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Barrett Early Learning Center, Inc.

Inspection · 2023-09-25

Date
2023-09-25
Complaint Related
No
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted on-site September 25, 2023. The director was available during the inspection. There were 37 children present with 7 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records, 5 staff records, and 4 officer of the board records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

4
Standard 22.1-289.036-A
Based on a review of records, the center failed to obtain the required repeat background checks for one officer of the board every five years.
Evidence: The record of officer #3 did not contain documentation of a repeat sworn disclosure statement. The most recent sworn disclosure statement for officer #3 was dated 09/20/17.
Plan of Correction: Requests for an updated sworn statement for officer #3 was made on 9/23/23. The board president will require that all new board officers complete required background checks & documents within 30 days of appointment. The processes for completing these requirements will be included in the updated board handbook.
Standard 22.1-289.036-B-2
Based on a review of records, the center failed to ensure to obtain a fingerprint based national criminal record check within 30 days of appointment of a board officer.
Evidence: 1. The record of officer #1, took office 09/20/22, contained documentation of fingerprints dated 11/07/22.
2. The record of officer #2 contained documentation of fingerprints dated 12/13/22. According to the State Corporation Commission's website, the annual report indicates that officer #2 was on the board at the date of filing dated 06/09/222.
Plan of Correction: The board president will require all new board officers complete required background checks & documents within 30 days of appointment. The processes for completing these requirements will be included in the updated board handbook.
Standard 8VAC20-770-40-D-1-a
Based on a review of records and interview, the center failed to ensure to obtain a Sworn Statement for each new officer when a change occurred and a central registry check from each Officer of the Board before the end of the 30 days after the change of officer.
Evidence: 1. The record of officer #1, (took office 09/20/22), did not contain documentation of central registry results and did not contain documentation of a sworn disclosure statement.
2. The record of officer #2 did not contain documentation of a sworn disclosure statement and contained central registry results dated 12/13/22. According to the State Corporation Commission's website, the annual report indicates that officer #2 was on the board at the date of filing, 06/09/2022.
3. Staff #4 confirmed the center did not obtain the central registry results or the sworn disclosure statements.
Plan of Correction: The executive director has notified officer #1 to resubmit (for the 3rd time) her CRC. Requests for completed sworn statement for officers #1 and #2 were made 9/23/23. The board president will require that all new board officers complete required background checks & documents within 30 days of appointment. The processes for completing these requirements will be included in the updated board handbook. A sworn statement from officer #2 was received on 10/4/23.
Standard 8VAC20-780-270-A
Repeat Violation
Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
Evidence: 1. In the 3-4 year old classroom there was chipped and peeling paint on the fireplace.
2. In the 4 year old classroom there were several areas with chipped paint exposing drywall.
Plan of Correction: The executive director will document areas in classrooms that need to be repaired & repainted & schedule work to be done. The director will be conducting weekly inspections of the building & document needed repairs. The staff will also use a new form to document classroom maintenance issues and/or safety issues inside/outside.
View original record on Virginia Department of Social Services