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Henrico Police Athletic League

Inspection · 2024-08-27

Date
2024-08-27
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 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

An unannounced, on-site 60-day monitoring inspection was initiated and completed on August 27, 2024, as a part of the provisional licensure period. The on-site inspection began at 4:30pm and ended at 5:30pm. The inspector reviewed compliance in the areas listed above. There were 58 children present and 5 staff. The inspector reviewed 5 children?s records onsite. 5 staff records were reviewed on site on August 29, 2024. This inspection included interviews, observations, and document review.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on September 9, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-A
(Repeat Violation) Based on record review, the center failed to ensure that all employees shall undergo background checks every five years.

Evidence:
1. The record for staff #3 contained a central registry background check dated 8/1/2017. Staff #3 should have completed a central registry background check on or before 8/1/2022.
2. The record for staff # 5 contained a central registry background check dated for 1/25/2019 and a sworn statement dated for 1/17/2019. Staff # 5 should have completed a central registry background check on or before 1/25/2024, and a sworn statement should have been completed on or before 1/17/2024.
Plan of Correction: All staff who have outdated documents have been provided with forms to submit for up to date information.
Standard 8VAC20-770-60-C-2
Based on review of five (5) staff records, the center failed to request the central registry background check within 30 days of employment.

Evidence:
The record for staff # 2 did not contain a central registry background check. Staff # 2?s hire date was 4/17/2024.
Plan of Correction: All required documents for staff #2 have been identified.
Standard 8VAC20-780-160-A
(Repeat Violation) Based on record review, 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:
The record for staff #2 did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #2?s date of hire was 4/17/2024.
Plan of Correction: All staff who had missing TB screenings have completed required screening to ensure all staff are up to date.
Standard 8VAC20-780-245-A
(Repeat Violation) Based on a review of five (5) staff records, the center did not ensure that all staff complete a minimum of 16 hours of training, appropriate to the age of children in care, annually.

Evidence:
1. The record for staff # 3 did not contain 16 hours of annual training. Staff # 3?s hire date was 8/29/2016.
2. The record for staff # 4 did not contain 16 hours of annual training. Staff # 4?s hire date was 1/10/2017.
3. The record for staff # 5 did not contain 16 hours of annual training. Staff # 5?s hire date was 1/17/2019.
Plan of Correction: All staff who need the required 16 hour training have been given their training and certificate for said trainings has been provided.
Standard 8VAC20-780-510-G
Based on review of medication, the center failed to ensure prescribed medication is labeled with the child?s name, the name of the medication, the dosage amount and the time(s) to be given.

Evidence:
1. Child #1has an EpiPen on site. The medication was located in a plastic bag with the child's name on it and not in the original packaging.
Plan of Correction: Family has been informed to contact the doctor. To ensure that medicine is in original package as required.