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Charlottesville Waldorf School

Inspection · 2024-08-26

Date
2024-08-26
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(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

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-7808 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site non-mandated monitoring inspection was initiated and completed on August 26, 2024, to examine the areas of noncompliance identified in the Intensive Plan of Correction. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 11, 2024. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.035-B-4
Based on a review of records and interview, the center failed to obtain results of a check of the out-of-state sex offender check prior to hire and failed to request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years.
Evidence: 1. The record of staff #5, hired July 1, 2024, contained documentation of an out-of-state sex offender dated 8/8/24.
2. The record of staff #5, hired July 1, 2024, contained documentation of an out-of-state central registry check dated 8/26/2024.
3. Staff #5 indicated on the sworn disclosure statement that staff #5 lived in another state in the previous five years.
4. The record of staff #2, hired July 1, 2022, did not contain documentation of an out-of-state central registry check. Staff #2 indicated on the sworn disclosure living out-of-state in the previous five years.
5. Staff #6 confirmed the out-of-state checks were late.
Plan of Correction: Revisit staff training to review the out of state background check requirements based on information provided by licensing inspector.
Standard 8VAC20-770-60-C-2
Based on a review of staff records and interview, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment.
Evidence: The record of staff #5, hired 7/1/24, contained central registry results dated August 19, 2024. Staff #6 confirmed the central registry result was late.
Plan of Correction: Revisit staff training to reiterate the proper timeline for submitting background checks.
Standard 8VAC20-780-160-A
Based on a review of staff records, the center failed to ensure each staff submit documentation of a negative tuberculosis screening within the last 30 calendar days prior to beginning employment.
Evidence: The record of staff #5, hired 7/1/24 contained documentation of a tuberculosis screening dated 5/27/24.
Plan of Correction: Revisit staff training to review timeline for TB testing/screening to adhere to guidelines.
Standard 8VAC20-780-245-A
Based on a review of staff records and interview, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff.
Evidence: 1. The record of staff #1 contained documentation of 1.5 annual training hours from July 1, 2023 - June 30, 2024.
2. The record of staff #2 contained documentation of 8 annual training hours from July 1, 2023 - June 30, 2024.
3. The record of staff #3 contained documentation of 2 annual training hours from May 1, 2023 - April 30, 2024.
4. The record of staff #4 contained documentation of 4.5 annual training hours from August 20, 2023 - August 19, 2024.
5. Staff #6 confirmed the annual training hours were not completed for each staff.
Plan of Correction: Audit electronic files to compile accurate log of training hours to include personnel files.
View original record on Virginia Department of Social Services