Inspection · 2022-06-07
(540) 309-2494
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 (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted from 10:05 a.m. - 2:15 p.m. There were fifty-nine children in care with fourteen teachers working directly with them. There were two other facility staff available to assist as needed. Five children's records were reviewed. The record for six teachers were reviewed. Three medication authorizations were reviewed. At the time of arrival some of the children were playing outside. The Pre K class was on a field trip to the local creamery. The school age children had an onsite field trip with a program that came in and taught them to build robots. Infants were being patted on the back gently, babbling, being talked to and held by their teacher and waddling to toys of interest. Other areas observed were: diapering, handwashing, lunch, and transition. Any violations are identified 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 in 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must 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 measure(s).
If you have any questions, please contact the licensing inspector at 540-847-9173.
Violations
4Evidence:
1. Staff #5 date of hire is documented as 06/13/2022.
2. Date of tuberculosis screening/test on file is 06/15/2022. Administration verified the date of hire and the date of the tuberculosis screening/test on file.
Evidence:
1. The most recent tuberculosis screening for Staff #1, #2, and #3 is 06/11/2020. An updated two-year negative screening or test has not been obtained for any of the staff members listed.
2. Administration verified that Staff #1, #2, and #3 did not have updated tuberculosis screening or tests.
Evidence:
1. The licensing inspector reviewed medication polices in staff and parent handbooks.
2. The medication policies did not include methods to prevent use of outdated medication.
Evidence:
1. Child A's first medication authorization was completed on 06/07/2022 and was signed by the parent and physician. The medication was at the center the day of the inspection.
2. Child A's second medication authorization was completed on 03/20/2022 and was signed by the parent. The medication was at the center the day of the inspection.
3. The administration verified that the medication authorization had expired for both medications.