Inspection · 2024-08-07
(540) 309-2835
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
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 08/07/2024 and completed on 08/12/2024. The on-site inspection began at 9:15 am and ended at 12:55 pm. The inspector reviewed compliance in the areas listed above. There were 73 children and 11 staff present. The inspector reviewed 5 children?s records, 5 staff records, and 2 applicant records on site. The inspection included: document review, a tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.
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 08/19/2024. A POC submitted after this date will not appear on the public website.
Violations
5Evidence:
1. The most recent search of the central registry in the record for Staff 1 was dated 08/14/2018; there was not a follow-up search obtained by 08/14/2023.
2. The most recent search of the central registry in the record for Staff 5 was dated 10/12/2018; there was not a follow-up search obtained by 10/12/2023.
Evidence:
1. The most recent search of the central registry in the record for Applicant 1 was dated 01/29/2018; there was not a follow-up search obtained by 01/29/2023.
2. The most recent search of the central registry for Applicant 2 was dated 02/18/2018; there was not a follow-up search obtained by 02/18/2023.
3. The most recent criminal record check for Applicant 2 was dated 02/15/2018; there was not an updated criminal record check obtained by 02/15/2023.
4. The most recent sworn statement for Applicant 2 was dated 01/12/2018; there was not a follow-up sworn statement obtained by 01/12/2023.
Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
Evidence: The record for Staff 3 contained a documented hire date of 04/29/2024. The results from the search of the central registry were dated 07/24/2024; the results were not obtained within 30 days of employment.
Evidence: The record for Staff 2 contained a documented hire date of 05/22/2024 and did not contain verification that Staff 2 has completed orientation training. Staff 2 was observed working during the inspection.
Based on document review and observations, the center failed to ensure that a least one staff in each classroom or area where children are present shall have a current CPR and first aid certification.
Evidence: Staff 2 and Staff 3 were observed supervising the school-age group of children. Staff 2 and Staff 3 do not have a current CPR and first aid certification.