Inspection · 2021-11-17
(804) 381-8487
Areas Reviewed
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
Inspector Notes
A complaint inspection was conducted on-site on November 17, 2021. Interviews were conducted and documentation was reviewed.
A complaint was received by the department regarding allegations for procedures for emergencies.
The evidence gathered during the investigation supported the allegations of non-compliance with standards or law and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.
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. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must 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
2Evidence: 1. An incident report dated November 2, 2021, indicated that the parent was notified "upon present at 4:15pm."
2. During interviews, staff agreed the documented information on the incident was not correct and that the parent wasn't notified "upon present."
3. Administration stated the child's teacher had the incident report on a clipboard and left for the day without notifying the front desk that an injury had occurred. Administration stated "we have to work on notifying parents the same day."
Evidence: 1. An incident report dated November 2, 2021, did not include the date and time when the parent was notified, documentation on how the parent was notified, the date the facility representative signed the report, or future actions to prevent recurrence of injury.
2. In an interview with staff on November 17, 2021, staff acknowledged the incident occurred November 2, 2021. The center provided documentation of the incident report. The information regarding if the parent was notified, how the parent was notified and the date and time the parent was notified was written in pencil. The incident report stated the parent was notified of the incident "upon present" at 4:15pm on November 2, 2021.
3. During interviews, the staff agreed the documented information on the incident report was not correct.