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Canterbury Community Nursery School

Inspection · 2021-10-26

Date
2021-10-26
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on October 26, 2021 and concluded on October 28, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 115 children present, ranging in ages from 19 months to 5 years, with 20 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 5 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

3
Standard 22VAC40-191-60-B
Based on a review of staff records, the center did not ensure to obtain a Sworn Statement from each staff prior to employment.
Evidence: The record of Staff #1 (DOH 8/23/21) did not contain documentation of a sworn statement.
Plan of Correction: Sent corrected sworn disclosure.
Standard 22VAC40-191-60-C-2
Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: 1. The records of Staff #1 (DOH 8/23/21), Staff #3 (DOH 8/2/21) and Staff #5 (DOH 9/8/21) did not contain documentation of central registry results. 2. The record of Staff #4 (DOH 8/30/21) contained documentation of central registry results dated 10/7/21. 3. Administration confirmed the central registry results were not obtained.
Plan of Correction: Sent a copy of central registry to you. Will check to make sure dates line-up in the future so they are not late.
Standard 63.2(17)-1720.1-B-2
Based on a review of staff records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.
Evidence: The record of Staff #5 (DOH 9/8/21) contained documentation of fingerprints dated 9/13/21.
Plan of Correction: Will check to make sure dates line-up in the future so they are not late.