Inspection · 2022-12-06
Date
2022-12-06
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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.
8VAC20-820 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
An unannounced renewal inspection was initiated and concluded on December 6, 2022. There were 19 children in care ages 11months through five years old with five staff and the owner. Children's and staff records were reviewed. Children were observed in teacher and self-directed activities. A walking of the center facility was completed inside and outside. Violations regarding staff records, background checks and resilient surface were discussed with the owner at the conclusion of the inspection and appear on the violation notice.
Violations
6Standard 22.1-289.035-B-2
Based on record review and interview the center failed to obtain fingerprint background checks prior to employment.
Evidence:
1 - The record for Staff #3 contains a fingerprint background dated November 18, 2022. However, the documented date of hire is November 15, 2022. Therefore, the fingerprint background check was obtained after the date of hire.
2 - Staff #1 confirmed that the fingerprint background check was obtained after the date of hire.
Evidence:
1 - The record for Staff #3 contains a fingerprint background dated November 18, 2022. However, the documented date of hire is November 15, 2022. Therefore, the fingerprint background check was obtained after the date of hire.
2 - Staff #1 confirmed that the fingerprint background check was obtained after the date of hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Based on record review the center failed to ensure that out of state background are obtained as required.
Evidence:
1 - The record for Staff #2 contains documentation that the staff lived out of state within the past five years. However, there was not an out of state background check completed as required. Staff #2 has a documented date of hire as November 7, 2022.
2 - Staff #1 confirmed that there was not any documentation that an out of state background check was requested for Staff #2.
Evidence:
1 - The record for Staff #2 contains documentation that the staff lived out of state within the past five years. However, there was not an out of state background check completed as required. Staff #2 has a documented date of hire as November 7, 2022.
2 - Staff #1 confirmed that there was not any documentation that an out of state background check was requested for Staff #2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on record review and interview the center failed to ensure that central registry findings are obtained within 30 days.
Evidence:
1 - The record for Staff #5 does not contain any documentation that a central registry background check was requested or received within 30 days of hire. The documented date of hire for Staff #5 is July 25, 2022.
2 - Staff #1 confirmed that there was not any documentation that a central registry background check was requested for Staff #5.
Evidence:
1 - The record for Staff #5 does not contain any documentation that a central registry background check was requested or received within 30 days of hire. The documented date of hire for Staff #5 is July 25, 2022.
2 - Staff #1 confirmed that there was not any documentation that a central registry background check was requested for Staff #5.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review the center failed to ensure that each staff member submits documentation of negative tuberculosis screening within 30 calendar days of the date of employment.
1 - The record for Staff #3 has tuberculosis screening dated June 1, 2022. However, the documented date of hire is November 15, 2022. Therefore, the tuberculosis screening was not obtained within the required time frame.
2 - Staff #1 confirmed that tuberculosis screening documentation was not obtained within the required time frame.
1 - The record for Staff #3 has tuberculosis screening dated June 1, 2022. However, the documented date of hire is November 15, 2022. Therefore, the tuberculosis screening was not obtained within the required time frame.
2 - Staff #1 confirmed that tuberculosis screening documentation was not obtained within the required time frame.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Based on observation the center failed to maintain resilient surface as required.
Evidence:
1 - There is less than six inches of resilient surface under, around and into the fall/use zone of the climb and slide equipment.
a. Children were observed playing on the equipment during the inspection.
Evidence:
1 - There is less than six inches of resilient surface under, around and into the fall/use zone of the climb and slide equipment.
a. Children were observed playing on the equipment during the inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on record review and interview the center failed to ensure that staff records contain all required information.
Evidence:
1 - The record for Staff #2 has a documented date of hire as November 7, 2022. However, the record did not contain documentation of program leader qualifications which was the position Staff #2 was observed working in during the inspections. Additionally, the reference documentation was incomplete without a year or firm contacted noted. There was not any documentation of age verification.
2 - The record for Staff #3 has a documented date of hire as November 15, 2022. However, the reference documentation was incomplete as the year of the check nor the firm contacted was not noted. There was not any documentation of age verification.
3 - The record for Staff #4 has a documented date of hire as July 8, 2022. However, the reference documentation was incomplete as the firm contacted was not noted.
4 -The record for Staff #5 has a documented date of hire as July 25, 2022. However, the reference documentation was incomplete as the firm contacted was not noted. Additionally, there was not any documentation of age verification.
Evidence:
1 - The record for Staff #2 has a documented date of hire as November 7, 2022. However, the record did not contain documentation of program leader qualifications which was the position Staff #2 was observed working in during the inspections. Additionally, the reference documentation was incomplete without a year or firm contacted noted. There was not any documentation of age verification.
2 - The record for Staff #3 has a documented date of hire as November 15, 2022. However, the reference documentation was incomplete as the year of the check nor the firm contacted was not noted. There was not any documentation of age verification.
3 - The record for Staff #4 has a documented date of hire as July 8, 2022. However, the reference documentation was incomplete as the firm contacted was not noted.
4 -The record for Staff #5 has a documented date of hire as July 25, 2022. However, the reference documentation was incomplete as the firm contacted was not noted. Additionally, there was not any documentation of age verification.
Plan of Correction: Not available online. Contact Inspector for more information.