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Inspire, LLC (Pleasant Valley)

Inspection · 2024-10-24

Date
2024-10-24
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
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 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above. 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 on 10/24/2024 and completed on 10/24/2024. The on-site inspection began at 3:50 PM and ended at 4:50. The inspector reviewed compliance in the areas listed above. There were seven children present and two staff. The inspector reviewed five children?s records and three staff records electronically on 11/06/2024 and completed on 11/12/2024.
This inspection included 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 11/20/2024. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.011-F
The center's license shall be posted in a conspicuous place on the licensed premises.
The license was not posted at the center.
Plan of Correction: The license has been added to the site's tri-fold board that is displayed daily.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.
There was no physical examination in the record of child #2, who had been enrolled for two months.
Plan of Correction: Only the front pages had been copied and placed in child #2's folder. Additional pages that were missed will be added to the file.
Standard 8VAC20-780-150-B
Each immunization report shall be signed by a physician, his designee, or an official of a local health department.
The records for child #3 and child #5, enrolled for two months, do not contain immunization records that are signed.
Plan of Correction: Child #3 no longer attends.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1, who is working with children, has not completed the course which is overdue by two months.
Plan of Correction: Staff #1 completed the course 11/11/24.
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards.
The center staff did not follow the center's written playground safety procedures. Two staff were observed sitting at a picnic table talking for 10 minutes while the children played on the playground. They were the only staff.
Plan of Correction: Staff will be reminded of correct playground safety procedures.
Standard 8VAC20-780-430-K
The center shall make provisions for an individual place for each child's personal belongings.
Children's belongings were placed on the floor in the cafeteria.
Plan of Correction: Name place tags have been made for each child to label areas for their belongings.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The record for Child #1, enrolled for two months, was missing the following required components: the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
The record for Child #3, enrolled for two months, was missing the following required components: Name, home address, home phone number, work phone number and place of employment for one parent.
Plan of Correction: The parents of Child #1 have been contacted for the information to be added.
Child #3 no longer attends the center.
Standard 8VAC20-780-70
The telephone number of a person to be notified in an emergency shall be kept at the center for each staff member.
Staff stated they do not have emergency contact information for staff at the center.
Plan of Correction: We are working to compile a spreadsheet of emergency contact info for staff that will be shared with all staff.