Inspection · 2022-12-01
Date
2022-12-01
Complaint Related
No
Licensing Inspector
LaTasha Smith
(804) 588-2362
(804) 588-2362
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 Trainings
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)
20 Access to minor?s records
22.1 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was conducted on Monday, June 24, 2024. The inspection began at 12:30 PM and concluded at approximately 2:05 PM. There were12 children present between the ages of 9 years to 12 years, with 1 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 5 child records and 4 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.
If you have any questions about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362.
Violations
6Standard 22.1-289.011-F
Based on observation, the center did not ensure that the license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
Evidence:
1. The center did not have the current license posted. The license posted expired 12/5/2022.
2. The most recent inspection summary report was not posted. The inspection summary report posted was completed on 12/1/2022.
Evidence:
1. The center did not have the current license posted. The license posted expired 12/5/2022.
2. The most recent inspection summary report was not posted. The inspection summary report posted was completed on 12/1/2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
(Repeat Violation) Based on record review and interview, the center did not ensure to obtain a completed Sworn Statement prior to the first day of employment for staff.
Evidence:
1. The record for staff #1 did not contain a Sworn Statement. Staff #1?s hire date was on 6/17/2024.
2. The record for staff #2 did not contain a Sworn Statement. Staff #2?s hire date was on 6/17/2024.
3. The record for staff #3 did not contain a Sworn Statement. Staff #3?s hire date was on 6/14/2024.
4. The record for staff #4 did not contain a Sworn Statement. Staff #4?s hire date was on 6/17/2024.
5. An administrator confirmed that staff #1, staff #2, staff #3, and staff # 4 did not complete a Sworn Statement.
Evidence:
1. The record for staff #1 did not contain a Sworn Statement. Staff #1?s hire date was on 6/17/2024.
2. The record for staff #2 did not contain a Sworn Statement. Staff #2?s hire date was on 6/17/2024.
3. The record for staff #3 did not contain a Sworn Statement. Staff #3?s hire date was on 6/14/2024.
4. The record for staff #4 did not contain a Sworn Statement. Staff #4?s hire date was on 6/17/2024.
5. An administrator confirmed that staff #1, staff #2, staff #3, and staff # 4 did not complete a Sworn Statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
Based on record review, and interview, the center failed to obtain documentation of immunizations for children enrolled before the first day of enrollment.
Evidence:
1. The record for child #4 did not contain immunizations. Child #4?s enrollment date was 6/24/2024.
2. The record for child #5 did not contain immunizations. Child #5?s enrollment date was 6/24/2024.
Evidence:
1. The record for child #4 did not contain immunizations. Child #4?s enrollment date was 6/24/2024.
2. The record for child #5 did not contain immunizations. Child #5?s enrollment date was 6/24/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
(Repeat Violation) Based on record review, the center did not ensure each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and shall have been completed within the last 30 calendar days of the date of employment.
Evidence:
1. The record for staff #1, contained a tuberculosis (TB) screening dated 5/24/2023. Staff #1?s employment date was 6/17/2024.
2. The record for staff #3, did not contain a tuberculosis (TB) screening. Staff #3?s employment date was 6/14/2024.
3. The record for staff #4, did not contain a tuberculosis (TB) screening. Staff #4?s employment date was 6/17/2024.
Evidence:
1. The record for staff #1, contained a tuberculosis (TB) screening dated 5/24/2023. Staff #1?s employment date was 6/17/2024.
2. The record for staff #3, did not contain a tuberculosis (TB) screening. Staff #3?s employment date was 6/14/2024.
3. The record for staff #4, did not contain a tuberculosis (TB) screening. Staff #4?s employment date was 6/17/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Based on review, the center did not ensure all information was kept for each enrolled child.
Evidence:
1. The record for child #1 did not contain two emergency contacts, and the child?s doctors name and phone number. Child #1?s enrollment date 6/24/2024.
2. The record for child #2 did not contain two emergency contacts. Child #2?s enrollment date was 6/24/2024.
3. The record for child #3 did not contain two emergency contacts. Child #3?s enrollment date was 6/24/2024.
4. The record for child #4 did not contain one of two emergency contacts, the address for the second emergency contact, dad?s place of employment, and work number. Child #4?s enrollment date was 6/24/2024.
5. The record for child #5 did not contain one of two emergency contacts, address for the second emergency contact, and dad?s place of employment, and work number. Child #5?s enrollment date was 6/24/2024.
Evidence:
1. The record for child #1 did not contain two emergency contacts, and the child?s doctors name and phone number. Child #1?s enrollment date 6/24/2024.
2. The record for child #2 did not contain two emergency contacts. Child #2?s enrollment date was 6/24/2024.
3. The record for child #3 did not contain two emergency contacts. Child #3?s enrollment date was 6/24/2024.
4. The record for child #4 did not contain one of two emergency contacts, the address for the second emergency contact, dad?s place of employment, and work number. Child #4?s enrollment date was 6/24/2024.
5. The record for child #5 did not contain one of two emergency contacts, address for the second emergency contact, and dad?s place of employment, and work number. Child #5?s enrollment date was 6/24/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Based on review of five (5) staff records and interview, the center did not ensure that all staff records were complete.
Evidence:
1. The record for staff #1 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
2. The record for staff #2 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
3. The record for staff #3 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
4. The record for staff #4 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
5. The director stated that references were completed but could not be located.
Evidence:
1. The record for staff #1 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
2. The record for staff #2 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
3. The record for staff #3 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
4. The record for staff #4 did not contain two required reference checks prior to employment, and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.
5. The director stated that references were completed but could not be located.
Plan of Correction: Not available online. Contact Inspector for more information.