Inspection · 2023-05-25
(804) 588-2362
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on May 25, 2023, with center director. The inspection began at approximately 9:30 AM and concluded at 1:05 PM. There were 45 children present, ranging in ages from 1 years to 5 years, with 9 staff supervising. 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 5 child records and 5 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.
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. 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 about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362.
Violations
8Evidence:
1. Staff #2?s record contained fingerprint background check results that were dated 5/19/2023. Staff #2?s hire date was 4/17/2023.
Evidence:
1. The record of staff #3 (DOH: 3/31/2023) did not contain the results of a central registry background check.
2. The record of staff #4 (DOH: 4/17/2023) did not contain the results of a central registry background check.
2. Administration acknowledged that the background checks were not received within the required time frame.
Evidence:
1. The record for child #3 (DOE 11/21/2022) did not contain documentation of immunizations.
2. The record for child #4 (DOE 11/21/2022) contained documentation of immunizations that were dated for 12/2/2022.
3. The director verified that immunizations had not been received for child #3.
Evidence:
1. The record of child #3 (DOE:11/21/2022) did not contain documentation of a physical examination.
2. The record of child #4 (DOE: 11/21/2022) did not contain documentation of a physical examination.
3. The director acknowledged that physical was not received for child #3 and #4.
Evidence:
1. The record for staff #2 did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #2?s date of hire was 4/17/2023.
2. The record for staff #4, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 4?s date of hire was 4/17/2023.
3. The record for staff #1 contained documentation of a tuberculosis (TB) test dated 12/21/2022. Staff #1?s date of hire was 11/30/2022.
4. The record for staff #5 contained documentation of a tuberculosis (TB) test dated 1/23/2022. Staff #5?s date of hire was 1/3/2023.
5. The director stated that staff #2 and #4 has completed a tuberculosis (TB) test but was unable to provide documentation.
Evidence:
1. In the Early Head Start I classroom there was a can of Lysol Disinfect Spray in an unlocked drawer that was accessible to children.
2. In the toddler classroom under the changing table in an unlocked cabinet, there was a can of Lysol Disinfect Spray.
3. The warning label stated, "keep out of reach of children, caution, and flammable."
Evidence: A child has emergency medication on site which expired 11/2022.
Evidence:
Injury report #2 dated 4//2023 did not contain information regarding the date, time, and how the parent was notified. The injury report did not contain any future action to prevent recurrence of the injury.