Inspection · 2021-12-20
Date
2021-12-20
Complaint Related
Yes
Licensing Inspector
Eureka Nance
(703) 638-5968
(703) 638-5968
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.
8VAC20-770 Background Checks (22VAC40-191)
Inspector Notes
An investigation was begun on 12/20/2021 as a result of an allegation being received in our office. The investigation was conducted jointly with local agencies.
Based on multiple staff interviews, The preponderance of evidence does not support the allegation. The complaint is not-valid.
Violations cited were found during the course of the investigation, and not part of the original complaint.
If you have any questions regarding this investigation, please contact me at Sarah.Marbert@doe.virginia.gov
Violations
6Standard 8VAC20-770-60-B
Based on a review of records, one staff record does not contain documentation of a Sworn Disclosure statement (SDS) that discloses any out of state residency in the past 5 years.
Evidence:
The Sworn Disclosure Statement on file, is an outdated form and does not list any out of state residency within the past 5 years. This information is not documented anywhere in the staff file that was provided for review. (Staff A)
Evidence:
The Sworn Disclosure Statement on file, is an outdated form and does not list any out of state residency within the past 5 years. This information is not documented anywhere in the staff file that was provided for review. (Staff A)
Plan of Correction: Was provided w/ updated Sworn Disclosure Statement.
Standard 8VAC20-770-60-C-2
Based on a review of records, one staff record does not contain documentation of a completed Central Registry Search (CPS) within 30 days of employment.
Evidence:
- Staff A (Date of Hire; 9/7/2021) doe not have a completed CPS search result on file. No documentation was provided to show that the form was mailed off within 7 business days or that any follow up with the Office of Background Investigations (OBI) was conducted to locate the results after 30 days.
Evidence:
- Staff A (Date of Hire; 9/7/2021) doe not have a completed CPS search result on file. No documentation was provided to show that the form was mailed off within 7 business days or that any follow up with the Office of Background Investigations (OBI) was conducted to locate the results after 30 days.
Plan of Correction: Reached out to the Office of Background Investigations for update.
Standard 8VAC20-780-210-A
Based on a review of records, one record does not contain documentation of meeting Program leader qualifications.
Evidence:
Staff A's record does not contain documentation of education and experience to meet Program leader qualifications. The application on file lists an Associates degree; however, there is no date of completion listed and no diploma on file.
Evidence:
Staff A's record does not contain documentation of education and experience to meet Program leader qualifications. The application on file lists an Associates degree; however, there is no date of completion listed and no diploma on file.
Plan of Correction: Have requested a copy of transcript.
Standard 8VAC20-780-350-Q
Based on multiple staff statements, children have been temporarily reassigned to another group in order to maintain ratios.
Evidence:
12/20/2021 - A child was moved to the School Age room from the Preschool room to maintain ratios. The child was moved when there was another staff person available to go into the room.
Evidence:
12/20/2021 - A child was moved to the School Age room from the Preschool room to maintain ratios. The child was moved when there was another staff person available to go into the room.
Plan of Correction: Will move staff not children.
Standard 8VAC20-780-50-B
Based on a review of records, one staff record was not available for review.
Evidence:
One staff record could not be located during the investigation. The facility was given until 5:00 PM on 12/20/2021 to produce the record for review. The staff record was not submitted until 12/22/2021. (Staff A)
Evidence:
One staff record could not be located during the investigation. The facility was given until 5:00 PM on 12/20/2021 to produce the record for review. The staff record was not submitted until 12/22/2021. (Staff A)
Plan of Correction: Files will be kept available in filing cabinets at all times.
Standard 8VAC20-780-70
Based on a review of records, staff records do not contain documentation of all required components.
Evidence:
2 staff records were reviewed. Missing information includes:
*Verification of age (Staff A)
1.Documentation of education and experience (Staff A, B)
2. Documentation of references;
* References may not be related by blood or marriage. 1 reference is listed as "Father" (Staff A).
* One reference form is blank. Second reference form is not signed and dated by the person
conducting the reference check. (Staff B)
3. Date of Hire (Staff B)
Evidence:
2 staff records were reviewed. Missing information includes:
*Verification of age (Staff A)
1.Documentation of education and experience (Staff A, B)
2. Documentation of references;
* References may not be related by blood or marriage. 1 reference is listed as "Father" (Staff A).
* One reference form is blank. Second reference form is not signed and dated by the person
conducting the reference check. (Staff B)
3. Date of Hire (Staff B)
Plan of Correction: Made a copy of license and put in file.