Inspection · 2024-12-05
(757) 404-3063
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.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse and 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 initiated completed on 12/5/24, as a part of the conditional licensure period. The on-site inspection began at 3:40pm and ended at 6:20pm. The inspector reviewed compliance in the areas listed above. There were 29 children present and five staff. The inspector reviewed five children?s records on-site and four staff records electronically on 12/12/24. This inspection included document review, a 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 12/23/24. A POC submitted after this date will not appear on the public website.
Violations
11The center?s license and the results of the most recent inspection were not posted, which is required.
The records for Staff #1 (employed for two months) and Staff #2 (employed for a month) have sworn statements that were not completed prior to employment. The record for Staff #3 did not contain a sworn statement.
The record for Staff #3 did not have a completed criminal history check, which is required.
The record for Staff #4 did not contain documentation that a central registry check was requested for a state the staff member resided in the preceding five years.
The immunization documentation for Child #1 (enrolled for over a month) did not contain a signature by a physician, his designee, or an official of a local health department.
1.There was no documentation for review to show that Staff #3 and Staff #4 (employed for one month) submitted documentation of a negative tuberculosis screening.
2.The documentation for Staff #2?s tuberculosis screening show that the screening was not completed within 30 calendar days of their date of employment.
The first aid kit for review at the center did not contain more than one triangular bandage, which is required.
There was no documentation to show that the center has implemented a monthly practice evacuation drill for the months of October and November.
A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place.
There were no emergency numbers posted in a visible place at the time of the inspection.
Two injury reports reviewed did not contain all the required information.
1. Injury report #1 was missing staff present and treatment, date and time when parents were notified, any future action to prevent recurrence of the injury, and documentation on how the parent was notified.
2. Injury report #2 was missing type and circumstance of the injury, treatment, date and time when parents were notified, any future action to prevent recurrence of the injury, staff and parent signature or two staff signatures, and documentation on how the parent was notified.
1.The records for Staff #1 and Staff #2 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or documentation to demonstrate that the individuals possess orientation training.
2. The record for Staff #3 was missing the date of employment, a telephone number of a person to be notified in an emergency which shall be kept at the center, verification of age requirement, documentation that two or more references as to character and reputation as well as competency were checked before employment, and documentation to demonstrate that the individual possesses orientation training.
3. The record for Staff #4 was missing documentation that two or more references as to character and reputation as well as competency were checked before employment, and documentation to demonstrate that the individual possesses the education, experience, and orientation training required by the job position.