Inspection · 2023-03-21
(804) 588-2362
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on March 21, 2023 and concluded on March 22, 2023. The inspection began at approximately 3:05pm and concluded at 4:35pm. Today?s census included 47 children with 7 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. Staff records were reviewed remotely on March 22, 2023. 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 listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should 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 the licensing inspector LaTasha Smith at (804) 588-2362
Violations
9Evidence:
1. The record of staff #4, first day of employment 6/21/2022, contained results of a criminal background check dated 10/3/2022.
Evidence:
1. Staff #4's record contained documentation of a Central Registry Results dated 08/01/2017. Updated results were not obtained
Evidence:
1. The record for Staff # 1 contains documentation of a completed search of the central registry dated 11/2/2022. Staff # 1?s date of employment was 6/21/2022.
Evidence:
1.Child # 1, with the start date of 8/29/2022 does not have documentation of immunizations.
2.Child # 3, with the start date of 8/29/2022 does not have documentation of immunizations.
3.Child # 4, with the start date of 8/29/2022 does not have documentation of immunizations.
Evidence:
1. Child # 1 with the start date of 8/29/2022 did not have a physical on the day of the inspection.
2. Child # 3 with the start date of 8/29/2022 did not have a physical on the day of the inspection.
3. Child # 4 with the start date of 8/29/2022 did not have a physical on the day of the inspection.
Evidence:
1. Staff #1?s record did not contain documentation of a completed tuberculosis (TB) test/screening. Staff #1?s hire date was 6/21/2022.
2. Staff #2?s record did not contain documentation of a completed tuberculosis (TB) test/screening. Staff #2?s hire date was 1/24/2023.
Evidence:
1. Staff #1's file contained no documentation of orientation training. Date of hire was 06/21/2022.
2. Staff #3's file contained no documentation of orientation training. Date of hire was 01/24/2023.
Evidence:
1 Child B?s record did not contain documentation of an allergy action plan.
Evidence:
1.Child #1?s record did not contain documentation that proof of identity was verified. Child #1?s date of enrollment was 8/29/2022.
2.Child # 3?s record did not contain documentation that proof of identity was verified. Child # 3?s date of enrollment was 8/29/2022.