Inspection · 2022-01-11
Date
2022-01-11
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
(703) 479-4678
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.
8VAC20-770 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education
Inspector Notes
An initial inspection was conducted virtually today. Physical plant, staff records, Emergency supplies, toys, games and age appropriate equipment were all reviewed. The playground was also inspected. Cribs are all new and meet current laws. Please visit the DOE website at www.doe.virginia.gov/cc to find the CDC regulations and model forms.
If you have any questions regarding this inspection, please do not hesitate to contact me at: Sarah.Marbert@doe.virginia.gov or at 703-479-4678.
Violations
6Standard 22.1-289.035-B-2
Based on a review of records, one staff record does not contain documentation of nationwide fingerprint search having been completed prior to employment.
Evidence:
*Staff A's Fingerprint results are dated 10/19/2021. (Date of Hire (DOH) 9/27/21)
Evidence:
*Staff A's Fingerprint results are dated 10/19/2021. (Date of Hire (DOH) 9/27/21)
Plan of Correction: Moving forward, no one will be hired until Fingerprint results are received.
Standard 22.1-289.035-B-4
Based on a review of records, staff records do not contain documentation, prior to employment, of a completed Criminal History Check and a completed Sex Offender Search for staff who have resided outside of the state of Virginia within the past 5 years.
Evidence:
*2 of 2 records requiring a completed Sex Offender search result, do not have the results on file.
(Staff A, B)
*1 of 2 records requiring a completed Criminal History Search, does not have documentation on file. (Staff B)
Evidence:
*2 of 2 records requiring a completed Sex Offender search result, do not have the results on file.
(Staff A, B)
*1 of 2 records requiring a completed Criminal History Search, does not have documentation on file. (Staff B)
Plan of Correction: Moving forward required searches will be on file prior to employment.
Standard 8VAC20-770-60-B
Based on a review of records, staff records do not contain documentation of a completed Sworn Disclosure Statement (SDS) prior to employment.
Evidence:
*SDS for Staff A is dated 9/30/21. (DOH: 9/27/21).
*SDS for Staff D is dated 12/3/21. (DOH:12/1/21).
Evidence:
*SDS for Staff A is dated 9/30/21. (DOH: 9/27/21).
*SDS for Staff D is dated 12/3/21. (DOH:12/1/21).
Plan of Correction: Moving forward anyone that I am interested in hiring, will sign the form at the interview.
Standard 8VAC20-780-160-A
Based on a review of records, one staff record did not contain documentation of an acceptable TB screening result. At the time of employment the screening could not have been completed more than 12 months prior.
Evidence:
Staff E's TB screening result is dated 2/08/20. (DOH: 12/3/21)
Evidence:
Staff E's TB screening result is dated 2/08/20. (DOH: 12/3/21)
Plan of Correction: Moving forward every employee will submit a TB result that is not more than 30 days old.
Standard 8VAC20-780-240-B
Based on a review of records, documentation of orientation is not complete.
Evidence:
5 of 5 records reviewed did not contain documentation of all required, policies and procedures at the time of employment for staff. A certificate stating "Orientation completed" is all that is on file.
Evidence:
5 of 5 records reviewed did not contain documentation of all required, policies and procedures at the time of employment for staff. A certificate stating "Orientation completed" is all that is on file.
Plan of Correction: Orientation was completed and appropriate documentation is now on file for each employee.
Standard 8VAC20-780-70
Based on a review of records, there is no appropriate documentation for references taken over the phone.
Evidence:
2 of 5 records reviewed did not contain documentation of the signature of the person completing the phone reference. (Staff C,D)
Evidence:
2 of 5 records reviewed did not contain documentation of the signature of the person completing the phone reference. (Staff C,D)
Plan of Correction: We will use the documentation provided from Celebree. It will be signed off on, and placed in the employee file.