Inspection · 2024-03-20
(804) 840-8245
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced renewal inspection was conducted on-site March 20, 2024 from 12:30pm until 4:00pm. The director was available during the inspection. There were 168 children present, ranging in ages from 4 months to 5 years, with 34 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 10 child records and 10 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. Please specify how the deficient practice will be or has been corrected. 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 preventative measures. Please do not use staff names; list staff by positions only.
Violations
12Systemic Violation
Based on a review of staff records, the center failed to obtain the results of a sex offender registry check prior to employment and a search of the child abuse and neglect registry or equivalent registry by the end of the 30th day of employment from any state in which the individual has resided in the preceding five years.
Evidence: The record of staff #2, hired 09/25/23, contained documentation of an out-of-state sex offender result dated 10/30/23 and documentation of an out-of-state child abuse and neglect result dated 11/22/23. Staff #2 indicated living out-of-state on the staff?s sworn disclosure statement.
Evidence: The records of staff #3, staff #7, and staff #9 did not contain documentation of the date of contact for one or more references.
Systemic Violation
Based on a review of staff records, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment, prior to coming into contact with children, and completed within the last 30 calendar days of the date of employment.
Evidence: The only tuberculosis screening in the record for staff #7, hired 02/12/2024, was dated 08/22/2022.
Systemic Violation
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence: The right side wall in the pre-k classroom contained several areas of chipped and peeling paint and a child was observed peeling paint off the wall in one of the chipped areas.
Systemic Violation
Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children.
Evidence: In an unlocked hallway bathroom on the lower level there was a bottle of glass cleaner with a label indicating ?keep out of the reach of children? and ?caution? and a bottle of restroom cleaner with a label indicating ?keep out of the reach of children? and ?warning.? Both bottles were within reach of children.
Evidence: Based on a review of medications, the center did not ensure the medication authorization was available to staff during the entire time it was effective.
Evidence: There was no documentation of parent authorization for the medication belonging to child #11. Per the medication log the medication had been administered.
Evidence: The first aid kit for the center bus did not contain antiseptic cleaner, thermometer, or a first aid manual.
Evidence: 1. There was no documentation of hospitals and evacuation routes.
2. Interview revealed the center did not have all the required information.
Evidence: In the pre-k classroom there were three bottles brought from home with no name and no date. It was verified the children bring the bottles from home.
Evidence: 1. The records of children on formula did not contain the brand formula.
2. Interviews verified that the center does not keep record of the brands of formula.
Evidence: 1. Interviews revealed there is no emergency supply of formula at the center.
Systemic Violation
Based on a review of children's records, the center failed to ensure that each child's record contained the required information.
Evidence: The records of child #1, child #2, child #3, child #6, child #7, child #8, and child #9 contained documentation of the parent?s place of employment but did not contain documentation of the work phone numbers.