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Frederick County Center

Inspection · 2022-01-27

Date
2022-01-27
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
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.
8VAC20-770 Background Checks (22VAC40-191)

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was conducted on January 27, 2022. The provider was contacted by telephone and a virtual inspection was conducted. There were 28 children present, ranging in ages from 3 to 5 years, and in the care of 6 staff. The inspector reviewed compliance in the areas of administration, physical plant, staff qualifications, staffing and supervision, programming, special services, medication, special care provisions and emergencies. A total of 3 children's records and 3 staff records were reviewed.

Information gathered during the inspection determined non-compliances with applicable standards or law and the violations were documented on the violation notice issued to the program.

Violations

4
Standard 8VAC20-770-40-D-6
Based on review of staff records and discussion with the Associate Director, the center accepted a criminal history record report that was dated more than 90 days prior to the date of employment.

Evidence:
1. The record for Staff #3 contained a completed criminal history record dated 10/15/2021. Date of employment for 01/18/2022.
2. The Associate Director reported she was not aware a background check could not be more than 90 days old at the time of employment.
Plan of Correction: Staff #3 will obtain a new criminal history record check as soon as possible.
Standard 8VAC20-780-160-A-1
Based on staff record review and verification from the Associate Director, one staff member had not obtained a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

Evidence:
1. The record for Staff #2 did not contain documentation of a negative TB screening or test. Date of hire and date coming into contact with children was 01/18/2022.
2. The Associate Director stated that Staff #2 had not obtained a TB screening.
Plan of Correction: Staff #2 has made an appointment to obtain a TB screening. In the future, the Associate Director will ensure that any new staff member obtains a negative TB screening at the time of employment and before coming into contact with children.
Standard 8VAC20-780-160-A-2
Based on staff record review and confirmation from the Associate Director, one staff member submitted a negative tuberculosis (TB) screening that had been completed more than 30 days before the date of employment.

Evidence:
1. The record for Staff #3 contained documentation of a negative TB screening dated 11/15/2021. Date of employment was 01/18/2022.
2. The Associate Director confirmed that the negative TB screening had been completed more than 30 before the staff member's date of hire.
Plan of Correction: Staff #3 will obtain an updated TB screening. In the future, the Associate Director will ensure that any new staff member submits a negative TB screening that had been completed within 30 days of the first date of employment.
Standard 8VAC20-780-260-B
Based on record review and discussion with the Associate Director, the center failed to obtain an annual updated health inspection.

Evidence:
1. The date of the most current health inspection was dated 11/12/2020.
2. The Associate Director stated that she had not requested that an updated health inspection be completed.
Plan of Correction: The health department was called during the inspection and an updated inspection was requested.
View original record on Virginia Department of Social Services