Inspection · 2018-12-18
Date
2018-12-18
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
8VAC20-770 Background checks
Inspector Notes
An unannounced code compliance inspection for the religiously exempt child day center was conducted on 04/08/2024. There was a total of 62 children, ages 2 months-10 years and 17 staff present during the inspection. A total of 6 children?s records and 6 staff records were reviewed during the inspection. The inspector arrived at 9:00 am and departed at 11:45 am.
Information gathered during the inspection determined there to be violations of applicable laws. Those violations are detailed on the violation notice issued to the provider.
Violations
6Standard 22.1-289.031-A-4
Based on record review, the provider failed to obtain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision.
Evidence: The record for Staff 1 did not contain documentation that Staff 1 has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision.
Evidence: The record for Staff 1 did not contain documentation that Staff 1 has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision.
Plan of Correction: Have been requested.
Standard 22.1-289.031-B-4
Based on record review, the provider failed to ensure that all children in the center are in compliance with the Code of Virginia regarding the immunization of children against certain diseases.
Evidence: There was no evidence that Child 4 was in compliance with the immunization requirements for children; Child 4 was observed in care during the 04/08/2024 inspection.
Evidence: There was no evidence that Child 4 was in compliance with the immunization requirements for children; Child 4 was observed in care during the 04/08/2024 inspection.
Plan of Correction: They have been received.
Standard 22.1-289.035-A
Based on record review, the provider failed to ensure that all caregivers shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.
Evidence:
1. The most recent search of the central registry in the record for Staff 2 was dated 03/15/2024. The previous search was completed on 12/18/2018. The current results were not obtained by 12/18/2023 as required.
2. The most recent search of the central registry in the record for Staff 5 was dated 03/15/2024. The previous search was completed on 12/07/2018. The current results were not obtained by 12/07/2023 as required.
Evidence:
1. The most recent search of the central registry in the record for Staff 2 was dated 03/15/2024. The previous search was completed on 12/18/2018. The current results were not obtained by 12/18/2023 as required.
2. The most recent search of the central registry in the record for Staff 5 was dated 03/15/2024. The previous search was completed on 12/07/2018. The current results were not obtained by 12/07/2023 as required.
Plan of Correction: Creating a system to track dates to ensure they are done in time.
Standard 22.1-289.035-B-2
Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.
Evidence:
1. The documented hire date for Staff 1 is 03/11/2024. The employment eligibility letter in the record for Staff 1 was dated 04/03/2024.
2. The documented hire date for Staff 3 is 02/12/2024. The employment eligibility letter in the record for Staff 3 was dated 02/13/2024.
Evidence:
1. The documented hire date for Staff 1 is 03/11/2024. The employment eligibility letter in the record for Staff 1 was dated 04/03/2024.
2. The documented hire date for Staff 3 is 02/12/2024. The employment eligibility letter in the record for Staff 3 was dated 02/13/2024.
Plan of Correction: The fingerprints were done in January but did not come back until April. Will get the results prior to hire.
Standard 22.1-289.035-B-4
Based on record review and staff interviews, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.
Evidence: The record for Staff 3 contained evidence that Staff 3 had resided outside of the state of Virginia within the preceding five years. The documented hire date for Staff 3 was 02/12/2024. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 04/08/2024 inspection.
Evidence: The record for Staff 3 contained evidence that Staff 3 had resided outside of the state of Virginia within the preceding five years. The documented hire date for Staff 3 was 02/12/2024. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 04/08/2024 inspection.
Plan of Correction: Requested immediately and have gotten the results.
Standard 8VAC20-770-40-D-2
Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation and to obtain the findings from a search of the central registry within 30 days of employment.
Evidence: The documented hire date in the record for Staff 3 is 02/12/2024. There were no findings from a search of the central registry in the record for Staff 3 available for review during the 04/08/2024 inspection.
Evidence: The documented hire date in the record for Staff 3 is 02/12/2024. There were no findings from a search of the central registry in the record for Staff 3 available for review during the 04/08/2024 inspection.
Plan of Correction: Have been requested.