Inspection · 2023-05-09
Date
2023-05-09
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
(540) 280-0742
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
Inspector Notes
A code compliance inspection was conducted on Tuesday, May 9, 2023. The inspector was on site from 3:05pm to approximately 4:25pm. There were eight children in attendance with two staff directly supervising. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. The facility is equipped with toys and supplies and items are available to the children. All areas of the facility including indoor spaces, the outdoor play area, and bathrooms were inspected. Five children's records and four 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.
Violations
5Standard 22.1-289.031-A-4
Based on a review of four staff records, three staff did not obtain the required staff health report within the required timeframe.
Evidence: 1) The record of Staff #2, employed on 02/10/22, did not contain a staff health report.
2) The staff health report in the record of Staff #3, employed on 08/24/22, was completed on 09/06/22.
3) The staff health report in the record of Staff #4, employed on 08/24/22, was completed on 09/06/22.
The staff health report for each staff member should have been obtained prior to the staff beginning employment.
Evidence: 1) The record of Staff #2, employed on 02/10/22, did not contain a staff health report.
2) The staff health report in the record of Staff #3, employed on 08/24/22, was completed on 09/06/22.
3) The staff health report in the record of Staff #4, employed on 08/24/22, was completed on 09/06/22.
The staff health report for each staff member should have been obtained prior to the staff beginning employment.
Plan of Correction: The missing staff health report will be obtained. In the future, staff will provide a staff health report prior to employment.
Standard 22.1-289.031-B-3
Based on observation, interview, and staff record review, the center did not establish and implement a procedure to ensure daily simple health screening and exclusion of sick children by a person trained to perform such screenings.
Evidence: 1) The records of the three staff present during the inspection on 05/09/23 were reviewed. The records did not contain documentation of the staff receiving training in daily health screening.
2) During interview, management reported that staff observe children upon arrival for signs of illness, but the staff do not have current certification in conducting daily health screenings.
Evidence: 1) The records of the three staff present during the inspection on 05/09/23 were reviewed. The records did not contain documentation of the staff receiving training in daily health screening.
2) During interview, management reported that staff observe children upon arrival for signs of illness, but the staff do not have current certification in conducting daily health screenings.
Plan of Correction: Staff will complete a training on daily health screenings.
Standard 22.1-289.035-B-2
Based on a review of four staff records and interview, the center did not ensure three staff had the satisfactory results of the fingerprint based national criminal background check prior to employment.
Evidence: 1) The fingerprint-based national criminal background check in the record of Staff #2, employed on 01/10/22, was completed on 02/10/22.
2) The fingerprint-based national criminal background check in the record of Staff #3, employed on 08/24/22, was completed on 09/12/22.
3) The fingerprint-based national criminal background check in the record of Staff #4, employed on 08/24/22, was completed on 09/07/22.
4) During interview, a member of management acknowledged the fingerprint-based national criminal background checks for Staff #2, Staff #3, and Staff #4 were not obtained within the required timeframe.
Evidence: 1) The fingerprint-based national criminal background check in the record of Staff #2, employed on 01/10/22, was completed on 02/10/22.
2) The fingerprint-based national criminal background check in the record of Staff #3, employed on 08/24/22, was completed on 09/12/22.
3) The fingerprint-based national criminal background check in the record of Staff #4, employed on 08/24/22, was completed on 09/07/22.
4) During interview, a member of management acknowledged the fingerprint-based national criminal background checks for Staff #2, Staff #3, and Staff #4 were not obtained within the required timeframe.
Plan of Correction: In the future, staff will obtain fingerprints prior to employment.
Standard 22.1-289.035-B-4
Based on a review of four staff records and interview, the center did not obtain the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required timeframe.
Evidence: 1) The record of Staff #1, employed on 01/10/22, and the record of Staff #3, employed on 08/24/22, indicated the staff members had resided in another state outside of Virginia within the last five years. The records did not contain a sex offender registry check or a search of the child abuse and neglect registry. The out-of-state sex offender registry check is required to be obtained prior to employment. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment.
2) During interview, a member of management confirmed the required out-of-state background checks were not obtained for Staff #1 and Staff #3 within the required timeframe.
Evidence: 1) The record of Staff #1, employed on 01/10/22, and the record of Staff #3, employed on 08/24/22, indicated the staff members had resided in another state outside of Virginia within the last five years. The records did not contain a sex offender registry check or a search of the child abuse and neglect registry. The out-of-state sex offender registry check is required to be obtained prior to employment. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment.
2) During interview, a member of management confirmed the required out-of-state background checks were not obtained for Staff #1 and Staff #3 within the required timeframe.
Plan of Correction: The center will request the required out-of-state background checks.
Standard 8VAC20-770-40-D-2
Based on a review of four staff records and interview, the center did not ensure four staff had the required background checks within the required timeframes.
Evidence: 1) The record of Staff #1, employed on 01/10/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
2) The record of Staff #2, employed on 01/10/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
3) The record of Staff #3, employed on 08/24/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
4) The record of Staff #4, employed on 08/24/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
5) During interview, a member of management acknowledged the required background checks were not obtained within the required timeframe. A complete sworn statement or affirmation is required before employment. A search of the central registry check is required within 30 days of employment.
Evidence: 1) The record of Staff #1, employed on 01/10/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
2) The record of Staff #2, employed on 01/10/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
3) The record of Staff #3, employed on 08/24/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
4) The record of Staff #4, employed on 08/24/22, did not contain the search of the central registry check or a complete sworn statement or affirmation.
5) During interview, a member of management acknowledged the required background checks were not obtained within the required timeframe. A complete sworn statement or affirmation is required before employment. A search of the central registry check is required within 30 days of employment.
Plan of Correction: The missing background checks will be completed.