Inspection · 2023-06-23
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A renewal inspection was initiated on 06/23/2023 and concluded on 06/23/2023. There were 30 children present, ranging in ages from 4 years to 10 years, with 10 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, 1 board officer/agent, and 7 staff records were reviewed.
Please complete the plan of correction and date to be corrected sections 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 preventive measure(s).
Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
Violations
4Evidence:
1. The record of Staff 1 (DOH 12/02/2022) did not contain documentation of fingerprint based national criminal background check results.
2. The record of Staff 2 (DOH 02/07/2023) did not contain documentation of fingerprint based national criminal background check results.
3. The record of Staff 3 (DOH 06/01/2023) did not contain documentation of fingerprint based national criminal background check results.
4. The record of Staff 4 (DOH 05/19/2023) did not contain documentation of fingerprint based national criminal background check results.
5. The record of Staff 5 (DOH 05/22/2023) did not contain documentation of fingerprint based national criminal background check results.
6. The record of Staff 6 (DOH 05/31/2023) did not contain documentation of fingerprint based national criminal background check results.
7. Staff 7 confirmed that all staff went to Field Print to get background checks but HR department is unsure of the email where the results are sent.
Evidence:
1. The date of appointment for Board Officer 1 was 06/28/2022. The center did not have a criminal history background check on file.
Evidence:
1. The date of appointment for Board Officer 1 was 06/28/2022. There was no Sworn Statement on file for Board Officer 1.
2. The date of appointment for Board Officer 1 was 06/28/2022. There was no Central Registry Background Check on file for Board Officer 1.
Evidence:
1. The record of Staff 1 (DOH 12/02/2022), contained documentation of a tuberculosis screening dated 06/13/2023.
2. The record of Staff 2 (DOH 02/07/2023) contained documentation of a tuberculosis test/screening dated 06/14/2023.
3. The record of Staff 3 (DOH 06/01/2023) contained documentation of a tuberculosis test/screening dated 06/15/2023.
4. The record of Staff 4 (DOH 05/19/2023) contained documentation of a tuberculosis test/screening dated 06/16/2023.
5. The record of Staff 5 (DOH 05/22/2023) contained documentation of a tuberculosis test/screening dated 06/15/2023.
6. The record of Staff 6 (DOH 05/22/2023) contained documentation of a tuberculosis test/screening dated 06/20/2023.