Inspection · 2022-03-02
(804) 807-3277
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.
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated on March 2, 2022 and concluded on March 2, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 47 children present, ranging in ages from 3 years to 12 years, with 10 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 3 child records and 3 staff records were reviewed.
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.
Please 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 preventative measures. Please do not use staff names; list staff by positions only.
Violations
4Evidence: 1. The records of Staff #1 (hired on 11/29/21) and Staff #3 (hired on 10/20/21) did not contain documentation of a tuberculosis screening. 2. Administration confirmed the tuberculosis screenings were not completed.
Evidence: 1. The records of Staff #1 (hired on 11/29/21) and Staff #3 (hired on 10/20/21) did not contain documentation of training in the prevention of abusive head trauma, including procedures to cope with distraught children.
2. Administration confirmed the training was not completed.
Evidence: 1. The records of Staff #1 (hired on 11/29/21) and Staff #3 (hired on 10/20/21) did not contain documentation of first aid and CPR orientation training. 2. Administration confirmed the training was not completed.
Evidence: 1. The record of Staff #1 (hired on 11/29/21) does not contain documentation of program director qualifications. 2. Staff #1 was working in the capacity of program director during the inspection. 3. Administration confirmed the documentation for program director qualifications were not present in the record.