Inspection · 2022-12-06
(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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
Inspector Notes
A renewal inspection was initiated on December 6, 2022 at approximately 10:50 AM to 2:30 PM. There were 58 children present, ranging in ages from infant to preschool, with 15 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 10 child records and 10 staff records were reviewed. Medication is administered, and medication, authorization forms and allergy plans 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 the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. 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
Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# (804) 625-2304
Violations
10Evidence:
1. The record for staff #5 (last CPS 9/29/17), did not have documentation of an updated central registry. An updated central registry finding was required by 9/29/22.
2. The records did not contain documentation of any further contact with central registry office.
Evidence:
The records for staff #9 (employed: 8/15/22) and staff #10 (employed: 8/17/22), did not have documentation of a fingerprint based criminal history record.
Evidence:
1. The records of staff #9 (employed: 8/15/22) and staff #10 (employed: 8/17/22), did not have documentation of a completed sworn statement or affirmation.
2. A member of management stated the Sworn Statement s were not at the center for staff #9 and staff #10.
Evidence:
1. The record for staff #4 (employed: 9/06/22) and staff #10(employed: 8/17/22), did not contain documentation of central registry findings.
2. Administrative staff confirmed that the central registry findings were not documented in the staff record.
Evidence:
1. The records for staff #2 (employed:7/18/22); staff #6 (employed: 3/21/22); staff 8 (employed: 9/20/22); staff #9 (employed: 8/15/22); and staff #10 (employed: 8/17/22), did not have documentation of the TB screening or test.
2. A member of management confirmed that the screening was not in the record for staff #2, staff #6, staff #8, staff #9, and staff #10. .
Evidence:
1. The record for staff #9 (employed: 8/15/22) did not have documentation of orientation no later then seven days of the date of assuming job responsibilities.
2. The record for staff #10 (employed: 8/17/22) did not have documentation of orientation no later then seven days of the date of assuming job responsibilities.
Evidence:
1. The record for staff #1 had documentation of 8 hours of the 16 hours required annually.
2. The record for staff #5 had documentation of 5.5 hours of the 16 hours required annually.
3. The record for staff #7 did not have documentation of annual training. Staff are required to obtain at least 16 hours of training appropriate to the age of children in care
Evidence:
1. In room #1, staff #8 and staff #10 were observed working in the classroom. Staff #8 (employed 9/20/22) and staff #10 (employed: 8/17/22) did not have current certification in CPR.
2. In room #5, staff #1 and staff #10 were observed working in the classroom. Staff #1 (employed: 9/08/20) and staff #2 (employed: 7/18/22) did not have current certification in CPR
2. Administration acknowledged that there was not a staff member with a current CPR certification in room #1 or room #5.
Evidence:
1. In room #1, staff #8 and staff #10 were observed working in the classroom. Staff #8 (employed 9/20/22) and staff #10 (employed: 8/17/22) did not have current certification in first aid.
2. In room #5, staff #1 and staff #10 were observed working in the classroom. Staff #1 (employed: 9/08/20) and staff #2 (employed: 7/18/22) did not have current certification in first aid.
3. Administration acknowledged that there was not a staff member with a current first aid certification in room #1 or room #5.
Evidence:
Five injury reports did not have any future action to prevent recurrence of the injury, two injury reports did not have documentation of how the parent was notified, and two injury reports did not have the date and time when parents were notified.