Inspection · 2022-10-12
(540) 272-6558
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on-site October 12, 2022. The director was available during the inspection. There were 19 children present, ranging in ages from 20 months to 5 years, with 4 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 5 child records and 3 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.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Violations
10Evidence: Staff #1 was observed working alone with children. Staff #1 confirmed the first day of employment as 10/12/22. The record of staff #1 did not contain documentation of sworn statement. Staff #4 confirmed the sworn statement was not completed.
Evidence: 1. The record of staff #2, hired 4/25/22, contained documentation of a central registry finding dated 7/5/22.
2. The record of staff #3, hired 8/29/22, contained documentation of a central registry finding dated 10/8/22.
Evidence: 1. The record of staff #1, hired 10/12/22, did not contain documentation of references. Staff #4 confirmed that the references were not completed.
2. The record of staff #2, hired 4/25/22, did not contain documentation of program leader qualifications and did not contain documentation of orientation. Staff #4 stated she was unsure where the orientation documentation was.
3. The record of staff #3, hired 8/29/22, did not contain documentation of two references.
Evidence: The record of child #3, enrolled 2/23/22, contained documentation of immunizations dated 6/15/22.
Evidence: The record of child #3, enrolled 2/23/22, contained documentation of a physical dated 6/15/22.
Evidence: 1. Staff #1 was observed working alone with children. 2. Staff #1 confirmed the first day of employment was 10/12/22. 3. Staff #4 confirmed that staff #1 had not been provided the required information in writing.
Evidence: In the toddler classroom there were two cots occupied by children that did not have bottom covers. Staff #2 stated the parents don't bring them. Staff #4 confirmed there were no bottom covers.
Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in CPR. Staff #4 confirmed that staff #3 has not completed CPR training.
Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in first aid. Staff #4 confirmed that staff #3 has not completed first aid training.
Evidence: 1. There was no documentation of a fire drill being practiced in September 2022. 2. Staff #4 verified a fire drill was not conducted in September.