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STEPS Head Start - Nottoway

Inspection · 2022-04-19

Date
2022-04-19
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was initiated on 4/19/2022 and concluded on 4/22/2022. The inspector was on site from 9:15 am-10:25 am. There were 13 children present, ranging in ages from 3 to 4 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records, 4 staff records, and 9 board member/agent records were reviewed. Staff records were reviewed remotely.

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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations

3
Standard 22.1-289.036-A
Based on a review of 9 board member/agent records and interview, the center did not ensure to obtain the results of a repeat central registry background check every 5 years for 1 agent as required.

Evidence:
1. The record of agent #9 contained a central registry background check dated 11/9/2015.
2. Administration acknowledged that they had not received the results of the repeat background check.
Plan of Correction: Email reminders of dates have been sent 60 days prior to expiration date- mailed 4/25/2022
Standard 22.1-289.036-B-2
Based on a review of 9 board member/agent records and interview, the center did not ensure that 3 records contained the results of a fingerprint background check by the end of the 30th day of taking office as required.

Evidence:
1. The record of board member #3 (DTB:7/1/2020) contained a fingerprint background check dated 3/21/2022. The record of board member #5 (DTB: 1/23/2020) contained a fingerprint background check dated 3/21/2022. The record of board member #6 (DTB:7/1/2021) did not contain the results of a fingerprint background check.
2. Administration acknowledged that the background checks were not completed within the required time frame.
Plan of Correction: see section 1: All paperwork has been completed for current members.
Standard 8VAC20-770-40-D-1-a
Based on a review of 9 board member/agent records and interview, the center did not ensure that 3 records contained a completed sworn statement and the results of a central registry background check by the end of the 30th day of taking office as required.

Evidence:
1. The record of board member #3 (DTB: 7/1/2020) was missing the results of a central registry background check and contained a sworn statement dated 4/11/2022. The record of board member #5 (DTB:1/23/2020) contained a central registry dated 4/18/2022 and a sworn statement dated 3/15/2022. The record of board member #6 (DTB:7/1/2021) was missing the results of a central registry background check and a completed sworn statement.
2. Administration acknowledged that the background checks were not received within the required time frame.
Plan of Correction: A plan has been created for all new board members where paperwork will be completed at least 30 days prior to coming on the board. All paperwork has been completed for current members.
View original record on Virginia Department of Social Services