Inspection · 2022-01-26
Date
2022-01-26
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
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 (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
A renewal inspection was initiated on 01/26/2022 via email and telephone call. The renewal inspection was completed on 02/04/2022 with an in-person inspection which lasted from 10:30 am - 1:28 pm. At the time of the tour there were 111 children in care with 18 staff. The children ranged in age from 16 months - five years.
Records were reviewed for five children and 10 staff.
Violations were found in the areas of administration, staff training and background checks.
The violations are listed on the violation notice and were reviewed with administrative staff at the conclusion of the inspection.
Violations
6Standard 22.1-289.035-B-4
Based on record review and interview, the center failed to obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.
Evidence:
1. Staff 1, hire date 11/10/2021, does not have the results of a sex offender check and central registry check from the State of North Carolina.
a. Staff 1 indicated on the completed sworn statement or affirmation she had resided in this state within the past five years.
2. Administrative staff confirmed that the results of a sex offender check and central registry check had not been obtained from the State of North Carolina.
Evidence:
1. Staff 1, hire date 11/10/2021, does not have the results of a sex offender check and central registry check from the State of North Carolina.
a. Staff 1 indicated on the completed sworn statement or affirmation she had resided in this state within the past five years.
2. Administrative staff confirmed that the results of a sex offender check and central registry check had not been obtained from the State of North Carolina.
Plan of Correction: An out-of-state background check will be requested and the results forwarded to the inspector.
Standard 8VAC20-770-60-B
Based on record review, the center failed to ensure that an employee must not be employed until the agency or home has the person's completed sworn statement or affirmation.
Evidence:
1. Staff 4, hire date 09/13/2021, completed the sworn statement or affirmation on 09/14/2021 which is after the hire date.
2. Staff 5, hire date 12/01/2021, completed the sworn statement or affirmation on 12/14/2021 which is after the hire date.
Evidence:
1. Staff 4, hire date 09/13/2021, completed the sworn statement or affirmation on 09/14/2021 which is after the hire date.
2. Staff 5, hire date 12/01/2021, completed the sworn statement or affirmation on 12/14/2021 which is after the hire date.
Plan of Correction: Administrative staff will ensure that all staff complete a sworn statement or affirmation prior to hire.
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment.
Evidence:
1. Staff 1, hire date 08/23/2021, lacks the results of a central registry check.
2. Administrative staff stated that staff 1 left employment on 10/29/2021 and that the results of a central registry check were not obtained.
Evidence:
1. Staff 1, hire date 08/23/2021, lacks the results of a central registry check.
2. Administrative staff stated that staff 1 left employment on 10/29/2021 and that the results of a central registry check were not obtained.
Plan of Correction: Administrative staff stated that a system will be put in place to ensure that all staff have the results of a central registry check within 30 days of hire.
Standard 8VAC20-780-160-A
Based on record review and interview, the center failed to ensure that each staff member and individual shall submit documentation of a negative tuberculosis screening.
Evidence:
1. Staff 1, hire date 11/10/2021, lacks documentation of a negative TB screening.
2. Staff 2, hire date, 01/03/2022, lacks documentation of a negative TB screening.
3. Staff 3, hire date, 09/13/2021, lacks documentation of a negative TB screening.
4. Administrative staff confirmed that a TB screening was not on file for these staff.
Evidence:
1. Staff 1, hire date 11/10/2021, lacks documentation of a negative TB screening.
2. Staff 2, hire date, 01/03/2022, lacks documentation of a negative TB screening.
3. Staff 3, hire date, 09/13/2021, lacks documentation of a negative TB screening.
4. Administrative staff confirmed that a TB screening was not on file for these staff.
Plan of Correction: Going forward, all staff will have the results of a negative TB screening prior to hire.
A TB screening will be obtained for staff 1, 2 and 3.
A TB screening will be obtained for staff 1, 2 and 3.
Standard 8VAC20-780-245-A
Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Evidence:
1. Administrative staff stated there was not written documentation to confirm that staff 7 and staff 8 had completed a minimum of 16 hours of annual training in 2021.
2. A review of staff records for staff 7 and staff 8 did not indicate documentation of any annual training in 2021.
Evidence:
1. Administrative staff stated there was not written documentation to confirm that staff 7 and staff 8 had completed a minimum of 16 hours of annual training in 2021.
2. A review of staff records for staff 7 and staff 8 did not indicate documentation of any annual training in 2021.
Plan of Correction: Administrative staff stated that these staff have completed training hours however, training documentation was not available. Records will be reviewed and all training will be written in staff files for verification purposes.
Standard 8VAC20-780-70
Based on record review, the center failed to obtain written documentation that two or more references as to character and reputation as well as competency were checked before employment.
Evidence:
1. Staff 5, hire date 12/01/2021, lacked written documentation of a second reference check.
Evidence:
1. Staff 5, hire date 12/01/2021, lacked written documentation of a second reference check.
Plan of Correction: This reference check was completed however, the documentation can not be located therefore, a second reference check will be obtained and included in the employment file.