VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Highland School
597 Broadview Avenue
Warrenton, VA 20186
(540) 878-2700

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Nov. 17, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

New requirements became effective on October 13, 2021. The facility has not yet fully complied with the following requirement: 8VAC20-780-80-A: For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The facility is to review the new requirements and work with their inspector to ensure future compliance. The final regulation to amend Standards for Licensed Child Day Centers (22VAC40-185, now 8VAC20-780) to address federal health and safety requirements became effective October 13, 2021. The final regulation can be found at: https://www.doe.virginia.gov/cc/files/final-8vac20-780.pdf HB1823 adds ? 22.1-289.058 to the Code of Virginia. This bill requires all licensed child day programs and religiously exempt child day centers, certified preschools, family day system homes and certain other programs that serve preschool-age children operating in a building built before 2015 to be equipped with at least one carbon monoxide detector. Also discussed with the Director the recommendation for getting additional staff Medication Administration Trained (MAT) to ensure meeting the standard that requires a MAT trained staff be on site during all hours of operation when the center has chosen to administer medication.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interview, and a virtual tour of the program. A monitoring inspection was initiated on 11/17/21 and concluded on 11/22/21. The director was contacted by telephone and a virtual inspection was conducted. There were 25 children present, ranging in age from two-years to five-years-old, with five 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 three child records and three 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. If you have questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of three staff records and interview with the provider, the center did not ensure that a staff member submitted documentation of a negative tuberculosis (TB) screening within 21 days of employment. Evidence: The record for Staff C, with a start date of 8/23/21, did not contain the results of a negative TB screening.
Plan of Correction:	Staff C was given and completed a tuberculosis screening. Results are negative. Staff will be given materials at interview in the future.
Standard #:	22VAC40-185-160-C
Description:	Based on review of three staff records and interview with the provider, the center did not ensure that a staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: The most recent TB screening on record for Staff A was dated 1/5/19.
Plan of Correction:	Staff A was given a tuberculosis screening and will return results by 12/17/21.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of three staff records and interview with the provider, the center did not obtain the results of a national fingerprint background check prior to date of hire for one staff. Evidence: The start date submitted by the center for Staff B was 8/23/21. Staff B's orientation was dated 8/23/21. The national fingerprint background check results on record for Staff B were dated 8/24/21.
Plan of Correction:	Fingerprints are on record. The next director has been informed of the requirement and will be alert for issues.
Standard #:	63.2(17)-1721.1-B-4
Description:	Based on review of three staff records and interview with the provider, the center did not obtain the results of a criminal history record check or sex offender registry check from all states in which staff members have resided within the past five years prior to employment, or the results of a central registry check from all states in which staff members have resided within the past five years within 30 days of employment. Evidence: 1. The sworn statement on record for Staff B, dated 5/9/21, indicated that the staff member had lived in California within the past five years. The record for Staff B, with a start date of 8/23/21, does not contain the results of a criminal history record check, sex offender registry check, or central registry check from California. 2. The sworn statement on record for Staff C, dated 9/29/20, indicated that the staff member had lived in New Mexico within the past five years. The record for Staff C, with a re-hire date of 8/23/21, does not contain the results of a criminal history record check or central registry check from New Mexico.
Plan of Correction:	Checks have been located and distributed. All checks will be sent by the end of next week, 12/17/21. Results may take longer to come in, but the next Director has been informed and will give all appropriate checks at interview in the future.