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The Learning Experience

Inspection · 2021-07-22

Date
2021-07-22
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

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 initiated on 07/22/21 and concluded on 08/03/21. The director was contacted by telephone and a virtual inspection was conducted. There were 89 children present, ranging in ages from 4 months to 11 years. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of five child records, five staff records, and background checks for 16 staff members 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.

The provider's responses for the 'plan of correction' were not received as of 08/23/2021 and will not appear on this violation notice.

Violations

3
Standard 22VAC40-185-160-A
Based on a review of five staff records, the center did not ensure three staff members submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

Evidence: 1) The TB screening in the record for Staff #12, hired on 05/28/21, was dated 02/12/18. The TB screening expired on 02/12/20.2) The TB screening in the record for Staff #13, hired on 05/28/21, was dated 11/19/19. 3) The record for Staff #16, hired on 05/28/21, did not contain a TB screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22VAC40-191-40-D-6
Based on a review of 16 staff members' background checks, the center did not ensure that a required central registry finding for one staff member was not dated more than 90 days prior to the date of employment.

Evidence: 1) The record for Staff #16, hired on 05/28/21, had documentation of a central registry finding that were dated 03/08/18.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 63.2(17)-1720.1-B-2
Based on a review of 16 staff members' background checks and interview, the center did not ensure that three staff obtained a fingerprint based background check determination prior to employment.

Evidence: 1) The record for Staff #9, hired on 05/28/21, did not contain the results of a fingerprint based background check by the current employer. The fingerprint based background check results in the file for Staff #9, dated 04/27/21, were conducted by another employer.

2) The record for Staff #11, hired on 05/28/21, did not contain the results of a fingerprint background check by the current employer. The fingerprint based background check results in the file for Staff #11, dated 02/25/21, were conducted by another employer.

3) The record for Staff #16, hired on 05/28/21, did not contain the results of a fingerprint background check by the current employer. The fingerprint based background check results in the file for Staff #16, dated 03/08/21, were conducted by another employer.

4) During interview, a member of management confirmed fingerprints were not obtained by the current employer for Staff #9, Staff #11, and Staff #16. Fingerprint based background checks cannot be transferred from center to center unless they are sponsored by the same business entity. Therefore, new fingerprint results should have been obtained prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services