Inspection · 2023-04-19
(804) 588-2368
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 renewal inspection was initiated on 04/19/2023 and completed 05/11/2023 from approximately 11:54 a.m. ? 5:00 p.m. There were 101 children present and 14 staff supervising. The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, medication, special care provisions and emergencies, and special services (nutrition and food services).
A total of 10 child records and 16 staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. Please sign, 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 preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Violations
5Evidence:
The record for staff S4, employed 02/08/2023, did not have results of a national criminal background check prior to the first day of employment. The record did not contain results of a criminal record check.
The record for S7, employed 03/27/2023, did not have results of a national criminal background check prior to the first day of employment. The results were dated 04/03/2023.
Evidence:
The record for S3, employed 11/28/2022, did not contain findings of a central registry search within 30 days. The results are dated 01/11/2023.
The record for S7, employed 03/27/2023, did not contain findings of a central registry search.
Evidence:
The record for S5, employed 03/29/2023 did not document a tuberculosis (TB) screening within the required time frame. The record did not contain any results.
The record for S7, employed 03/27/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 05/04/2023.
The record for S8, employed 11/14/2022 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 08/04/2021 was more than 30 days old at the time of employment.
Evidence:
The record for C1, enrolled 11/28/2022, did not contain a second emergency contact for the child if the children?s parents could not be located.
The record for C3, enrolled 11/28/2022, did not contain documentation of viewing proof of the child?s identity within 7 days of enrollment. The proof was viewed 12/22/2022.
Based on record review, the provider failed to keep required staff records for each staff person.
Evidence:
Staff records for S1, S2, S11, S12, S13, S14, S15, and S16 did not include the date of separation from employment.