Inspection · 2022-11-15
(540) 309-2494
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)
22.1 Background Checks Code, Carbon Monoxide
Inspector Notes
An unannounced monitoring inspection was conducted on-site November 15, 2022. The director was available during the inspection. There were 21 children present with 7 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 5 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.
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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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
5Evidence: 1. The record of staff #1, hired 3/13/22, did not contain documentation of a central registry finding. The record was not followed up on until April 20, 2022 and September 1, 2022. The staff is still employed.
2. The record of staff #2, hired 8/15/22, did not contain documentation of a central registry finding. The record was not followed up on until September 30, 2022. The staff is still employed.
3. The record of staff #3, hired 5/10/22, did not contain documentation of a central registry finding. The record did not contain documentation of further contact and the staff is still employed.
4. The record of staff #5, hired 7/1/22, did not contain documentation of a central registry finding. The record did not contain documentation of further contact and the staff is still employed.
5. Staff #6 confirmed the results have not been completed and the staff are still employed.
Evidence: 1. The record of staff #4 (hired 10/15/22) did not contain documentation of a tuberculosis screening. Staff #4 was observed working with children on the date of inspection. 2. The record of staff #5 (hired 7/1/22) did not contain documentation of a tuberculosis screening.
Evidence: 1. There was no fire drill, shelter-in-place, or lockdown drill log to review.
2. Staff #6 stated the drill logs were thrown away in September when the center created new forms for the logs.
3. Staff #6 confirmed she was unaware the drill logs had to be maintained for one year.
Evidence: 1. The record of staff #4, hired 10/15/22, did not contain documentation of two references. 2. The record of staff #5, hired 7/1/22, did not contain documentation of two references. 3. Staff #6 confirmed the complete files for the staff were missing.
Evidence: 1. The findings from the most recent inspection conducted May 12, 2022, were not posted in the facility on the date of inspection. 2. Staff #6 confirmed the inspection was not posted.