Inspection · 2022-09-20
Date
2022-09-20
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
(804) 629-3923
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks
Inspector Notes
An unannounced code compliance inspection was initiated on 9/20/2022 and concluded on 9/20/2022 from 10:35 AM to 12:25 PM. There were 7 children present, ranging in ages from 3 to 7, with 3 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures and medication. A total of three children?s records and four staff?s 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 facility.
Violations
4Standard 22.1-289.031-A
Based on observations and interview, the center failed to post the fact that the center is exempt from licensure in a visible location on the premises.
Evidence:
1. A tour of the facility was conducted. No posting of the center's exemption status was found.
2. The principal verified they do not have the fact the center is exempt from licensure posted.
Evidence:
1. A tour of the facility was conducted. No posting of the center's exemption status was found.
2. The principal verified they do not have the fact the center is exempt from licensure posted.
Plan of Correction: The exemption letter will be posted at the entrance.
Standard 22.1-289.031-B-3
Based on record review and interview, the center failed to establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily.
Evidence:
1. Per the parent handbook the center has a written procedure to conduct daily health screenings upon children's arrival in the morning.
2. The director states they do conduct the daily health check every morning but she was unaware staff that conducted the screening needed to be trained. There are no trained staff.
Evidence:
1. Per the parent handbook the center has a written procedure to conduct daily health screenings upon children's arrival in the morning.
2. The director states they do conduct the daily health check every morning but she was unaware staff that conducted the screening needed to be trained. There are no trained staff.
Plan of Correction: Staff that welcome children into the building each morning will be trained in daily health screening by the end of the month.
Standard 22.1-289.031-B-6
Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect.
Evidence:
1. Staff 1's start date was 8/2/22. The date of completing training in recognizing child abuse and neglect was 9/16/22.
2. Staff 3's start date was 8/2/22. There is no documentation that staff 3 has completed training in recognizing child abuse and neglect.
3. The director stated staff 3 completed training in recognizing child abuse and neglect but does not have the documentation and is not sure when it was completed.
Evidence:
1. Staff 1's start date was 8/2/22. The date of completing training in recognizing child abuse and neglect was 9/16/22.
2. Staff 3's start date was 8/2/22. There is no documentation that staff 3 has completed training in recognizing child abuse and neglect.
3. The director stated staff 3 completed training in recognizing child abuse and neglect but does not have the documentation and is not sure when it was completed.
Plan of Correction: If staff 3 is unable to find documentation of completing training in recognizing child abuse and neglect she will be required to retake the training by the end of the month. In the future all new staff will be required to be trained in recognizing child abuse and neglect prior to working with children.
Standard 8VAC20-770-40-D-2
Based on record review and interview, the center failed to have a completed central registry record check by the end of the 30th day of employment.
Evidence:
1. Staff 1's and staff 3's hire dates were 8/2/22. The their central registry background checks were sent using the portal on 7/28/22.
2. The director stated both were returned due to errors but was unable to find the letter. The director has not made corrections to mail the two central registry background checks again.
Evidence:
1. Staff 1's and staff 3's hire dates were 8/2/22. The their central registry background checks were sent using the portal on 7/28/22.
2. The director stated both were returned due to errors but was unable to find the letter. The director has not made corrections to mail the two central registry background checks again.
Plan of Correction: The corrected central registry background checks will be mailed by the end of the month. An email will be sent to the licensing inspector informing that this has been completed. If a response has not been received within 30 days the director will follow up and document the file. Once the results are received the licensing inspector will be informed. In the future central registry request will be mailed within seven days and followed up within 30 days and the record will be documented.