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Virginia Commonwealth University Health System Authority - NS

Inspection · 2021-05-28

Date
2021-05-28
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
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, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A monitoring inspection was initiated on May 28, 2021 and concluded on June 1, 2021. The director was contacted by telephone to initiate the inspection. There were 52 children present and 11 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed four children?s records and four staff records submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations

1
Standard 22VAC40-185-160-C
Based on review of four staff records, the facility did nor obtain the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing for three staff.

Evidence:

1. The most recent tuberculosis screening for staff #2 was dated 10/11/2018, exceeding the two year allowance to obtain a follow up tuberculosis screening.
2. The most recent tuberculosis screening for staff #3 was dated 10/11/2018, exceeding the two year allowance to obtain a follow up tuberculosis screening.
3. The most recent tuberculosis screening for staff #4 was dated 10/11/2018, exceeding the two year allowance to obtain a follow up tuberculosis screening.
4. The director stated that due to a lack of communication, the follow up tuberculosis screenings were not updated in the required time frame.
Plan of Correction: Per the director: We will have staff up date their tuberculosis screening as soon as possible and ensure staff are notified when they are due to renew.
View original record on Virginia Department of Social Services