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Virginia Commonwealth University Child Development Center

Inspection · 2022-05-11

Date
2022-05-11
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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 monitoring inspection was initiated on 5/11/2022 and concluded on 5/12/2022. Two inspectors were on site on 5/11/2022 from 1:19 pm-3:53 pm. There were 32 children present, ranging in ages from 16 months to 6 years, with 6 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

4
Standard 22.1-289.035-B-4
Based on a review of 5 staff records and interview, the center did not ensure that 2 staff records contained documentation of required out of state background checks from any state in which the individual(s) had resided in the preceding five years within the required time frames.

Evidence:
1. The record of staff #2 (DOH:1/10/2022) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record contained an out of state criminal history response dated 2/15/2022. Out of state criminal history checks are required to be obtained prior to the first date of employment.
2. The record of staff #4 (DOH: 7/8/2021) contained a sworn statement that indicated that the staff had resided out of state within the preceding five years. The record did not contain an out of state sex offender registry check and out of state criminal history check. Both are required prior to the first date of employment.
3. Administration acknowledged that the background checks were not obtained within the required time frame.
Plan of Correction: Spoke with human resources to ensure that they complete all required background checks prior to sending an offer letter (criminal history and sworn statement including out of state) in addition to initiating central registry check prior to offer
Standard 8VAC20-780-160-A-2
Based on a review of 5 staff records and interview, the center did not ensure that 1 staff record contained a negative tuberculosis screening that had been completed within the last 30 calendar days of the date of employment.

Evidence:
1. The record of staff #2 (DOE:1/10/2022) contained a tuberculosis screening dated 11/23/2021.
2. Administration acknowledged that the tuberculosis screening was not completed within the required time frame.
Plan of Correction: Staff member completed TB test one month prior to offer (12/22/2021) -the allotted time frame; however background checks took longer than anticipated which went past the allotted time frame.
Standard 8VAC20-780-550-C
Based on observation and interview, the center did not ensure that emergency evacuation and shelter-in-place procedures or maps were posted in a location conspicuous to staff and children on each floor of the building.

Evidence:
1. The inspectors did not observe emergency evacuation and shelter-in-place procedures or maps posted in a location conspicuous to staff and children on each floor of the building.
2. Administration acknowledged that the postings were missing.
Plan of Correction: All classrooms are posting their emergency evacuation maps and procedures in the same location (beside the classroom door where all can see upon entry of the room)
Standard 8VAC20-780-60-A
Based on a review of 5 children's records and interview, the center did not ensure that 1 record contained the required information.

Evidence:
1. The record of child #4 (DOE: 6/16/2021) did not include an address for the second emergency contact. Records are required to have the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached.
2. Administration acknowledged that the information was missing.
Plan of Correction: Address has been documented in file.
View original record on Virginia Department of Social Services