Inspection · 2022-03-04
(804) 840-8260
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 (22VAC40-191)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.
A monitoring inspection was initiated and concluded on 3/4/3022. The director was contacted by telephone and a virtual inspection was conducted. There were 62 children present, ranging in ages from 4 months to 5 years, with 12 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 4 child records and 4 staff records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
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. 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 measures. Please do not use staff names; list staff by positions only.
Violations
5Evidence:
1. The record of staff #2 (DOH: 10/8/2021) contained central registry results dated 12/18/2021.
2. The record of staff #4 (DOH: 12/13/2021) contained central registry results dated 1/24/2022.
3. Administration acknowledged that the results were not received within the required time frame.
Evidence:
1. The record of child #3 (DOE: 10/20/2021) contained an immunization record dated 12/9/2021.
2. Administration acknowledged that the record was received after the first date of attendance.
Evidence:
1. The record of child #3: (DOE: 10/20/2021) contained a physical record dated 12/15/2021.
2. Administration acknowledged that the physcial record was not received during the required time frames.
Evidence:
1. The records of staff # 1 (DOH: 2/28/2022), staff #3 (DOH:2/21/2022) and staff #4 (DOH: 12/13/2021) did not contain documentation of a negative tuberculosis screening.
2. Administration acknowledged that the tuberculosis screenings had not been completed and signed off by a physician, physician's designee, or an official of the local health department.
Evidence:
1. The records of staff #1 (DOH:2/28/2022), staff #2 (10/8/2021), and staff #4 (DOH: 12/13/2021) were missing references.
2. Administration acknowledged that the references had not been completed.