Inspection · 2024-03-21
(804) 625-2304
Areas Reviewed
8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Trainings
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 Early Childhood Care and Education
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was conducted on March 21, 2024, to determine the center?s compliance with licensing standards. The inspection began at 11:15 AM and concluded at 12:50 PM. There were 25 children present with 3 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.
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 preventive measure(s).
Violations
8Evidence:
1. The record for staff #3 (hire date 9/11/2023), contained a sworn disclosure that indicated that staff #3 has lived outside of Virginia within the last 5 years. Staff #3?s record did not have documentation of an out of state sex offender registry check, and an out of state search of the child abuse and neglect registry.
2. An administrator stated that the state does not provide background checks.
Evidence:
The record for Child #3 (date of enrollment is 09/05/2023) did not have a physical examination.
Evidence:
The record of Staff #5 (employment date1/3/2024), contained a tuberculosis (TB) document that was not signed by a physician, physician designee, or an official of the local health department.
Evidence:
1. The most recent TB screening in the record of Staff #4, was dated on 3/4/2022.
2. During the interview, management confirmed Staff #4 does not have an updated TB screening on file.
Evidence:
1. The last evacuation drill was documented on 05/09/2023.There were no evacuation drills documented for June 2023 ? February 2024.
2. An administrator stated that drills were conducted but the drills had not documented.
Evidence:
1. There was no documentation of a shelter in place drill practiced a minimum of twice per year for January 2023- December 2023. The last shelter-in-place drill was documented on 10/30/2022.
Evidence:
1. There was no documentation that a lockdown drill was practiced at least annually between January 2023- December 2023. The last lockdown drill was documented 7/20/2022.
2. The director stated that drills were conducted but were not documented.
Evidence:
The record for #2 (enrollment date 8/23/2022), and child #4 (enrollment date, 12/15/2020), did not contain documentation of child updates and confirmation of up-to-date information in the child?s required.