Inspection · 2024-08-06
Date
2024-08-06
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
(804) 807-3278
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 08/06/2024, as a part of the conditional licensure period. The on-site inspection began at approximately 9:50 a.m. and ended at 4:15 p.m. The inspector reviewed compliance in the areas listed above. There were 68 children present and13 staff supervising. The inspector reviewed five child records and seventeen staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements of the school age room.
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 08/26/2024. A POC submitted after this date will not appear on the public website.
Violations
5Standard 22.1-289.035-B-2
Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment.
Evidence:
The record for S4, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S4 are dated 06/04/2024.
The record for S5, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S5 are dated 05/17/2024.
The record for S8, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S8 are dated 05/20/2024.
The record for S11, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S11 are dated 06/21/2024.
The record for S12, employed 05/29/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S12 are dated 06/14/2024.
The record for S13, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S13 are dated 06/11/2024.
The record for S14, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S14 are dated 06/06/2024.
Evidence:
The record for S4, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S4 are dated 06/04/2024.
The record for S5, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S5 are dated 05/17/2024.
The record for S8, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S8 are dated 05/20/2024.
The record for S11, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S11 are dated 06/21/2024.
The record for S12, employed 05/29/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S12 are dated 06/14/2024.
The record for S13, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S13 are dated 06/11/2024.
The record for S14, employed 05/10/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S14 are dated 06/06/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based on record review, the provider failed to ensure an employee not be employed until the center has the person?s completed sworn statement.
Evidence:
The record for S13 documented the date of hire as 05/10/2024. The sworn disclosure
statement was signed 05/21/2024.
Evidence:
The record for S13 documented the date of hire as 05/10/2024. The sworn disclosure
statement was signed 05/21/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
Based on staff record review, the provider failed to obtain a search of the central registry within 30 days of employment.
Evidence:
The record for S5, employed 05/10/2024 did not contain findings of a central registry search.
The record for S13, employed 05/10/2024 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S13 are dated 07/23/2024.
The record for S14, employed 05/10/2024 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S14 are dated 06/28/2024.
The record for S17, employed 05/10/2024 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S14 are dated 06/27/2024.
Evidence:
The record for S5, employed 05/10/2024 did not contain findings of a central registry search.
The record for S13, employed 05/10/2024 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S13 are dated 07/23/2024.
The record for S14, employed 05/10/2024 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S14 are dated 06/28/2024.
The record for S17, employed 05/10/2024 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S14 are dated 06/27/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician?s designee, or an official of a local health department.
Evidence:
The immunization record for C3 dated 06/11/2024 was not signed by the licensed physician, the physician?s designee, or an official of a local health department.
Evidence:
The immunization record for C3 dated 06/11/2024 was not signed by the licensed physician, the physician?s designee, or an official of a local health department.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based on record review, the provider failed to ensure that fifteen of seventeen staff shall submit documentation of a negative tuberculosis (TB) screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.
Evidence:
The record for S1, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 05/31/2024.
The record for S2, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/20/2024.
The record for S3, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/19/2024.
The record for S4, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/26/2024.
The record for S5, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/25/2024.
The record for S8, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/26/2024.
The record for S9, employed 07/15/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 08/06/2024.
The record for S10, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/19/2024.
The record for S11, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/20/2024.
The record for S13, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 05/23/2024.
The record for S14, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/04/2024.
The record for S15, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/19/2024.
The record for S16, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/30/2024.
Evidence:
The record for S1, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 05/31/2024.
The record for S2, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/20/2024.
The record for S3, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/19/2024.
The record for S4, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/26/2024.
The record for S5, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/25/2024.
The record for S8, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/26/2024.
The record for S9, employed 07/15/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 08/06/2024.
The record for S10, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/19/2024.
The record for S11, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/20/2024.
The record for S13, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 05/23/2024.
The record for S14, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/04/2024.
The record for S15, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/19/2024.
The record for S16, employed 05/10/2024 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 06/30/2024.
Plan of Correction: Not available online. Contact Inspector for more information.