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Henrico Police Athletic League - Pinchbeck

Inspection · 2022-05-12

Date
2022-05-12
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was initiated on 5/12/2022 and concluded on 5/17/2022. Two inspectors were on site on 5/12/2022 from 2:25 pm-3:35 pm. There were 24 children present, ranging in ages from 5 to 12 years, with 6 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records, 5 staff records, and 6 officer/agent 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.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

6
Standard 22VAC40-185-130-A
Based on a review of 5 children?s records and interview, the center did not ensure to obtain documentation that 2 children had received the immunizations required by the State Board of Health before the first date of attendance as required.

Evidence:
1. The records of child #3 (DOE: 11/30/2021) and child #5 (DOE: 4/19/2022) did not contain an immunization record.
2.Administration acknowledged that the records had not been obtained.
Plan of Correction: Going forward, I will make sure that all child enrollment forms are completed in full prior to their start date at my site.
Standard 22VAC40-185-140-A
Based on a review of 5 children?s records and interview, the center did not ensure to obtain documentation that 1 child had a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance.

Evidence:
1. The record of child #3 (DOE: 11/30/2021) did not contain a physical record.
2. Administration acknowledged that the record had not been obtained.
Plan of Correction: Going forward, I will make sure that all child enrollment forms are completed in full prior to their start date.
Standard 22VAC40-185-340-C
Based on observation and interviews, the center did not ensure that during the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present, one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.

Evidence:
1. On 5/12/2022, two inspectors observed a staff member working alone. The staff reported that they had been working alone with children since 2:15 pm. A second staff arrived at 2:33 pm.
2. Administration acknowledged that the staff was working alone for 18 minutes.
Plan of Correction: On this date the site manager attended a funeral. Going forward the site manager will make sure there are at least two staff members on site.
Standard 22VAC40-185-90--A
Based on a review of 5 children?s records and interview, the center did not ensure that the required written agreements between the parent and the center were in 1 child's record by the first day of the child's attendance.

Evidence:
1. The record of child #3 (DOE:11/30/2021) contained written agreements that were signed and dated by the parents on 1/10/2022.
2. Administration acknowledged the enrollment start date occurred before the written agreements.
Plan of Correction: Going forward, I will make sure that all child enrollment forms are completed in full prior to their start date at my site.
Standard 8VAC20-770-60-C-2
Based on a review of 5 staff records and interview, the center did not ensure that 2 staff had the results of a central registry background check within 30 days of employment has required.

Evidence:
1. The record of staff #1 (DOH: 9/8/2021) and staff #3 (DOH:1/24/2022) did not contain the results of a central registry background check.
2. Administration acknowledged that the background checks were missing.
Plan of Correction: Going forward, our office manager will make sure all central registry are no more than 4 weeks from their hire date.
Standard 8VAC20-820-120-E-2
Based on observation and interview, the center did not ensure that the findings from the most recent inspection were posted as required.

Evidence:
1. The findings from the most recent inspection were not posted.
2. Administration acknowledged that they had not added the findings from the most recent inspection to the licensing board.
Plan of Correction: Going forward, all violation notices will be posted or kept in an envelope on the licensing board.
View original record on Virginia Department of Social Services