Inspection · 2022-04-12
Date
2022-04-12
Complaint Related
No
Licensing Inspector
D'Nae Goodwin
(757) 404-3063
(757) 404-3063
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on 4/12/22 from 9:30am - 11:00am. During the inspection there were 23 children ages five years old through twelve years old in care with 4 staff. Children were observed participating in various activities in the classrooms, eating breakfast and playing outside. Records were reviewed for five children while at the facility and five staff were reviewed on 4/14/22 at the central office. Medication, emergency procedures, and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.
Violations
6Standard 22.1-289.035-B-2
Based on a review of five staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing).
Evidence:
1. The record for staff #5, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing).
2. Staff #6 (Program Administrator) reviewed the record for the staff #5 and confirmed that she had not received the results of the national criminal record check (finger printing).
Evidence:
1. The record for staff #5, working during the inspection did not contain documentation of a completed national criminal history record check (finger printing).
2. Staff #6 (Program Administrator) reviewed the record for the staff #5 and confirmed that she had not received the results of the national criminal record check (finger printing).
Plan of Correction: The facility responded: Staff #5 will complete a national criminal record check (finger printing). All new staff will not be allowed to begin employment without completing a national criminal record check (finger printing).
Standard 8VAC20-770-60-B
Based on a review of five staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed.
Evidence:
1. The record for staff #5, working during the inspection, did not contain a sworn statement or affirmation.
2. Staff #6 (Program Administrator) reviewed the record for staff #5, and confirmed the sworn statement or affirmation was not completed prior to employment.
Evidence:
1. The record for staff #5, working during the inspection, did not contain a sworn statement or affirmation.
2. Staff #6 (Program Administrator) reviewed the record for staff #5, and confirmed the sworn statement or affirmation was not completed prior to employment.
Plan of Correction: The facility responded: Staff #5 will complete a sworn statement or affirmation. All new staff will not be allowed to begin employment without completing a sworn statement or affirmation.
Standard 8VAC20-780-160-A
Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to beginning employment.
Evidence:
1. The record for staff #5, working during the inspection, did not contain documentation of a negative tuberculosis screening.
2. Staff #6 (Program Administrator) reviewed the record for staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment.
Evidence:
1. The record for staff #5, working during the inspection, did not contain documentation of a negative tuberculosis screening.
2. Staff #6 (Program Administrator) reviewed the record for staff #5, and confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment.
Plan of Correction: The facility responded: Staff #5 will be sent to complete a TB screening. All new staff will complete a TB screening prior to employment.
Standard 8VAC20-780-260-A
Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed.
Evidence:
1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 2/19/21.
2. Staff #3 (Program Director) confirmed that the annual fire inspection report had not been completed.
Evidence:
1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 2/19/21.
2. Staff #3 (Program Director) confirmed that the annual fire inspection report had not been completed.
Plan of Correction: The facility responded: We have already contacted the Fire Marshal and are awaiting the annual inspection.
Standard 8VAC20-780-340-D
Based on observation, a review of five staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
Evidence:
1. Staff #5 working alone with a group of School Age children outside. The record for staff #5 did not contain documentation to demonstrate that staff #5 was Program Leader qualified.
2. Staff #6 (Program Administrator) reviewed the record for the staff #5, and confirmed that staff #5 was not Program Leader qualified.
Evidence:
1. Staff #5 working alone with a group of School Age children outside. The record for staff #5 did not contain documentation to demonstrate that staff #5 was Program Leader qualified.
2. Staff #6 (Program Administrator) reviewed the record for the staff #5, and confirmed that staff #5 was not Program Leader qualified.
Plan of Correction: The facility responded: All staff will not work alone with the children unless they have completed the required training to meet Program Leader qualifications.
Standard 8VAC20-780-60-A
Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.
Evidence
1. The record for child #3 did not contain the phone number for both emergency contacts.
2. Staff #3 (Program Director) confirmed that the record for child #3 did not contain all of the required information.
Evidence
1. The record for child #3 did not contain the phone number for both emergency contacts.
2. Staff #3 (Program Director) confirmed that the record for child #3 did not contain all of the required information.
Plan of Correction: The facility responded: The parents of child #3 will be asked to provide the missing information.