Inspection · 2022-02-28
Date
2022-02-28
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
(540) 430-0384
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
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program.
A code compliance inspection was initiated on 02/28/2022 and concluded on 02/28/2022. The director was contacted by video call to initiate the inspection. There were 88 children present and 10 staff. The Inspector reviewed 5 staff records and 5 children?s records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the program.
Violations
3Standard 22.1-289.031-B-4
Based on record review, the center did not ensure one of five children's records contained documentation of the child's immunizations showing that the child is in compliance with immunization provisions.
Evidence:
The record of child #3 (start date: 1/17/22) did not have documentation of immunizations. The center's procedures for children's records requires that the center obtain immunizations upon enrollment.
Evidence:
The record of child #3 (start date: 1/17/22) did not have documentation of immunizations. The center's procedures for children's records requires that the center obtain immunizations upon enrollment.
Plan of Correction: I will email or talk to the child's parents and make sure that I have it by the end of the week.
Standard 22.1-289.035-B-2
Based on record review, the center did not ensure three of five staff records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (start date: 11/15/2021) had documentation of fingerprint based national criminal history search result dated 11/16/21.
2. The record of staff #2 (start date: 9/9/21) had documentation of fingerprint based national criminal history search result dated 10/14/21.
3. The record of staff #3 (start date: 9/27/21) had documentation of fingerprint based national criminal history search results dated 9/29/21.
Evidence:
1. The record of staff #1 (start date: 11/15/2021) had documentation of fingerprint based national criminal history search result dated 11/16/21.
2. The record of staff #2 (start date: 9/9/21) had documentation of fingerprint based national criminal history search result dated 10/14/21.
3. The record of staff #3 (start date: 9/27/21) had documentation of fingerprint based national criminal history search results dated 9/29/21.
Plan of Correction: I will make sure that they will not start until they have all paperwork in the file.
Standard 8VAC20-770-40-D-2
Based on record review, the provider did not ensure four of five staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (start date: 11/15/21) did not have documentation of central registry results and a sworn statement or affirmation.
2. The record of staff #2 (start date: 9/9/21) did not have documentation of central registry results and a sworn statement or affirmation.
3. The record of staff #3 (start date: 9/27/21) did not have documentation of central registry results and a sworn statement or affirmation.
4. The record of staff#4 (start date: 6/24/19) did not have documentation of a sworn statement or affirmation.
Evidence:
1. The record of staff #1 (start date: 11/15/21) did not have documentation of central registry results and a sworn statement or affirmation.
2. The record of staff #2 (start date: 9/9/21) did not have documentation of central registry results and a sworn statement or affirmation.
3. The record of staff #3 (start date: 9/27/21) did not have documentation of central registry results and a sworn statement or affirmation.
4. The record of staff#4 (start date: 6/24/19) did not have documentation of a sworn statement or affirmation.
Plan of Correction: I will make sure that they will not start until they have all paperwork in the file prior to enrollment for sworn statements and within 30 days for central registry.