Inspection · 2021-09-28
(804) 588-2371
Areas Reviewed
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
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, and interviews.
A monitoring inspection was initiated on 09/28/2021 and concluded on 09/30/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 25 children present. The inspector reviewed compliance in the areas of administration, staffing and supervision, and special care and emergencies. A total of two children's records and seven staff records were reviewed.
This inspection was also a follow-up for the Intensive Plan of Correction (IPOC) that was issued to the center on August 30, 2021 for past non-compliances. The center completed the responses for the IPOC on 9/14/2021. The areas of non-compliance on the IPOC were background checks and staff records. There were repeat non-compliances found on this follow-up inspection to the IPOC plan completed by the program director.
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.
Violations
3Evidence:
1. There was no documentation of fire drills at the center for October 2020-May 2021.
Based on record review, the center failed to ensure that each staff member had documentation of at least two references completed prior to employment.
Evidence:
1. There was no documentation of references available for staff #5 and staff #7 with hire dates of 9/10/2021 and 6/25/2021.
2. There was no address for the emergency contact for staff #1 with a hire date of 8/25/2021.
3. There was no written information to demonstrate that staff #1-7 had the required orientation training required by the job position; there was no documentation of the components required by the Standards for new staff orientation.
Based on record review, the center failed to ensure that results of a criminal history record information check and a sex offender registry check were obtained prior to hire from any state in which staff had resided in the preceding five years.
Evidence:
1. Staff #7 had indicated on a Sworn Statement dated 6/24/2021 that they had lived in another state in the past five years. There was no sex offender registry check completed for staff #1 as of 9/30/2021.
2. Staff #2 had indicated on a Sworn Statement dated 9/10/2021 that they had lived in another state in the past five years. There was no criminal record check or sex offender registry check completed for staff #2 prior to hire.