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LeafSpring School at Hanover

Inspection · 2021-12-09

Date
2021-12-09
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-185-40 Operational responsibilities.
22VAC40-185-50 General recordkeeping; reports.
22VAC40-185-60 Children's records.
22VAC40-185-70 Staff records
22VAC40-185-80 Attendance records; reports.
22VAC40-185-90 Parental agreements.
22VAC40-185-130 Immunizations for children.
22VAC40-185-140 Physical examinations for children.
22VAC40-185-150 Form and content of immunizations and physical examination reports for children.
22VAC40-185-160 Tuberculosis screening for staff and independent contractors.
22VAC40-185-170 Physical and mental health of staff and volunteers

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.

A monitoring inspection was initiated and concluded on 12/9/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 111 children present, ranging in ages from 4 months to 5 years, with 21 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 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. 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

1
Standard 8VAC20-770-60-C-2
Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 5 staff as required.

Evidence:
1. The record of staff # 1 (9/13/2021) contained the results of a central registry background check dated 11/23/2021. The record of staff #2 (DOH: 10/12/2021) contained the results of a central registry background check dated 11/30/2021. The record of staff #3 (DOH: 10/27/2021) did not contain the results of a central registry background check. The record of staff #4 (DOH: 11/1/2021) did not contain the results of a central registry background check. The record of staff #5 (DOH: 10/5/2021) contained the results of a central registry background check dated 11/30/2021.
2. Administration acknowledged that the central registry background checks were not received within the required time frame.
Plan of Correction: New staff will complete central registry background checks prior to or the first day of orientation. The administrative team members will create calendar reminders to follow up on the background checks 20 days after submitting to ensure compliance. All admin team members have received guidance on required time frames in regards to submitting and receiving background checks. Immediately all "outstanding" background checks have been requested.
View original record on Virginia Department of Social Services