Inspection · 2022-06-01
(804) 389-0157
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
The licensing inspector conducted an unannounced monitoring inspection on Wednesday, June 1, 2022 from 10:00am to approximately 3:00pm. There were a total of 114 children in care in the direct care of 16 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility used by the children were inspected. The center is equipped with toys and supplies and items were available to the children. The required postings were reviewed and found to be in compliance. Medication is administered when required and medications were reviewed. During the inspection, ten children?s records and ten staff records were reviewed. Additional information was later submitted to the inspector and was reviewed virtually.
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.
Violations
12Evidence: 1) The record for Staff #3, hired on 11/08/21, had fingerprint results that were dated 06/09/21. 2) During interview, a member of management reported Staff #3 was terminated from employment in October 2021 and rehired on 11/08/21, but new fingerprint results were not obtained.
Evidence: 1) The record for Staff #5, hired on 03/22/21, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the state. 2) The record for Staff #9, hired on 01/04/22, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the other states. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #5 or Staff #9 within the required time frames. The out-of-state criminal history record information check is required to be obtained prior to hire and 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 hired.
Evidence: 1) The record for Staff #3, hired on 11/08/21, did not contain a sworn statement. 2) The sworn statement in the record for Staff #9, hired on 01/04/22, was dated 01/07/22. 3) During interview, a member of management reported the sworn statement for Staff #3 could not be located and the sworn statement for Staff #9 was completed after hire.
Evidence: 1) The central registry finding in record for Staff #1, hired on 03/04/21, was dated 04/18/22. 2) The central registry finding in the record for Staff #3, hired on 11/08/21, was dated 01/19/22. 3) The record for Staff #9, hired on 01/04/22, did not contain a central registry finding. A member of management reported the central registry finding for Staff #9 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1 and Staff #3 were not received and the center did not follow up within 30 days of employment.
Evidence: 1) The most recent immunization documentation in the record for Child #4 (12-month-old), enrolled on 08/16/21, is dated 09/27/21. 2) During interview, a member of management confirmed the records did not contain additional immunizations.
Evidence: 1) The TB screening in the record for Staff #2, hired on 04/11/22, was dated 04/13/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.
2) The TB screening in the record for Staff #10, hired on 04/18/22, was dated 12/14/21. The documentation shall have been completed within the last 30 calendar days of the date of employment.
3) During interview, a member of management confirmed the documentation was not received within the required time frame.
Evidence: 1) The record for Staff #8, hired on 02/16/22, did not contain documentation that the staff had completed the Virginia Department of Education-sponsored orientation course. 2) During interviews, a member of management reported Staff #8 did not complete the course within 90 calendar days of employment.
Evidence: 1) In the Preschool 1B classroom, the licensing inspector observed unlocked cleaning supplies. A bottle of bleach/water solution was observed in the bathroom, unlocked.
Evidence: 1) Two medications were observed for Child #2, but no medication authorizations were present for the medications. 2) One of the medications observed for Child #5 did not have a medication authorization present. 3) Two medications were observed for Child #7, but no medication authorizations were present for the medications. 4) During interview, a member of management reported the authorizations for these medications were not present.
Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021 and 2022. An evacuation drill was not documented for the month of May 2022. 2) During interview, a member of management reported the drill was conducted, but it was not documented as required.
Evidence: 1) The record for Child #4, enrolled on 04/04/22, did not contain a second emergency. 2) During interview, a member of management confirmed the record did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Evidence: 1) The references in the record for Staff #1, hired on 03/04/22, were taken over the phone. The references do not contain dates of contact and one of the references does not have documentation on signature of person making the call.
2) The references in the record for Staff #2, hired on 04/11/22, were taken over the phone. The references do not contain dates of contact and one reference does not have documentation on signature of person making the call.
3) The record for Staff #3, hired on 11/08/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
4) The record for Staff #6, hired on 01/04/22, were taken over the phone. The references do not contain dates of contact.
5) The record for Staff #7, hired on 04/12/22, were taken over the phone. One of the references does not contain dates of contact.
6) The record for Staff #8, hired on 02/16/22, were taken over the phone. The references do not contain dates of contact.