Inspection · 2024-03-11
(804) 588-2362
Areas Reviewed
8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Trainings
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 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
A renewal inspection was conducted on Monday, March 11, 2024, to determine the centers compliance with licensing standards. There were 105 children present, with 9 staff supervising. The inspection began at approximately 3:00 PM and concluded at 4:10 PM. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. Children were observed completing their homework and preparing for dinner. A total of 10 child records and 9 staff records were reviewed. Staff records reviewed electronically.
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. Please specify how the deficient practice will be or has been corrected. 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 preventive measure(s).
Violations
8Based on record review, the center failed to ensure that all employees shall undergo background checks every five years.
Evidence:
1. The record for staff #1 contained a central registry background check dated 9/25/18.
Staff #1 should have completed an updated central registry background check on or before 9/25/2023.
2. The record for staff #2 contained a sworn statement dated for 8/10/2018. A repeat sworn statement should have been completed on or before 8/10/2023.
Based on record review, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 2 staff as required.
Evidence:
1. The record of staff #7 (DOH: 11/18/2015) did not contain the results of a central registry background check.
2. The record of staff #9 (DOH: 6/21/2022) did not contain the results of a central registry background check.
Based on review of 10 child records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
Evidence:
1. The record for child #4 (enrollment date 8/21/2023), contained immunizations that were dated for 8/25/2023.
2. The record for child #6 (enrollment date 8/21/2023), contained immunizations that were dated for 8/24/2023.
Based on review of nine (9) staff records, the center did not ensure that all staff at completed a tuberculosis (TB) test at least every two years from the date of the first initial screening or testing, staff members have not obtained and submit the results of a follow-up tuberculosis screening.
Evidence:
1. The record for staff #3, contained a tuberculosis (TB) test dated for 11/4/2021.
2. The record for staff #7, contained a tuberculosis (TB) test dated for 6/4/2019.
3. The record for staff #8, contained a tuberculosis (TB) test dated for 5/12/2021.
Evidence:
1. The record for staff #6, did not contain documentation of a completed orientation. Staff # 6?s employment date was 6/12/2023.
Evidence:
1. The 10 staff records reviewed, did not contain documentation that staff had received instruction in preforming daily health observations.
Evidence:
1. The medication for child #7, did not include the asthma action plan or a parent or guardians written and signed authorization to give the medication.
Based on a review of ten (10) child records, the center did not ensure to maintain a record for one (1) child that contained the required information.
Evidence:
1. The record for child #4 (enrollment date 8/21/2023), did not contain the address for the two emergency contacts listed.