Inspection · 2021-07-28
Licensing Inspector
Lynn Powers
(804) 840-8260
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
22VAC40-185 ADMINISTRATION.
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program.
A renewal inspection was initiated on 7/28/2021 and concluded on 7/28/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 84 children present, ranging in ages from 3 months to 12 years, with 17 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.
If you have any questions, please contact me at 804-381-8487 or tara.barton@doe.virginia.gov.
Standard 22VAC40-185-140-A
Based on review of five children's files, the facility failed to have documentation of a physical for each child within 30 days of attendance. Evidence: Child A (date of enrollment 4/12/2021) did not have documentation of a physical within 30 days of attendance.
Plan of Correction: Center director will request documentation of the child's physical.
Standard 22VAC40-185-240-A
Based on review of five staff files, the facility did not have documentation of each staff having received orientation training by the end of their first day of assuming job responsibilities. Evidence: Staff A (date of hire 5/26/2021) did not have documentation of orientation, Staff B (date of hire 5/10/2021) had orientation on 5/12/2021, Staff C (date of hire 5/3/2021) did not have documentation of orientation, Staff D (date of hire 4/5/2021) had orientation on 5/2/2021, and Staff E (date of hire 3/30/2021) had orientation on 4/2/2021.
Plan of Correction: All staff will be provided orientation on the first day of assuming job responsibilities.
Standard 63.2(17)-1720.1-B-4
Based on review of five staff records and interview, the facility did not obtain an out of state criminal history name check for each staff prior to hire for each state the individual has resided in the past five years. Evidence: Staff C (date of hire 5/3/2021) indicated on the sworn disclosure statement that she had lived outside the state of Virginia in the past five years. The state is not a NFF state, which requires a criminal history record check prior to hire. There was no documentation of an out of state criminal history name check for Staff C.
Plan of Correction: Center director will send the out of state criminal history record for Staff C.