Inspection · 2022-04-15
(804) 625-2304
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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced monitoring inspection was initiated on 04/15/2022 and concluded on 04/19/2022. The inspector was on site from 9:27-10:20 am. There were 13 children present, ranging in ages from 2 to 5 years, with 4 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 and 5 staff records were reviewed. Staff records were reviewed remotely.
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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must 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
3Evidence:
1. The record of staff #5 (DOH:11/10/2021) contained a sworn statement dated 11/11/2021.
2. Administration acknowledged that the sworn statement was not received within the required time frame.
Evidence:
1. The record of staff 5 (DOH: 11/10/2021) contained the results of a central registry dated 1/21/2022.
2. Administration acknowledged that it was not received during the required time frame.
each week until it is received. This communication will be documented in the staff's file by the administrator every time communication is made.
Evidence:
1. Administration stated that no staff had current MAT training. They acknowledged that there was a child with an as needed inhaler who was regularly in the care of teacher #2. Teacher #2's medication administration certification expired on 3/14/2022.