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Primrose School of Twin Hickory

Inspection · 2024-09-05

Date
2024-09-05
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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 completed on 09/05/2024, as a part of the conditional licensure period. The on-site inspection began at approximately 9:40 a.m. and ended at 5:50 p.m. The inspector reviewed compliance in the areas listed above. There were 102 children present and 21 staff supervising. The inspector reviewed 10 child records and 25 staff records on-site. 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 12/17/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for S4 and S10, who are currently working, was dated more than 4 months after their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry
search for an employee, within 30 days of service. The central registry searches for S2, S5, S9, S13, S14, S16, S18, S20, S21 were dated more than 2 months after their first day of employment. The central registry search for S17 and S19 were dated more than 3 months after their first day of employment. S4, S22, and S24 did not have central registry search results and have been employed for more than 4 months. The central registry search for S6 were dated for more than 1 month after their first day of employment. The central registry search for S7, S8, S11 were dated for more than 5 months after their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for C2 was not signed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S4 and S18 who are working with children, completed this course after 90 days of hire.
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S20, who is working with children, has not yet completed this course which is overdue by 3 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
A written agreement between the parent and the center shall include a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease. The agreements for C7, C8, S9, and C10 did not include this statement.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services