Inspection · 2022-04-25
(804) 588-2368
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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A renewal inspection was conducted on 07/05/2023 from approximately 9:51 a.m. to 3:15 p.m. There were 84 children present and 16 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Eight child records and six staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. 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 today, 07/25/2023. 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 standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Violations
6Evidence:
The record for C4 (under the age of 2 years), did not contain documentation of additional immunizations every six months. The immunizations documented in the record were dated 01/21/22 and 07/21/22.
The record for S5, employed 06/19/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 04/25/2022 was more than 30 days old at the time of employment.
documentation, the provider failed to ensure the documentation contained all of the required
information.
Evidence:
The emergency drill documentation reviewed did not document any special conditions
simulated; problems encountered, if any; and weather conditions for emergency evacuation
drills.
Evidence:
The record for C5, enrolled 10/01/2020 did not contain documentation of confirmation of up-to-date information in the child?s record as required by 8VAC20-780-420-E.3.b between 10/01/2020 and 06/05/2023.
The record for C7, enrolled 05/30/2018 did not contain documentation of confirmation of up-to-date information in the child?s record as required by 8VAC20-780-420-E.3.b between 05/30/2018 and 08/30/2022.
The record for C8, enrolled 01/08/2018 did not contain documentation of confirmation of up-to-date information in the child?s record as required by 8VAC20-780-420-E.3.b between 01/08/2018 and 08/17/2022.
The record for C6, enrolled 02/20/2023 did not contain a second emergency contact in the event the parent cannot be reached.
Based on staff record review, the provider failed to ensure that two of eight records contained
required information.
Evidence:
Record for S3, employed 05/16/2022 and S6, employed 03/16/2022 did not contain information about any health problems that may interfere with filling the job responsibilities.
Evidence:
The written agreement for C3, enrolled 09/19/2022 was signed until 09/21/2022.