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Little Ambassadors' Academy - Overlee

Inspection · 2024-11-21

Date
2024-11-21
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 inspection was conducted 11/21/2024 from 1:55pm- 4:30pm. The inspector reviewed compliance in the areas listed above. There were 130 children present and 22 staff members. The inspector reviewed 11 children?s records and 3 staff records onsite. This inspection included document review, interviews, observations, and a tour of the facility.

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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 22.1-289.035-A
All employees shall undergo a background check in accordance with subsection B of the Code of Virginia prior to employment and every five years thereafter.

Staff #1 did not undergo a background check every five years. The results of a central registry check were obtained more than five months after expiration. The results of a criminal history check were obtained more than six months after expiration. The sworn statement was updated more than three months after expiration.
Plan of Correction: Little Ambassadors' Academy will ensure a monthly check of all staff files to ensure compliance with licensing requirements regarding expiration dates.
Standard 8VAC20-780-160-C
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening.

The record for Staff #1 contained subsequent TB results dated more than one month after expiration.
Plan of Correction: Little Ambassadors' Academy will ensure a monthly check of all staff files to ensure compliance with licensing requirements regarding expiration dates.
View original record on Virginia Department of Social Services