Inspection · 2024-10-22
Licensing Inspector
Nanette Roberts
(757) 404-2322
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.
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 10/22/2024. The on-site inspection began at 4:00pm and ended at 5:30pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 17 children present and 2 staff. The inspector reviewed 5 children?s records and 1 staff record onsite on 10/22/2024. Two staff records were viewed electronically on 11/12/2024. This inspection included document review, tour of the facility, interviews, and observations. 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, which will be the close of business on 11/19/2024. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
Repeat Violation
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 2/22/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: Parent board will be updated with most updated documentation including, most recent inspections and licenses.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee or volunteer?s first day of employment or volunteering. The sworn statement for Staff #2, who is currently working with children, was dated two weeks after their first day of volunteering and two day's after the first day of employment.
Plan of Correction: All volunteers will have a complete file, to include CRS, criminal background check, sworn statement, and references prior to volunteering in the program.
Standard 22.1-289.035-B-2
The center must obtain a completed national criminal background check prior to the employee or volunteer?s first day of employment or volunteering. The criminal history check for Staff #2, who is currently working with children, was dated two weeks after the first day of volunteering.
Plan of Correction: All volunteers will have a complete file, to include CRS, criminal background check, sworn statement, and references prior to volunteering in the program.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee or volunteer?s first day of employment or volunteering. Staff #2, who had been a volunteer for two weeks, did not have a central registry search requested prior to volunteering or employment. The central registry search for Staff #3 was not requested until 10 days after the employee's start date.
Plan of Correction: All volunteers will have a complete file, to include CRS, criminal background check, sworn statement, and references prior to volunteering in the program.
Standard 8VAC20-780-130-A
Repeat Violation
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1 did not have documentation of an immunization record on file.
Plan of Correction: Student files will be complete and verified by Site Director to ensure accuracy prior to student attending the program.
Standard 8VAC20-780-200-B
The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. The job title in the record for Staff #1 was Site Director however, the documentation in the record for Staff #1 did not meet the qualifications for program director.
Plan of Correction: Each site will have a qualified program director in programming a minimum of 50% of the time and the Area Manager will serve as the back up program director
until another qualified director is hired.
Standard 8VAC20-780-530-C
There shall be at least two staff members who meet the requirements of subsection A of this section (current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid) present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. There was only one staff member on the premises with current CPR and first aid certification.
Plan of Correction: CPR certification will be checked and verified by Area Manager at Orientation
to ensure there are always 2 staff certified at every site.
Standard 8VAC20-780-60-A
Repeat Violation
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1, Child #2, Child #3, Child #4 and Child #5 was missing the following required components: first date of attendance, previously attended childcare or schools and written agreements (illness and communicable disease) between the parent and the center as required by 8VAC20-780-90. The records for Child #2 and Child #3 were missing the address of an emergency contact.
Plan of Correction: All students will have a completed file, to include previously attended child care or schools, all emergency contact information,and written agreements.
Standard 8VAC20-780-70
Repeat Violation
The following staff records shall be kept for each staff person. The record for Staff #2 did not include documentation that the staff members age was verified and documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. The references for Staff #2 were completed two weeks after the staff member began volunteering and one day after being hired. Name address and phone number of a person to be notified in an emergency which will be kept at the center. Staff #2 and Staff #3, who had been actively working at the center, did not have emergency contact information at the center.
Plan of Correction: All Staff files will be complete and verified by the Area Manager and Site Director prior to the first day of work.