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Inspection · 2024-12-30

Date
2024-12-30
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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 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 LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & 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 12/30/2024 and completed on 12/30/2024.The on-site inspection began at 9:35am and ended at 12:25pm. The inspector reviewed compliance in the areas listed above. There were twenty-six children present and five staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review, tour of the facility, interviews, 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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 1/10/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

Staff #4, who has been working for approximately four months, did not have a copy of a sworn statement in the center's file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #4, employed for more than four months, did not have documentation of requesting a central registry check or criminal history check from three different states.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six
months for children under the age of two years.

Child #2, under the age of two, did not have an updated copy of immunizations every six months. The last immunization record is dated 6/23/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

Staff #2 updated screening was due more than 16 months ago. Staff #5 updated screening was due more than 19 months ago. The updated screenings have not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

Staff #2 and Staff #5 did not obtain and of the 16 required hours in 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #3, who has been actively working at the center for the past 9 months, did not have any completed reference verifications on file.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services