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Canterbury Community Nursery School

Inspection · 2022-03-03

Date
2022-03-03
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

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 (22VAC40-191)
22.1 Early Childhood Care and Education

Inspector Notes

A renewal inspection was conducted on-site on March 3, 2022 and concluded virtually on March 4, 2022. The director was on-site during the inspection and emailed the inspector requested documents.

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 4 child records, 4 staff records, and 4 board member 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

5
Standard 22.1-289.035-A
Based on a review of staff records and interview on March 3, 2022, the center failed to obtain central registry search results every five years for all employees.
Evidence: The record staff #2 contained documentation of central registry results dated 12/28/16. Administration acknowledged the repeat registry check was not completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-B-2
Based on a review of board member records and interview on March 3, 2022, the center did not ensure to obtain fingerprint based national criminal record check within 30 days of appointment of a board member.
Evidence: 1. The record of board member #2 (took office 8/14/21) did not contain documentation of fingerprints. 2. The record of board member #3 (took office 8/14/21) did not contain documentation of fingerprints. 3. The record of board member #3 (took office 8/14/21) did not contain documentation of fingerprints. 4. Administration acknowledged the fingerprints were not completed.
Plan of Correction: I will have board members update their records.
Standard 8VAC20-770-40-D-1-a
Based on a review of board member records and interview on March 3, 2022, the center did not ensure to obtain a sworn statement for each new member when a change occurred and a central registry check from each member of the board before the end of the 30 days after the change of member.
Evidence: 1. The record of board member #2 (took office 8/14/21) did not contain documentation of a sworn statement and did not contain documentation of central registry results. 2. The record of board member #3 (took office 8/14/21) did not contain documentation of a sworn statement and did not contain documentation of central registry results. 3. Administration acknowledged the checks were not complete.
Plan of Correction: Board member #3 corrected the sworn statement on-site. I will have other board members update their records.
Standard 8VAC20-780-260-A
Based on a review of records and interview on March 3, 2022, the center did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.
Evidence: 1. The record of the annual fire inspection is dated 2/19/21. 2. Administration acknowledged they did not contact the local fire official.
Plan of Correction: Inspection on March 14, 2022.
Standard 8VAC20-780-510-L
Based on observation and interview on March 2, 2022, the center did not ensure medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, will be kept in a locked place using a safe locking method that prevents access by children.
Evidence: Children's prescription medications were located in an unlocked box in an unlocked closet in the office. Administration confirmed the door to the closet did not lock.
Plan of Correction: We will get a lock box of med.
View original record on Virginia Department of Social Services