Inspection · 2023-08-08
(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 renewal inspection was conducted on August 8, 2023. The center director was present during the inspection. The inspection began at approximately 10:05 AM and concluded at 12:30 PM. There were 49 children present, ranging in ages from 7 months to 10 years, with 8 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 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
8Evidence:
1. The staff record for Staff #5 contained a national criminal background check dated 1/16/2018. Staff #2 should have undergone a criminal background check on or before 1/16/2023.
2. The director verified that a criminal background check had not been completed for staff #5 since 2018.
Evidence:
1. Staff 3?s record contained documentation of a sworn statement documented on 7/10/2023.
Evidence:
1.The record for staff 1 with a hire date of 7/12/2023, did not contain documentation of orientation training.
2. The record for staff 2 with a hire date of 7/13/2023, did not contain documentation of orientation training.
3. The record for staff 3 with a hire date of 7/10/2023, did not contain documentation of orientation training.
4. The director stated that orientation had been completed for staff 1, staff 2, and staff 3 but had not been documented.
Evidence:
1. The record for staff 5 (DOH 10/7/2014), did not contain 16 hours of annual training.
3. The director stated that training was not completed for staff 5.
Evidence:
1. In the PreK classroom in the window sills there was chipped paint and wood exposing rough areas.
Evidence:
1. The 1:8 staff-to-children ratio was not maintained in the 2?s classroom. There were 9 children present with 1 staff.
2. Staff stated that there was a preschooler in the classroom who should not have been in the two?s classroom.
Evidence:
1. 1 of 3 injury reports reviewed were missing how the parent was notified, and the time the parent was notified.
Evidence:
1. The record for child 1 with an enrollment date of 9/9/2020, did not contain documentation of an annual update.
2. The record for child 3 with an enrollment date of 6/15/2021, did not contain documentation of an annual update.
3. The record for child 4 with an enrollment date of 1/27/2022, did not contain documentation of an annual update.