Inspection · 2022-09-16
Licensing Inspector
Tara Barton
(804) 381-8487
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
A monitoring inspection was conducted on 9/16/2022 with the center owner and center staff. There were 91 children present, ranging in ages from 3 months to 5 years, with 18 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 9 child records and 9 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.
Time of today?s inspection: 9:00 a.m. to 2:00 p.m.
Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov
Standard 22.1-289.035-B-4
Based on review of nine staff files and staff interview, facility failed to submit an out of state child abuse and neglect search or equivalent from any state in which the individual has lived in the past 5 years. Evidence: Staff 3 (date of employment 4/4/2022) indicated on the sworn disclosure statement that she had lived in another state in the past 5 years. There was no documentation to support that the out of state child abuse and neglect search request was sent.
A member of management verified that the child abuse and neglect check had not been submitted within the required time frame.
Plan of Correction: The out of state CPS check was submitted during the inspection on 9/16/2022.
Standard 8VAC20-780-160-A
Based on review of 9 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 5 (date of employment 8/29/2022) had a TB test 7/25/2022, Staff 6 (date of employment 6/22/2022) had a TB test on 9/1/2021, Staff 7 (date of employment (8/29/2022) had a TB test 7/17/2022, and Staff 9 (date of employment 9/1/2022) had a TB test 7/9/2022.
Plan of Correction: Staff will obtain TB test or screening within 30 days prior to employment and before direct contact with children.
Standard 8VAC20-780-240-B
Based on review of nine staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 7(date of employment 8/29/2022) and Staff 8 (date of employment 7/5//2022) did not have documentation of orientation on file.
Plan of Correction: Orientation will be conducted on the first day of employment; documentation will be maintained in the file.
Standard 8VAC20-780-70
Based on review of nine staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of employment 8/22/2022) did not have documentation of a second reference on file. Staff 3 (date of employment 4/4/2022) did not have two references documented until 5/5/2022. Staff 6 (date of employment 6/22/2022) did not have two references documented until 7/11/2022. The two references for Staff 9 were not dated.
Plan of Correction: References will be obtained prior to employment for new staff.