Inspection · 2022-11-02
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
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
8VAC20-770 BACKGROUND CHECKS (8VAC20-770)
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
Inspector Notes
An unannounced monitoring inspection was conducted from 2:00 pm - 3:15 pm. There were 29 children in care being supervised by 3 staff. The children were observed resting. 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 three child records and two 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. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.
Standard 8VAC20-770-60-C-2
Based on review of two staff records it was determined that not all records contained documentation of a central registry check within the first 30 days of employment. Evidence: The record for staff A (start date: 08/19/22) and the record for staff B (start date: 05/23/22) did not have documentation of a central registry check.
Plan of Correction: Administration will follow up with central registry to inquire the status of the central registry background check requests for staff A and staff B. Administration will resubmit the central registry checks if central registry is unable to confirm receipt of the original requests.
Standard 8VAC20-780-140-A
Based on review of three children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The record for child A (start date: 06/26/22) did not contain documentation of a physical.
Plan of Correction: Administration will request an up to date physical from the parents of child A.
Standard 8VAC20-780-160-A
Based on review of two staff records it was determined that not all records contained documentation of a TB (tuberculosis) screening before the first day of employment. Evidence: Staff A (start date: 08/19/22) did not have documentation of a TB screening on file.
Plan of Correction: Staff A will obtain a TB screening and submit the results to administration for their record.
Standard 8VAC20-780-240-B
Based on review of two staff records it was determined that not all records contained documentation that orientation training had been completed within the first seven days of employment. Evidence: The record for staff A (start date: 08/19/22) did not have documentation of orientation training.
Plan of Correction: Administration will go over orientation training for staff A and place documentation in their record.
Standard 8VAC20-780-60-A
Based on review of three children's records it was determined that not all records were complete. Evidence: 1.) The record for child A (start date: 06/26/22) did not contain the addresses of two emergency contacts. 2.) The record for child A (start date: 06/26/22) did not contain documentation that the child's proof of identity was viewed and documented.
Plan of Correction: Administration will request the addresses of the emergency contacts and proof of identity from the parents of child A.