Inspection · 2024-11-20
Licensing Inspector
Cindy Horne
(804) 297-4469
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 11/20/2024. The on-site inspection began at 2:37 p.m. and ended at 4:30 p.m. The inspector reviewed compliance in the areas listed above. There were 32 children present and six staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review (i.e. daily schedule, menu, license, previous inspection, attendance records, health and fire inspections, emergency drill logs), tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 12/10/2024. A POC submitted after this date will not appear on the public website
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. There was no sworn statement for Staff #5, who has been working for the center for approximately three years.
Plan of Correction: Sworn Disclosure Statement signed and completed.
Standard 8VAC20-770-60-C-2
(Repeat violation) The center is required to obtain a search of the central registry for any employee before 30 days of employment at the facility ends. There was no central registry search for Staff #5, who has been working for the center for approximately three years. The central registry search for Staff #1 was dated more than seven months after their first day of employment.
Plan of Correction: Central Registry Portal was under construction. The search will be submitted when portal in operation.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #5 had no documentation and has been employed for approximately three years.
Plan of Correction: Staff #5 had a TB test but it was not updated. She has scheduled appmt. for TB test.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1 completed the course five months late. Staff #5 who has been working for the center for approximately three years has not completed the course.
Plan of Correction: Moving forward Staff #5 will work in food service only and not directly with children.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #5 had no documentation of training and has been employed for approximately three years.
Plan of Correction: Moving forward Staff #5 will work in food service only and not directly with children.
Standard 8VAC20-780-60-A
Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. There was no documentation that the emergency contact information in the records of Child #4 (enrolled for over three years) and Child #5 (enrolled for over 2 years) had been updated annually.
Plan of Correction: Annual parent form has been placed in every child's file. Begin in January 2025.
Standard 8VAC20-780-70
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #5 had no documentation of orientation training and has been employed for approximately three years.
Staff records must contain documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff #5 had no documentation of references and has been employed for approximately three years.
Staff records must contain name, address, and telephone number of a person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff #5 had no documentation of an emergency contact or any health problems and has been employed for approximately three years.
Plan of Correction: Moving forward Staff #5 will work in food service only and not directly with children. Two references were contacted and completed. Emergency contact information was completed. No health problems completed on application.