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Bellamy Manor School

Inspection · 2024-07-31

Date
2024-07-31
Complaint Related
No
Licensing Inspector
Trisha Brown
(757) 404-2601
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site renewal inspection was initiated and concluded on July 31, 2024. The on-site inspection began at 11:00am and ended at 12:30pm. The inspector reviewed compliance in the areas listed above. CDC: There were 71 children present and 12 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included
? document review,
? tour of the facility,
? interviews,
? observations

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 23, 2024. A POC submitted after this date will not appear on the public website

Violations

5
Standard 22.1-289.035-B-1
Based on record review and interview the center failed to ensure that sworn statement or affirmations are obtained within required time frame.
Evidence:
1 - One out of five staff records reviewed contained a sworn statement or affirmation dated after the documented date of hire.
a The record of Staff #2 contains a sworn statement or affirmation dated July 10, 2023 with a documented date of hire as June 29, 2023.
2 - Staff #1 confirmed that the sworn statement was not obtained prior to the documented date of hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Based on record review and interview the center failed to obtain background check as required.
Evidence:
The record for Staff #2 contains a fingerprint background check dated July 20, with a documented date of hire as June 29, 2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review and interview the center failed to ensure that staff submit documentation of negative tuberculosis (TB) screening as required.
Evidence:
1 - The record for Staff #2 contains a TB screening that is dated August 11, 2023 with a documented date of hire as June 29, 2023. Therefore, the TB screening was not obtained at the time of employment or prior to having contact with children.
2 - The record for Staff #3 contains a TB screening that is dated July 26, 2024 with a documented date of hire as July 25, 2024. Therefore, the TB screening was not completed within the last 30 calendar days of the date of employment. or prior having contact with children.
3 - The record for Staff #4 contains a TB screening that is dated April 10, 2024 with a documented date of hire as March 29, 2024. Therefore, the TB screening was not completed within the last 30 calendar days of the date of employment. or prior having contact with children.
4 - Staff #1 confirmed that the TB test were not obtained within the required frames.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Based on observation the center failed to ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1 - Three out of nine classrooms viewed had unlocked chemicals. In two out of those three classrooms the unlocked chemicals were located within reach of children in care.
2 - Staff #1 confirmed that there were unlocked chemicals in three out of nine classrooms.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
Based on review of medication the center failed to ensure that when an authorization for medication expires the parent will be notified that the medication needs to be picked up within 14 days or renew the authorization or the medication is disposed of.
Evidence:
1 - One medication out of more than 12 reviewed, a tube of diaper cream with an authorization which expired on June 6, 2024 that has not been returned to the parent or disposed of as required.
2 - Staff #1 confirmed that the medication had not been returned or disposed of as required.
Plan of Correction: Not available online. Contact Inspector for more information.