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Ivey Child Development Center

Inspection · 2025-02-18

Date
2025-02-18
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was conducted on 2/18/2025. The on-site inspection began at 9:40 am and ended at 11:46 am. The inspector reviewed compliance in the areas listed above. There were 9 children present and 5 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, a tour of the facility, interviews, observations and measurements.

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 violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 2/25/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-160-A
REPEAT VIOLATION

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff #1 had a TB screening that was submitted 7 days after employment.
Plan of Correction: The Center will revise the TB screening forms to explicitly state that documentation must be submitted prior to employment. This revision will include the administrative checklist which reflected previous licensing standards prior to regulatory updates. The Office will implement a new standardized checklist to ensure health documentation, including the TB screening, is submitted before the employee's start date. Furthermore, measures will be taken to purge all outdated checklists from physical and electronic locations to prevent new hires from utilizing obsolete forms or referring to previous regulations. The Director has acknowledged the confusion for new admin arose between the updated and previously used checklists.
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

Staff #5, who has been employed for over 1 month, was not program leader qualified. Administration stated that staff #5 had been fulfilling the role of a program leader but was not qualified.
Plan of Correction: Moving forward, the administration team will develop a structured training regimen that all new staff will be required to complete (within 30 days). This course of study will fulfill the 24 hours of training required to ensure that teachers are qualified and verified to work independently in the classroom. Additionally, the center intends to implement program modifications in the near future (March 7, 2025) to facilitate the training and retention of credentialed staff.
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year.

The center conducted one of the two required shelter in place practice drills in 2024.
Plan of Correction: The Director acknowledges that a second shelter drill was completed in 2024; however, it was documented under the previous center license ID number. The Director will ensure that all new licensing documents moving forward will comply with the applicable requirements and regulations.
Standard 8VAC20-780-550-F
Lockdown procedures shall be practiced at least annually.

The center did not complete a lockdown drill in 2024.
Plan of Correction: The Director acknowledges that a lockdown drill was completed in 2024; however, it was documented under the previous center license ID number. The Director will ensure that all new licensing documents moving forward will comply with the applicable requirements and regulations
Standard 8VAC20-780-70
Staff records are required to contain documentation of at least 2 references to character, reputation, and competency that are to be checked prior to employment and documentation of orientation training.

Staff #2 who has been employed for 15 days did not have any completed reference verifications on file. Staff #3 who has been employed for 15 days had 1 of the 2 required reference verifications on file. Staff #5 who has been employed for over 1 month had 1 of the 2 required reference verifications on file. Staff #5's record did not contain documentation of orientation.
Plan of Correction: The Administration will promptly obtain the outstanding reference verifications and ensure that all necessary verifications for Staff #2, #3, and #5 are completed within 5 business days. The Director will revise and clarify policies regarding reference verification and orientation documentation in collaboration with the administrative team to establish a consistent understanding of the tracking system that is accessible to all administrative personnel, even in the absence of specific staff.
The Director acknowledges that some references had been completed but were stored electronically, which hindered access for the administrative team during the visit. Therefore, the Director will emphasize the importance of maintaining both physical and electronic copies of all pertinent documents. Additionally, a tracking system for reference verifications and orientation compliance will be implemented within 4 weeks.
View original record on Virginia Department of Social Services