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Ms. Rebecca Garson

Inspection · 2017-01-03

Date
2017-01-03
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment & Equipment
22VAC40-111 Care of Children
22VAC40-111 Prevention of Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 The License
8VAC20-770 Background Checks (22VAC40-191)
22.1 Early Childhood Care & Education

Inspector Notes

A onsite renewal inspection was conducted on February 23, 2022. There were twelve children present for a total of 17 points, ranging in ages from two to six years of age, with two caregivers 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 five child records and four caregiver 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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations

4
Standard 22.1-289.035-B-2
Based on review of caregiver records, the provider failed to ensure that fingerprints were completed and on file prior to the first day of employment.

Evidence:
1. Caregiver #2's date of employment was 01/03/2022. The fingerprints were dated 01/11/2022.
2. The provider verified the date of employment.
Plan of Correction: In the future all fingerprints will be on file before an employee begins employment.
Standard 22.1-289.035-B-4
Based on review of caregiver records, the provider failed to obtain all required out-of-state background checks in the required time frames.

Evidence:
1. Caregiver #2's sworn disclosure statement signed 12/16/2021 indicated they had lived in two states outside of Virginia within the past five years.
2. There was not a completed out-of-state criminal history check completed for one state. The out-of-state criminal history background check is required prior to hire. Date of hire for Caregiver #2 was 01/03/2022.
3. There was not a completed sex offender name check completed for one state. The sex offender name check is required prior to hire. Date of hire for Caregiver #2 was 01/03/2022.
4. There was not a completed out-of-state child abuse and neglect completed for one state. The out-of-state child abuse and neglect is required to be sent out by the 30th day of employment, which would have been 02/03/2022. Date of hire for Caregiver #2 was 01/03/2022.
5. The provider verified the date of employment for Caregiver #2, and verified that the required background checks had not been completed.
Plan of Correction: The provider will complete all required out-of-state background checks. Within 10 business days the provider will send to the Licensing Inspector evidence that the background checks have been sent off or completed. In the future any employee requiring background checks will have all out-of-state background checks on file prior to hire.
Standard 22.1-289.036-C
Based on review of board member background checks, the center failed to ensure that background checks were updated every five years.

Evidence:
1. The central registry finding for Agent #1 was last completed on 01/03/2017. A new central registry finding was required by 1/03/2022.
2. The central registry finding for Agent #2 was last completed on 08/22/2016. An new central registry finding was required by 08/22/2021.
3. The sworn disclosure statement for Agent #2 was last completed on 08/01/2016. A new sworn disclosure statement was required by 08/01/2021.
4. The central registry finding for Agent #3 was last completed on 08/08/2016. A new central registry finding was required by 08/08/2021.
5. The sworn disclosure statement for Agent #3 was last completed on 07/21/2016. A new sworn disclosure statement was required by 07/21/2021.
Plan of Correction: The provider will obtain new sworn disclosure statements and send out new central registry finding background checks. The provider will provide evidence to the Licensing Inspector within 10 business days of the background checks being completed/sent out.
Standard 8VAC20-800-100-A
Based on a review of children records, the provider failed to obtain a physical within 30 days after the first date of attendance.

Evidence:
1. Child #1's date of enrollment was 06/23/2021. There was not a completed physical examination on file for Child #1.
2. The provider verified the date of enrollment, and that there was not a completed physical examination on file.
Plan of Correction: The provider will request the physical exam from the parent. In the future files will be audited to ensure all required items are obtained in the required time frames.