Inspection · 2024-11-20
(757) 404-3063
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staffing and Supervision.
During the inspection, the inspector reviewed the areas listed above. 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 inspection was initiated on 11/20/24 and completed on 12/27/24 in response to a complaint received by the licensing office on 10/30/24 relating to allegations of supervision. The inspector reviewed three children?s records and three staff records electronically. This inspection included document review, interviews, and observations. The preponderance of evidence gathered during the investigation supports the allegation; therefore, the complaint is determined to be valid. Information gathered during the inspection determined non-compliance with applicable standards or law and the 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 1/7/24. A POC submitted after this date will not appear on the public website.
Violations
6The sworn statement for Staff #1 (employed for two weeks) was dated one day after their first day of employment.
The record for Staff #1 did not have a completed national criminal background check. The criminal background check for Staff #3 was completed four months after the employee?s first day of employment. Both staff members were observed working on the day of the inspection.
background checks before employment begins. HR and administrative staff have
undergone additional training on pre-employment compliance requirements.
A tracking system has been implemented to ensure all background checks are
completed before any employee?s first day of work.
The record for Staff #1 (employed for two weeks) did not contain a central registry search request.
updated to ensure compliance with this requirement.
The tuberculosis (TB) results in the record of Staff #1 (employed for two weeks) show that the TB test was not completed within 30 calendar days of their date of employment.
in accordance with the state's compliance in regard to the TB documentation. Hiring procedures have been updated to mandate verification of TB documentation
before an employee?s start date.
On 10/29/24, one staff member was observed outside with 12 children. The youngest child in the group was 16 months, requiring the ratio to be 1:5. During an inspection on 11/20/24, the inspector observed one teacher alone for approximately six minutes, with six children. The youngest child in the group was seven months, requiring the ratio to be 1:4.
increased to ensure adherence to ratios during all activities.
The record for Staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The documentation of references in the record of Staff #2 show that the staff member?s references were not checked before employment; the references were checked four months after their date of hire.