Inspection · 2024-08-19
(757) 636-3427
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on August 19, 2024 and completed on August 19, 2024. The on-site inspection began at 10:44am and ended at 1:00pm. The inspector reviewed compliance in the areas listed above. There were 55 children present and 8 staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review, tour of the facility, interviews and observations. 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 9/6/2024. A POC submitted after this date will not appear on the public website.
Violations
6Evidence:
1. The record for staff #2, staff #4 and staff #5, (all hired prior to July 1, 2024) and have been working regularly with children did not contain documentation of a completed sworn statement.
a. The director confirmed that the records for the staff listed above did not have documentation of a completed sworn statement.
Evidence:
1. The record for staff #2, staff #3 and staff #5 (all hired prior to July 1, 2024) and currently working regularly with children did not contain documentation of a national fingerprint check.
a. The director confirmed that the records for the staff listed above did not have documentation of a national fingerprint check.
Based on record review and interview, the center did not ensure that staff have a central registry request prior to employment.
Evidence:
1. The record for staff #2, staff #3, staff #4 and staff #5 (all hired prior to July 1, 2024) did not contain documentation of a central registry request.
a. The director confirmed that the records for the staff listed above did not contain documentation of a central registry request.
Based on record review and interview, it was determined that the center did not ensure that all required documentation was maintained in the children?s records.
Evidence:
1. The following information was not maintained in the children?s records.
a. The record for child #2 did not contain the work phone number and place of employment for the father.
b. The record for child #3 did not contain the work number for the father.
c. The record for child #5 did not contain the address of one of the emergency contacts and a work number for the mother and father.
d. The director confirmed that the records for the children listed above were not maintained.
Based on record review and interview, it was determined that the center did not ensure that all required documentation was maintained in the staff record.
Evidence:
1. The record for staff #1, staff #3 and staff #4 who are listed at program lead and currently working with children did not have documentation of a high school diploma or college transcripts.
a. The director confirmed that the records for the staff listed above did not include documentation of education.
2. The record for staff #2 and staff #4 did not contain documentation of an emergency contact.
a. The director confirmed that the records for the staff listed above did not include documentation of an emergency contact.
Evidence:
1. The written parental agreement did not contain a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
a. The director confirmed that the agreement listed above was not included in the parental agreement.