Inspection · 2024-01-08
(804) 588-2368
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
A renewal inspection was conducted on 03/26/2024 from approximately 12:30 p.m. to 5:15 p.m. There were 49 children present and 10 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five child (5) records, five (5) staff records, and four (4) board officer records were reviewed.
The information gathered during the inspection determined violations with applicable standards or law. Please sign and 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.
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 preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Violations
9Based on staff record review, the provider failed to have central registry findings within 30 days of employment.
Evidence:
The record for S3, employed 01/18/2024 did not contain findings of a central registry search within 30 days of employment. The results were dated 02/20/2024.
Evidence:
C1, age 3, enrolled 11/08/2023 had a physical examination dated 10/27/2022 which is outside the prescribed time period of 12 months prior to attendance.
Based on staff record review, the provider failed to ensure that three of five staff submit
documentation of a negative tuberculosis screening at the time of employment or
documentation completed within the last 30 calendar days of the date of employment.
Evidence:
The record for S1, employed 10/10/2023 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 01/08/2024.
The record for S3, employed 01/18/2024 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 09/17/2023.
The record for S4, employed 02/26/2024 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 09/26/2023.
Evidence:
The staff record for S4 did not contain documentation of orientation.
Evidence:
Orientation form used by the center for S1, S2, and S5 failed to document training in sudden infant death syndrome, shaken baby syndrome and abusive head trauma.
Based on staff record review, the provider failed to ensure that staff within 30 days of the first day of employment complete orientation training in first aid and cardiopulmonary resuscitation (CPR).
Evidence:
Orientation form used by the center for S1, S2, S3, S4, and S5 did not document the orientation training in first aid and CPR.
Based on interview, the provider failed to ensure the injury prevention procedures shall
be updated at least annually based on documentation of injuries and a review of the
activities and services.
Evidence:
S6 reported the review of the injury prevention procedures has not been completed.
Evidence:
Emergency drill records were reviewed and did not document two shelter in place drills being conducted twice per year. S6 acknowledged that the shelter in place procedures were practiced once in 2023.
the documentation contained the required information.
Evidence:
The emergency drill documentation dated July 2023- February 2024 did not document the weather conditions during the drills.