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Tick...Tock...Around the Clock, LLC

Inspection · 2021-09-21

Date
2021-09-21
Complaint Related
No
Licensing Inspector
Tiffany Jones
(757) 403-3045
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews (if applicable) and a virtual tour of the program (if applicable).

A monitoring inspection was initiated and concluded on September 21, 2021. The in-charge person was contacted by telephone to initiate the inspection. There were 31 children present and seven staff. The inspector emailed the in-charge person a list of items required to complete the inspection. The Inspector reviewed five children?s records and five staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.

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

Violations

5
Standard 22VAC40-185-160-A
Based on record review, in two of five staff records reviewed, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening no later than 21 days after employment.

Evidence: The Administrator confirmed that there was no documentation of TB results for Staff #2 (date of hire 7/13/2021) and Staff #5 (date of hire 6/7/2021).
Plan of Correction: The TB test screening will be done within seven days.
Standard 22VAC40-185-60-A
Based on record review, in three of five children's records reviewed, the center did not ensure that each child's record contained all required information.

Evidence: The Administrator confirmed that the following information had not been documented in each child's record:

1. The record for Child #1 did not have the child's last day of attendance and 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.

2. The record for Child #2 did not have a complete address for one of two required emergency contacts.

3. The record for Child #5 did not have the work phone number for one parent.
Plan of Correction: Parents will be contacted and all records will be updated.
Standard 22VAC40-185-70-A
Based on record review, in one of five staff records reviewed, the licensee did not ensure that each staff record contained all required information.

Evidence: The Administrator confirmed that one of two required reference checks were completed for Staff #2.
Plan of Correction: The staff member will provide a reference letter within 24 hours.
Standard 22VAC40-191-60-B
Based on record review, in one of five staff records reviewed, the licensee did not ensure that staff must not be employed until the agency has the person's completed sworn statement or affirmation.

Evidence: The Administrator confirmed that there was not a sworn statement or affirmation in the record for Staff #2 (date of hire 7/13/2021).
Plan of Correction: The staff member completed a sworn statement. The Administrator forwarded a copy to the Licensing Inspector the same day.
Standard 63.2(17)-1720.1-B-2
Based on record review, in one of five staff records reviewed, the licensee did not ensure that staff submit to fingerprinting and obtain results prior to employment.

Evidence: The Administrator confirmed that the hire date and orientation date for Staff #5 was 6/7/2021 but the fingerprint results letter was dated 6/17/2021.
Plan of Correction: We will make sure that we obtain the fingerprint results letter before employment or doing any orientation.
View original record on Virginia Department of Social Services