Inspection · 2024-10-28
Licensing Inspector
James R Basham
(804) 588-2370
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 monitoring inspection was initiated on 10/28/2024 and completed on 10/28/2024, as a part of the licensure period. The on-site inspection began at 2:24PM and ended at 3:52PM. The inspector reviewed compliance in the areas listed above. There were 24 children present and 4 staff. The inspector reviewed 4 children?s records and 4 staff records on-site 10/28/2024. This inspection included - document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility, 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.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4, who had been employed for over two years, did not have a completed national criminal background check.
Plan of Correction: Provider will submit for criminal backgrounds.
Standard 8VAC20-770-60-C-2
The center must request a search of the central registry within 30 days of the employee's first day of employment. Staff #4, who had been employed for over two years, did not have a central registry search requested.
Plan of Correction: Provider will submit for central registry results.
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. The record for Child #1, enrolled 2 months, was missing 10 required components. Child #2, enrolled 2 months, was missing 2 components. Child #3 and Child #4, enrolled 2 months, were missing 1 component.
Plan of Correction: Provider will obtain an additional emergency contact for child.
Standard 8VAC20-780-70
The following staff records shall be kept for each person. The record for Staff #4, employed for over 2 years, did not contain background checks as required; first aid and cardiopulmonary resuscitation as required by the responsibilities of the staff member; information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities.
Plan of Correction: Provider will ensure staff records are complete.