Inspection · 2024-01-22
(757) 404-2601
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 announced initial inspection was conducted on January 22, 2024 from 11am through 1:30pm. All standards could not be determined during the initial inspection because there were not any children present. However, all areas of standards were reviewed during the initial inspection. The facility was reviewed inside and outside during the inspection. Preparations for children's records and all staff records were reviewed. Each classroom was viewed for adequate equipment. Each room was measured for useable floor space. Violations regarding staff records including background checks were found, discuss with the owner and program director during exit meeting and appear on the violation notice.
Violations
3Evidence:
1 - Four out of four staff records reviewed did not contain documentation of fingerprint background checks within required time frames. None of the background checks were obtained prior to employment.
a. The record for Staff #5 contains a fingerprint background check dated December 27, 2023. However, the documented date of hire for Staff # 5 is November 10, 2023.
b. The record for Staff #4 does not contain any documentation that a fingerprint background check was requested. However, the documented date of hire for Staff # 4 is December 27, 2023.
c. The record for Staff #3 contains a fingerprint background check dated January 11, 2024. However, the documented date of hire for Staff # 3 is December 27, 2023.
d. The record for Staff #2 contains a fingerprint background check dated December 29, 2023. However, the documented date of hire for Staff # 5 is December 27, 2023.
2 - Staff #1 confirmed that the fingerprint background checks were obtained after the staff were hired.
Evidence:
1 - Two out of four staff records reviewed contained tuberculosis screens that were not obtained with the required time frame.
a. The record for Staff #2 contains a tuberculosis screening dated October 30, 2023. However, the documented date of hire for Staff #2 is December 27, 2023. The screening was not obtained within 30 days of the date of hire.
b. The record for Staff #4 contains a tuberculosis screening dated June 14, 2023 However, the documented date of hire for Staff #2 is December 27, 2023. The screening was not obtained within 30 days of the date of hire.
2 - Staff #1 confirmed that the documented dates for the tuberculosis screenings was correct.
Evidence:
1 - Three out of four staff records reviewed contained only one reference where two references are required.
2 - Staff # 2 - 4 have documented dates of hire as December 27, 2023. However, each staff record contains only one reference available for review during the inspection.
3 - Staff #1 confirmed that only one reference was available for review for staff #2 - 4.