Inspection · 2022-03-14
(804) 840-8260
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
A renewal inspection was initiated on 03/14/2022 and concluded on 03/24/2022. The facility submitted documentation to the inspector on 03/14/2022 and the inspector conducted an unannounced inspection on-site on 03/16/2022 from approximately 10:30am to 1:15pm. On 03/16/2022, there were 62 children present with 11 staff directly supervising and two administrators. 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 five child records and five 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 the date of receipt. 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 standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).
Violations
4Evidence: 1) The central registry finding in the record for Staff #1, hired on 10/18/21, was dated 12/05/21. 2) The central registry finding in the record for Staff #2, hired on 10/19/21, was dated 12/06/21. 3) During interview, a member of management confirmed the central registry finding for Staff #1 and Staff #2 were not received within 30 days of employment.
Evidence: 1) The most recent TB screening in the record for Staff #3, hired on 01/20/22, was dated 02/09/22. 2) During interviews, a member of management reported the documentation of a negative TB screening for Staff #3 was not obtained at the time of employment and prior to coming into contact with children.
Evidence: 1) Documentation reviewed for Child #2, enrolled on 09/20/21, indicated the child has a diagnosed food allergy, but a written care plan was not observed . 2) During interview, a member of management reported the center does not have a written care plan for Child #2.
Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #4, hired on 09/30/2021, were dated 10/25/2021. 2) During interview, a member of management acknowledged the TB results for Staff #4 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.