local health department.

During interview, a member of management confirmed the TB screening did not contain the required information.
Plan of Correction: The staff member will obtain an updated form with the required information.
Standard 8VAC20-780-510-F
Based on a review of three medications and interviews on 05/13/24, the center did not ensure that one medication authorization was available to staff during the entire time it was effective.

Evidence: A long-term prescription medication was observed for Child #1, but no written parental authorization was present at the center for this medication.

During interview, a member of management acknowledged the form on file did not include parental authorization for the medication the center had on site for Child #1.
Plan of Correction: The center contacted the parent and requested the parent's authorization.
View original record on Virginia Department of Social Services