Inspection · 2021-06-07
Licensing Inspector
Christina Jones
(540) 340-2672
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.
Yes
Areas Reviewed
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A subsidy health and safety inspection (SHSI) was initiated on 6/7/2021 and concluded on 6/16/2021. The provider was contacted by telephone to initiate the inspection. There were 31 children present with five staff supervising. A licensing inspection was also conducted on this date. Both inspections combined cover subsidy health and safety regulations. Only subsidy regulations that are not covered in licensing standards are reviewed during this supplemental inspection.
The information gathered during the inspection determined violations with subsidy regulations that are documented on the violation notice issued to the facility. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@dss.virginia.gov.
Standard 22VAC40-665-540-A
Based on review of five staff records, the center did not have documentation of a tuberculosis (TB) test/ screening for staff within 30 days of hire. Evidence: the record for staff #2 (date of hire: 5/25/21) had a TB test/screening dated 2/12/21.
Plan of Correction: Staff #5 has a TB test (3-22-21) and results on (3-24-21) from NEXTCARE. The form was completed with the name of the person administering the test and reading the results. The name is hand printed and per the form does not require a provider signature with a negative reaction.
Standard 22VAC40-665-580-E-1
Based on review of documentation, not all staff have current CPR certification including an in-person competency demonstration as required; Evidence: the records for staff #2 and staff #5 only had documentation of completing the online portion of CPR.
Plan of Correction: Staff #2 and #5 completed the hands-on portion of their certification on 6-22-21.
Standard 22VAC40-665-780-A-3
Based on review of documentation, the center failed to practice all lockdown drills annually. Evidence: there was no documentation that a lockdown drill was practiced in the last year.
Plan of Correction: A lockdown drill was completed on 6-22-21. New management will ensure that the drills happen in a timely manner moving forward.