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Henrico Police Athletic League

Inspection · 2023-09-18

Date
2023-09-18
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced monitoring inspection was conducted on September 18, 2023, beginning at approximately 4:20 p.m. and concluded at 6:10 p.m. There were 76 children present, with 6 staff supervising. Children were observed doing homework. 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 8 child records and 6 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. 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).

If you have any questions about this inspection, please contact the licensing inspector at (804) 588-2362.

Violations

8
Standard 22.1-289.035-A
Based on record review and interview, the center failed to ensure that all employees shall undergo background checks every five years.
Evidence:
1. The record for Staff 4 contained a central registry background dated 8/1/2017 and a criminal background check dated 8/22/2018. Staff 4 should have undergone a central registry background check before 8/1/2022 and a criminal background check before 8/22/2023.
2. The record for Staff 6 contained a central registry background dated 8/1/2017. Staff 6 should have undergone a central registry background before 8/1/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
(Repeat) Based on record review and interview, the center failed to 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 2 (DOE 8/16/2023) did not contain documentation of immunizations.
2. The record for child 3 (DOE 9/22/2021) did not contain documentation of immunizations.
3. The record for child 4 (DOE 8/18/2023) did not contain documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-B
Based on a review of 5 children's records and interview, the center did not ensure that 2 children's physical examinations were completed within the required time period.
Evidence:
1. The record of child 2 (DOE:8/16/2023) did not contain documentation of a physical examination.
3. Staff 3 acknowledged that physical was not received for child 2.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
(Repeat) Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children.
Evidence:
1. The record for staff 4 did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff 4?s date of hire was 1/2/2017.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-A
Based on record review, the center did not have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown.
Evidence:
1. The center did not have a written emergency preparedness plan.
2. Staff 3 confirmed that the center did not have an emergency preparedness plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
Based on record review, the center did not have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown.
Evidence:
1. The center did not have a written emergency preparedness plan.
2. Staff 3 confirmed that the center did not have an emergency preparedness plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Based on record review, the center did not ensure that a shelter in place procedures shall be practiced a minimum of twice per year.
Evidence:
1. There was no documentation of a shelter in place drill.
2. Staff 3 stated that a shelter in place drill had been completed but was not documented.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-F
Based on record review, the center did not ensure that lockdown procedures shall be practiced at least annually.
Evidence:
1. The evacuation drill log did not contain documentation that a lockdown drill had been practiced between September 2022 ? August 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services