Inspection · 2024-10-17
(804) 588-2372
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.
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSE PROCESS
8VAC20-820 HEARING PROCEDURES
8VAC20-770 BACKGROUND CHECKS
20 ACCESS TO MINOR?S RECORDS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
63.2 CHILD ABUSE AND NEGLECT
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 10/17/2024 and completed on 11/13/2024, as a part of the licensure period. The on-site inspection began at 3:10pm and ended at 5:00pm. The inspector reviewed compliance in the areas listed above. There were 17 children present and 5 staff. The inspector reviewed 3 children?s records and 3 staff records on-site and electronically on 10/21/24. The inspection included document review, tour of the facility, and interviews.
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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/20/2024. A POC submitted after this date will not appear on the public website.
Violations
9The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
Staff #4, who was observed providing care to the children, did not have a completed sworn statement during the inspection.
The center must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff#4, who was observed providing care to the children, did not have a completed national criminal background check during the inspection.
The center must request a search of the central registry prior to the employee's first day of employment.
Staff #4, who was observed providing care to the children, did not have a central registry search requested during the inspection.
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.
Staff # 4 had no TB screening documented on record. Staff 4 was observed working with children.
A tuberculosis (TB) screening is required every two years from the last screening.
Staff #2 updated screening was due over a year ago and Staff #3 updated screening was due 4 years ago. The updated screenings have not yet been completed.
During the inspection, the center did not have a qualified program director or a qualified back-up program director.
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe, and operable condition.
In the cafeteria, one of the stools used for sitting was broken and had sharp edges.
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.
Medication for Child 7 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.
Documentation of name, address, verification of age, job title, and date of employment; name. address, and telephone number of a person to be notified in an emergency, and reference checks shall be kept for each staff person.
Staff #4, who was observed providing care to the children, did not have any of the required information on record during the inspection.