Inspection · 2023-03-01
Date
2023-03-01
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
(804) 840-8312
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 SANCTIONS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 BACKGROUND CHECKS
22.1 EARLY CHILDHOOD CARE AND EDUCATION
Inspector Notes
A renewal inspection was conducted on March 1, 2023. The inspector was on site from approximately 11:00 am until 1:45 pm. The director was present and assisted with the inspection. There were 22 children present, ranging in ages from three years to five years, with six staff supervising. Children were observed in circle time reading a story, painting, and playing in centers. The theme for the week was based around Dr. Seuss. Today children were participating in Wacky Wednesday with mismatched outfits. 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 five child records and seven 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. If you have questions regarding this inspection, please contact the licensing inspector.
Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov
Violations
9Standard 22.1-289.035-A
Based on a review of seven staff records and interview, the center did not ensure two staff
member completed a national fingerprint check prior to the first day of employment and within
the required time frame.
Evidence:
1. The national fingerprint check for staff #2, employed 08/29/2022, was dated 05/13/2022, exceeding 90 days prior to employment.
2. The national fingerprint check for staff #3, employed 10/11/2022, was dated 08/19/2019, exceeding 90 days prior to employment.
3. The national fingerprint check for Staff #6, employed 07/12/2021, was dated 07/23/2021
exceeding the date of employment.
4. The national fingerprint check for staff #7, employed 08/23/2021, was dated 08/31/2021,
exceeding the date of employment.
5. National fingerprint background checks are required to be obtained prior to employment and no more than 90 days prior to employment.
member completed a national fingerprint check prior to the first day of employment and within
the required time frame.
Evidence:
1. The national fingerprint check for staff #2, employed 08/29/2022, was dated 05/13/2022, exceeding 90 days prior to employment.
2. The national fingerprint check for staff #3, employed 10/11/2022, was dated 08/19/2019, exceeding 90 days prior to employment.
3. The national fingerprint check for Staff #6, employed 07/12/2021, was dated 07/23/2021
exceeding the date of employment.
4. The national fingerprint check for staff #7, employed 08/23/2021, was dated 08/31/2021,
exceeding the date of employment.
5. National fingerprint background checks are required to be obtained prior to employment and no more than 90 days prior to employment.
Plan of Correction: Per the director: I will not hire staff until the fingerprint background check is completed and results have been obtained.
Standard 22.1-289.035-B-4
Based on a review of seven staff records, the center did not obtain the results of a search of the child abuse and neglect registry from any state in which one staff member had resided in the preceding five years within the required time frame for one staff member.
Evidence:
1. The record for Staff #4, employed 08/22/2022, indicated the staff had resided in another state outside of Virginia within the last five years.
2. The record did not contain the results of a search of the child abuse and neglect registry from that state nor documentation that the request for the child abuse and neglect check had been requested.
3. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being employed.
Evidence:
1. The record for Staff #4, employed 08/22/2022, indicated the staff had resided in another state outside of Virginia within the last five years.
2. The record did not contain the results of a search of the child abuse and neglect registry from that state nor documentation that the request for the child abuse and neglect check had been requested.
3. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being employed.
Plan of Correction: per the director: We will develop a plan to ensure background checks have been requested and that documentation is kept in the record of all request.
Standard 22.1-289.058
Based on observation and interview, the center was not equipped with a carbon monoxide
detector.
Evidence:
1.The center, licensed for children ages three years through twelve years did not have a carbon monoxide detector.
2.The director stated they did not have a carbon monoxide detector installed in the center.
detector.
Evidence:
1.The center, licensed for children ages three years through twelve years did not have a carbon monoxide detector.
2.The director stated they did not have a carbon monoxide detector installed in the center.
Plan of Correction: Per the director: I will purchase one for the building.
Standard 8VAC20-770-60-B
Based on review of seven staff records, the center did not obtain a completed sworn statement or affirmation before two staff members began employment.
Evidence:
1. The records for Staff #2, employed 08/29/2022, contained a sworn statement dated 10/04/2022 exceeding the first day of employment.
2. The records for Staff #4, employed 08/22/2022, contained a sworn statement dated 08/23/2022 exceeding the first day of employment.
3. The records for Staff #6, employed 07/12/2021, contained a sworn statement dated 09/01/2021 exceeding the first day of employment.
Evidence:
1. The records for Staff #2, employed 08/29/2022, contained a sworn statement dated 10/04/2022 exceeding the first day of employment.
2. The records for Staff #4, employed 08/22/2022, contained a sworn statement dated 08/23/2022 exceeding the first day of employment.
3. The records for Staff #6, employed 07/12/2021, contained a sworn statement dated 09/01/2021 exceeding the first day of employment.
Plan of Correction: Per the director: We will ensure sworn statements are obtained at the time of employment.
Standard 8VAC20-770-60-C-2
Based on review of seven staff records and interview, the center did not obtain the results
of the central registry background report within 30 days of employment for one staff member.
Evidence:
1. The record of staff #6, employed 07/21/2021, contained the results of a central registry
background report dated 10/06/2021 exceeding 30 days from employment.
2. The director stated she did not have any additional documentation as to why the background check was late.
of the central registry background report within 30 days of employment for one staff member.
Evidence:
1. The record of staff #6, employed 07/21/2021, contained the results of a central registry
background report dated 10/06/2021 exceeding 30 days from employment.
2. The director stated she did not have any additional documentation as to why the background check was late.
Plan of Correction: per the director: Going forward we will follow-up on any background checks that have not been returned and keep the documentation of the follow-up on file.
Standard 8VAC20-780-160-A
Based on the review of seven staff records, the center did not obtain documentation of a negative tuberculosis screening for one staff member within the required time frame.
Evidence:
1. The record for Staff #2 (Employment 08/29/2022) contained documentation of a negative tuberculosis screening dated 11/17/2021.
2.Tuberculosis screenings are required to be completed no more than 30 calendar days prior to beginning employment and be signed by a physician, physician's designee, or an official of the local health department.
Evidence:
1. The record for Staff #2 (Employment 08/29/2022) contained documentation of a negative tuberculosis screening dated 11/17/2021.
2.Tuberculosis screenings are required to be completed no more than 30 calendar days prior to beginning employment and be signed by a physician, physician's designee, or an official of the local health department.
Plan of Correction: Per the director: Going forward I will ensure staff obtain their tuberculosis screening at the time of hire.
Standard 8VAC20-780-550-E
Based on review of the shelter-in-place drill log and interview, the center did not ensure a shelter-in-place drill was practiced a minimum of twice a year.
Evidence:
The drill log listed one shelter-in-place dill as being conducted on 03/11/2022. There was no documentation of a second shelter-in-place drill for the year 2022.
Evidence:
The drill log listed one shelter-in-place dill as being conducted on 03/11/2022. There was no documentation of a second shelter-in-place drill for the year 2022.
Plan of Correction: Per the director: I will make sure at least two shelter-in-place drills are conducted each year.
Standard 8VAC20-780-60-A-8
Based on review of children?s records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. The record of child #1, with a diagnosed food allergy, did not have a written allergy care plan.
2. The record of child #3, with a diagnosed food allergy, did not have a written allergy care plan.
Evidence:
1. The record of child #1, with a diagnosed food allergy, did not have a written allergy care plan.
2. The record of child #3, with a diagnosed food allergy, did not have a written allergy care plan.
Plan of Correction: per the director: I will ask the parents to provide an allergy care plan for the allergies.
Standard 8VAC20-780-70
Based on review of seven staff records, the center did not obtain all required documentation for one staff record.
Evidence:
The record of staff #4 (employed 08/22/2022) did not contain documentation of two or more references as to character and reputation as well as competency that were checked before employment or volunteering.
Evidence:
The record of staff #4 (employed 08/22/2022) did not contain documentation of two or more references as to character and reputation as well as competency that were checked before employment or volunteering.
Plan of Correction: Per the director: will maintain references in the file.