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Virginia Commonwealth University Health System Authority -N Deck

Inspection · 2023-06-15

Date
2023-06-15
Complaint Related
Yes
Licensing Inspector
Lauren Bickford
(540) 280-0742
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

Inspector Notes

An unannounced inspection was conducted on 06/15/2023 from approximately 8:55 am to 12:10 pm in response to complaints received on 5/25/2023, 06/05/2023 and 06/08/2023 regarding allegations in the areas of operational responsibilities, building maintenance, forbidden actions, special care provisions and emergencies, and procedures for emergencies.

Documentation was reviewed, observations were conducted and an inspection of the playgrounds, two classrooms, and interviews with staff were conducted. Additional documentation was reviewed remotely.

The preponderance of the evidence gathered during the investigation supports noncompliance in the area of building maintenance; therefore, the complaint is determined to be valid.

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.

If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations

1
Standard 8VAC20-780-270-A
Based on observation and interviews, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence:
1.The fences located on the toddler/preschool playground had cracked and loose boards with gaps of 1-1 ? inches posing a risk for splitters.
2.The toddler/preschool playground had exposed tree roots throughout and an exposed pipe posing a trip hazard.
3.The toddler/preschool playground had a loose hand rail on the slide deck with chipped and missing wood.
4.The toddler/preschool playground had a lattice under the slide deck with loose wood and two exposed nails within the reach of children.
5.The pergola located on the toddler/preschool playground had a post with chipped and missing wood.
6.The storage shed on the toddler/preschool playground had rotted and missing wood.
7.The infant/toddler playground had a fence with a missing slate and an exposed nail.
8.Tree roots were exposed near the bridge for children on the infant/toddler playground posing a trip hazard.
Plan of Correction: Maintenance requests for the items listed were entered prior to the licensing visit.
New service requests have been made to expedite repairs. These requests
were placed 7/3/23.
View original record on Virginia Department of Social Services