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WILLIAMSBURG-JAMES CITY COUNTY COMMUNITY ACTION AGENCY, INC-Popl

Inspection · 2024-09-08

Date
2024-09-08
Complaint Related
No
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 9-25-2024 and completed on 10-2-2024. The on-site inspection began at 12:25am and ended at 1:30pm. The inspector reviewed compliance in the areas listed above. There were 23 children present and 4 staff. The
inspector reviewed 5 children?s records and 4 staff records ectronically on 10-2-2024. This inspection included document review, tour of the facility, interviews, and 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 10-10-2024. A POC submitted after this date will not appear on the public website

Violations

3
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent central registry check for Staff #1 was overdue by 9 months.
Plan of Correction: #1 Employee completed background check screening upon returning from medical leave. The background check was being processed at the time of inspection. The agency has an HRIS system with background check information entered to assist in planning for all background check screening expiration dates.
Background check screening was completed on 09/08/2024 upon the employee's return from medical leave.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
1.Child #1, enrolled for 1 ? years, was missing the second emergency contact.
2. Child #4, enrolled for three weeks, has a diagnosed food allergy and did not have a written care plan in their file.
3.Child #1, Child #2 and Child #5 did not have annual updates to their record. Child# 1 was 6 months past the required update and Child #2 and #5 were 2 weeks past the update.
Plan of Correction: 1. The Family Services Coordinator has reviewed the student's classroom file as well as the comprehensive file and two emergency contacts were listed on both, with one being listed on the back of the emergency contact form completed by the parent during the initial intake.
2.The health coordinator requested the allergy care plan from the parent and the doctor before the student?s enrollment date. The health coordinator followed up with the doctor and parent on 10/8/2024 to ensure that proper documentation is turned in as soon as possible.
3. Family Services will review the required information for Child #1, Child #2 and Child #5 and will work with a parent to update the annual required records.
Standard 8VAC20-780-70
(Repeat Violation )
Documentation shall be kept at the center for each staff regarding a name, address, and telephone number of a person to be notified in an emergency and any health problems that may interfere with fulfilling the job responsibilities. Staff #1, has been employed for 15 years and did not have emergency contact information or health related information. Staff #4 has been employed for 5 months and did not have health related information.
Plan of Correction: Staff Emergency Contact sheets have been updated and a copy is available at the center.
View original record on Virginia Department of Social Services