Inspection · 2022-03-02
Date
2022-03-02
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
(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.
8VAC20-770 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A monitoring inspection was initiated on 03/02/22 and concluded on 03/03/22. The director was contacted by telephone and a virtual inspection was conducted. There were 98 children present with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and five 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.
Violations
4Standard 22.1-289.035-B-4
Based on a review of five staff records, the center did not obtain the results of a criminal history record information check, the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frames.
Evidence: 1) The record for Staff #1, hired on 02/21/22, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 02/24/2022. The record did not contain an out-of-state criminal history record of information check from the state Staff #1 had resided.
2) The record for Staff #3, hired on 11/29/21, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 11/30/21. The out-of-state criminal history record of information check was obtained on 12/06/21. The out-of-state search for founded complaints of child abuse or neglect was requested on 12/01/21, but the results had not been received to date.
3) During interview, a member of management confirmed the required out-of-state background checks for Staff #1 and Staff #3 were not obtained within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.
Evidence: 1) The record for Staff #1, hired on 02/21/22, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 02/24/2022. The record did not contain an out-of-state criminal history record of information check from the state Staff #1 had resided.
2) The record for Staff #3, hired on 11/29/21, indicated the staff had resided in another state outside of Virginia within the last five years. The out-of-state sex offender registry check was obtained on 11/30/21. The out-of-state criminal history record of information check was obtained on 12/06/21. The out-of-state search for founded complaints of child abuse or neglect was requested on 12/01/21, but the results had not been received to date.
3) During interview, a member of management confirmed the required out-of-state background checks for Staff #1 and Staff #3 were not obtained within the required time frames. The out-of-state criminal history record information check and the sex offender registry check are required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.
Plan of Correction: In the future, the required out-of-state background checks will be obtained prior to hire.
Standard 8VAC20-770-60-C-2
Based on a review of five staff records and interviews, the center did not ensure that two staff members had a central registry finding within 30 days of employment.
Evidence: 1) The central registry finding in the record for Staff #3, hired on 11/29/21, was dated 01/10/22. The record did not contain documentation of any further contact, and the staff was continuously employed.
2) The central registry finding in the record for Staff #4, hired on 11/22/21, was dated 01/03/22. The record did not contain documentation of any further contact, and the staff was continuously employed.
3) During interviews, a member of management confirmed the central registry finding for Staff #3 and Staff #4 were not received within the required time frame.
Evidence: 1) The central registry finding in the record for Staff #3, hired on 11/29/21, was dated 01/10/22. The record did not contain documentation of any further contact, and the staff was continuously employed.
2) The central registry finding in the record for Staff #4, hired on 11/22/21, was dated 01/03/22. The record did not contain documentation of any further contact, and the staff was continuously employed.
3) During interviews, a member of management confirmed the central registry finding for Staff #3 and Staff #4 were not received within the required time frame.
Plan of Correction: In the future, the center will document any contact with the office of background investigations regarding central registry searches that are not received within an individual's 30 days of employment.
Standard 8VAC20-780-530-A
Based on a review of documentation and interviews, the center did not ensure that each area where children are present had at least one staff member with current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid as appropriate to the age of the children in care.
Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff had current certification in CPR and current certification in first aid. The record indicated Staff #4 is a bus driver.
2) During interviews, a member of management reported Staff #4 does not have current certification in CPR or current certification in first aid. Staff #4 is a driver and is the only staff member present with children during transportation.
Evidence: 1) The record for Staff #4, hired on 11/22/21, did not contain documentation that the staff had current certification in CPR and current certification in first aid. The record indicated Staff #4 is a bus driver.
2) During interviews, a member of management reported Staff #4 does not have current certification in CPR or current certification in first aid. Staff #4 is a driver and is the only staff member present with children during transportation.
Plan of Correction: Staff #4 will obtain the required certification on CPR and first aid as soon as possible.
Standard 8VAC20-780-60-A
Based on a review of five children's records and interview, the center did not ensure that one child's record contained all the required information.
Evidence: 1) The record for Child #1, enrolled on 02/28/22, did not contain a second emergency contact. 2) During interview, a member of management confirmed the record for Child #1 did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Evidence: 1) The record for Child #1, enrolled on 02/28/22, did not contain a second emergency contact. 2) During interview, a member of management confirmed the record for Child #1 did not contain a second emergency contact. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction: The center will obtain the missing information as soon as possible.