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Henrico Police Athletic League - Pinchbeck

Inspection · 2022-09-20

Date
2022-09-20
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 minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced monitoring inspection was initiated on 9/20/2022 and concluded on 9/21/2022. The inspector was on site on 9/20/2022 from 3:00 pm- 4:06 pm. There were 34 children present, ranging in ages from 5 to 12 years, with 4 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 and 5 staff records were reviewed. Staff records were reviewed remotely.

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

10
Standard 22.1-289.035-A
Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff had the required repeat background checks every 5 years.

Evidence:
1. The record of staff #5 contained a sworn statement dated 9/11/2017 and a central registry finding dated 8/1/2017.
2. Administration acknowledged that the repeat background checks had not been obtained.
Plan of Correction: Employee #5 was given new sworn statement and central registry to fill out and mailed.
Standard 8VAC20-770-60-B
Based on a review of five (5) employee records and interview, the center did not ensure that one (1) employee had a completed sworn statement prior to the first date of employment as required.

Evidence:
1. The record of employee #2 (date of employment 9/12/2022) contained a sworn statement that was not complete. The form was missing the affirmation signature and date.
2. Administration acknowledged that the sworn statement was not complete.
Plan of Correction: Employee #2 was given sworn statement to sign.
Standard 8VAC20-770-60-C-2
Based on a review of five (5) employee records and interview, the center did not ensure that one (1) employee had a central registry finding by the end of the 30th day of employment as required.

Evidence:
1. The record of employee #1 (date of employment: 7/11/2022) contained a central registry finding dated 8/31/2022.
2. Administration acknowledged that the results were not received by the end of the 30th day of employment.
Plan of Correction: To make sure all employees central registry forms are mailed out within 7 days of employment.
Standard 8VAC20-780-130-A
Based on a review of five (5) children's records and interview, the center did not ensure to obtain documentation that four (4) children had received the immunizations required by the State Board of Health before the first date of attendance as required.

Evidence:
1. The record of child #1 (date of attendance: 8/30/2022) contained an immunization record dated 8/31/2022. The record of child #2 (date of attendance: 8/30/2022) contained an immunization record dated 8/31/2022. The record of child #4 (date of attendance: 9/12/2022) did not contain an immunization record. The record of child #5 (date of attendance: 8/29/2022) did not contain an immunization record.
2. Administration acknowledged that the immunization records were received after the first date of attendance.
Plan of Correction: Immunization records for child #5 obtained 9/22. Immunization records for child #4 obtained 9/26. Moving forward immunization records will be obtained prior to child starting in our program.
Standard 8VAC20-780-240-A
Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment as required.

Evidence:
1. The record of staff #4 (DOH: 10/20/2021) did not contain the Virginia Department of Education-sponsored orientation course.
2. Administration acknowledged that it had not been completed.
Plan of Correction: Staff #4 has been sent the correct orientation course link and is in the process of completion.
Standard 8VAC20-780-245-J-3
Based on record review and interview, the center did not ensure that any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed were always be in the care of a staff member who met the requirements.

Evidence:
1. The center identified a child who had an emergency medication. The medication was available on site.
2. Administration acknowledged that there were no staff that had completed the approved medication administration training program.
Plan of Correction: Staff #1 will complete MAT training by 10/7/2022. Staff #5 will complete MAT training by 10/28/2022.
Standard 8VAC20-780-245-L
Based on a review of staff records and interview, the center did not ensure that there was always at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation of children.

Evidence:
1. Daily Health Training certificates were not observed in the records reviewed.
2. Administration acknowledged that none of the staff had the daily health training.
Plan of Correction: All staff has been notified of daily health training and in the process of completion.
Standard 8VAC20-780-340-G
Based on observation and interview, the center did not ensure that children 10 years of age and older were within actual sight and sound supervision of staff except when certain requirements were met.

Evidence:
1. On 09/20/2022, a group of five (5) children were observed in an art room not in sight and sound of a member of the center's staff. From interview, the children ranged in age from 10-12 years of age.
2. Administration acknowledged that the children were not in sight or sound of a staff member while completing homework in the art room.
Plan of Correction: Police officer will not be counted in the center staff to child ratio.
Standard 8VAC20-780-540-C
Based on observation and interview, the first aid kit did not contain the required supplies.

Evidence:
1. The first aid kit was missing tweezers and triangular bandages.
2. Administration acknowledged that the kit was not complete.
Plan of Correction: added: tweezers and triangular bandages to all first aid kits.
Standard 8VAC20-780-60-A
Based on a review of five (5) children's records and interview, the center did not ensure that two (2) records contained the required information.

Evidence:
1. The record of child #3 (date of attendance: 8/29/2022) was missing the addresses of two designated people to call in an emergency if a parent could not be reached. The record of child #3 contained written agreements that were signed after the first date of attendance on 8/31/2022. The record of child #4 (date of attendance: 9/12/2022) was missing the addresses of two designated people to call in an emergency if a parent could not be reached.
2. Administration acknowledged that the records were incomplete.
Plan of Correction: Contact parent and correct/fill in missing information.
View original record on Virginia Department of Social Services