Inspection · 2023-09-18
(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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on September 18, 2023 with the center provider. There were 49 children present, ranging in ages from 2 years to 5 years, with 10 staff supervising. The inspection began at approximately 9:15 AM and concluded at 11:00 AM. The inspector observed children participating in circle time, playing with toys, and completing a table activity. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Transportation is not provided. A total of 5 child records and 5 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 preventive measure(s).
If you have any questions about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362.
Violations
7Evidence:
1. The record for staff 1 did not contain documentation of a completed fingerprint background check.
Evidence:
1. The record for staff 1 did not contain the results of a central registry background check.
2. Staff 1 stated that backgrounds were completed but could not locate the results.
Evidence:
1. The record for child 3 did not contain documentation of immunizations. Child 3?s date of enrollment was 9/12/202.
2. Staff 1 verified that immunization records were not received for child 3. Child 3 is still actively attending the facility.
Evidence:
1. The record for staff 1, did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff 1?s date of hire was 8/14/2023.
2. The record for staff 2, did not contain documentation of a tuberculosis (TB) test/screening. Staff 2?s date of hire was 7/18/2023.
3. The record for staff 3, did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff 3?s date of hire was 8/24/2023.
Evidence:
1. The medication (Auvi-Q) for child B had an expiration date of July 9, 2023.
3. Staff 1 confirmed the medication for child B was expired.
Evidence:
1. The record for child 1 (DOE 9/16/2021), and child 4 (DOE 9/12/2023), did not contain the addresses for the 2 existing emergency contacts.
2. The record for child 4 did not contain a list of persons authorized to pick up. Child 4?s enrollment date was 9/12/2023.
Evidence:
1. The record for staff 1 did not have documentation of 2 or more references. Staff 1?s hire date was 8/14/2023.
2. The record for staff 2 had 1 of 2 references documented. Staff 2?s hire date was 7/18/2023.
3. The record for staff 3 did not contain documentation of 2 or more references. Staff 3?s hire date was 8/24/2023.
3. Staff 1 stated that orientation was complete but had not been documented.