Inspection · 2022-06-23
(804) 588-2362
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced complaint inspection was conducted on-site on June 23, 2022. The complaint investigation concluded on August 1, 2022. A complaint was received by the department regarding allegations in the area of supervision of children. The director was available during the investigation. There were 21 children present, ranging in ages from 11 months to 4 years old, with 3 staff supervising. The inspector reviewed compliance in the areas of physical plant, staffing and supervision, and special care and emergencies, and nutrition. A total of 8 children's records were reviewed and 5 staff records were reviewed.
The evidence gathered during the investigation supported the allegation of non-compliance with standards or law and violations were issued. Any violations not related to the complaint but identified during the course of the investigation can be found on the violation notice.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Violations
7Evidence: The record of staff #1 (hired 6/6/22) did not contain documentation of an out-of-state sex offender search. Staff #1 indicated living in another state in the previous 5 years on the staff's sworn disclosure statement. Administration acknowledged the out-of-state background checks was not completed.
Evidence: The record of staff #4 (hired 12/2/21) did not contain documentation of a central registry finding.
Evidence: 1. The records of child #2 (enrolled 6/21/22), child #3 (enrolled 6/15/22), and child #8 (enrolled 3/22/22) contained documentation of immunizations that were not signed by a physician, his designee, or an official of a local health department.
Evidence: 1. The record of staff #1 (hired 6/6/22) contained documentation of a tuberculosis screening dated 3/6/22. 2. The record of staff #5 (hired 6/1/22) contained documentation of a tuberculosis screening dated 6/28/22.
Evidence: 1. The record of staff #1 (hired 6/6/22) did not contain documentation of orientation being completed. Administration stated the orientation was not done.
Evidence: 1. An outside witness reported children being left alone in their rooms and that administration's response to this is that the children can be viewed on the camera system.
2. Administration was observed as being within staff-to-children ratio of the 4 year old classroom upon inspector's arrival. During the inspection, administration was observed leaving the 4 year old classroom, and entering the center's office across the hallway. Administration entered the office and was behind the desk, out of sight and sound of the 9 children left in the 4 year old classroom. When asked about not being within actual sight and sound supervision of the children, administration said that she can view the children via video on her computer and pointed to the classroom showing on the screen. Administration also reported utilizing a cell phone to view the cameras when needed. From the position of the desk and computer in the center's office there is no actual sight and sound of the classroom across the hallway that houses the 4 year old classroom.
Evidence: In the infant room there was one staff member with five infants. Administration acknowledged the infant room was out of ratio.