Inspection · 2023-11-02
(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 Thursday, November 2, 2023 from approximately 9:20am until 12:30pm. There were 54 children present, ranging in ages from 16 months to 5 years, with 10 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 at (804) 588-2362.
Violations
6Evidence:
1. The record of staff #2, hired August 14, 2023, contained documentation of a central registry finding dated October 11, 2023.
2. The director acknowledged that the central registry was not completed within 30 days of employment.
Evidence:
1. The record of staff #2 (date of employment: 8/14/2023) contained a TB screening dated 8/26/2023.
2. The record of staff #4 (date of employment: 4/17/2023) contained a TB screening dated 8/10/2023.
2. Administration acknowledged that the TB screening was obtained late for both staff #2 and staff #4.
Evidence:
1. The record of Staff #3 (DOH 07/12/2023) did not have documentation of orientation.
2. The director stated that orientation for staff #3 has been completed but had not been documented.
Evidence:
1. In classroom #1, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.
Evidence: Child #1 has one prescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.
Evidence: Child #2 had a medication on site and the parent's authorization for the medication expired on 9/2023.