Inspection · 2022-10-24
Date
2022-10-24
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
(540) 848-4123
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
Inspector Notes
An unannounced code compliance inspection was initiated on 10/242022 and concluded on 10/24/2022 from 11:10 AM to 12:35 PM. There were 12 children present, ranging in ages from four to five, with two teachers and two administrators. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures and medication. A total of three children?s records and four staff?s 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 facility.
Violations
5Standard 22.1-289.031-A-4
Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date and updated every year.
Evidence:
1. The record for staff 3 documents the start date as 9/6/22. There was no staff health report in staff 3's record.
2. The director verified the staff health report could not be found and was unsure if staff 3 provided one.
Evidence:
1. The record for staff 3 documents the start date as 9/6/22. There was no staff health report in staff 3's record.
2. The director verified the staff health report could not be found and was unsure if staff 3 provided one.
Plan of Correction: Staff 3 has been advised to provide a staff health report. In the future staff will not be allowed to start work until the staff health report is received.
Standard 22.1-289.031-B-5
Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards.
Evidence:
1. The director stated the center's policy is to keep hazardous substances out of reach of children.
2. In the Butterfly classroom was a box of hazardous substances accessible to children. The hazardous substances included disinfectant cleaner and Lysol disinfectant spray.
Evidence:
1. The director stated the center's policy is to keep hazardous substances out of reach of children.
2. In the Butterfly classroom was a box of hazardous substances accessible to children. The hazardous substances included disinfectant cleaner and Lysol disinfectant spray.
Plan of Correction: The cleaners were put in a location out of reach of children. Staff will be trained to check the classroom upon arrival each day to ensure hazardous substances in the classroom are out of reach.
Standard 22.1-289.031-B-6
Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect.
Evidence:
1. Staff 2's start date is documented as August 2021. There is no documentation of completing training in child abuse and neglect.
2. Staff 3's start date is documented as 9/6/22. There is no documentation of completing training in child abuse and neglect.
Evidence:
1. Staff 2's start date is documented as August 2021. There is no documentation of completing training in child abuse and neglect.
2. Staff 3's start date is documented as 9/6/22. There is no documentation of completing training in child abuse and neglect.
Plan of Correction: Staff 2 and staff 3 will be required to complete training in recognizing child abuse and neglect. In the future all new staff will be required to complete training in recognizing child abuse and neglect prior to working with children.
Standard 22.1-289.035-B-2
Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment.
Evidence:
The record for staff 3 documents the hire date on 8/31/22. The fingerprint results are dated 9/2/22.
Evidence:
The record for staff 3 documents the hire date on 8/31/22. The fingerprint results are dated 9/2/22.
Plan of Correction: In the future staff will not hired until the fingerprints results are received.
Standard 8VAC20-770-40-D-2
Based on record review and interview, the center failed to have a completed central registry record check by the end of the 30th day of employment.
Evidence:
1. The record for staff 2 documents the date of hire in August 2021. The documentation for a returned central registry check due to errors dated 8/29/21 was in the record. There are no results for central registry record check in staff 2's record.
2. The director pulled up an email dated 9/10/22 stating the results would be emailed that day.
3. The record for staff 3 documents the hire date as 8/31/22. There are no results for central registry record check in staff 3's record. The copy of the central registry that was mailed has a notary dated 9/8/22.
4. The director stated they had not follow-up to see the status of the background check.
Evidence:
1. The record for staff 2 documents the date of hire in August 2021. The documentation for a returned central registry check due to errors dated 8/29/21 was in the record. There are no results for central registry record check in staff 2's record.
2. The director pulled up an email dated 9/10/22 stating the results would be emailed that day.
3. The record for staff 3 documents the hire date as 8/31/22. There are no results for central registry record check in staff 3's record. The copy of the central registry that was mailed has a notary dated 9/8/22.
4. The director stated they had not follow-up to see the status of the background check.
Plan of Correction: The director will call to find the status of the central registry background checks. If needed new documents will be mailed. In the future the center will follow up on central registry background checks if the results are not received within 30 days and document the file.