VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childcare Network #123
245 Heritage Drive
Bristol, VA 24201
(276) 644-9480

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Feb. 27, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on 2/27/2023 and concluded on 2/27/2023. There were 42 children present with nine staff supervising, one administrative staff and one cook present. 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 five child records and six staff records were reviewed. The inspection started at 9:00 am and concluded at 12:15 pm. 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.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record reviews the center failed to ensure that the child day center, family day home, or family day system described in subsection A to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1 (hire date 6/17/2022) does not have an out of state child abuse and neglect registry background check from the two states listed on the sworn disclosure. 2. Staff #6 (hire date 7/25/2022 listed on the sworn statement living in a state in the past five years. No follow up was made after the search was sent off 7/26/22.
Plan of Correction:	The director will ensure that all out of state search's when needed are conducted within the set time frames.
Standard #:	8VAC20-780-130-A
Description:	Based on record review the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #5 began care 12/11/2019 and there is no documentation that said child has received immunizations.
Plan of Correction:	The director contacted the parent to have the doctor's office send the information to the center.
Standard #:	8VAC20-780-140-A
Description:	Based on record review the center failed to ensure that each child shall have a physical examination by or under the direction of a physician: before the child's attendance or within 30 days after the first day of attendance. Evidence: Child #3 (began care 5/23/22) and child # 5 (began care 10/12/19) do not have a physical examination on file.
Plan of Correction:	The director contacted the parent to have the doctor's office send the information to the center.
Standard #:	8VAC20-780-160-A
Description:	Based on record review the center failed to ensure that each staff member shall submit documentation of a negative tuberculous screening at the time of employment and prior to coming in contact with children. Staff # 1 (hire date 12/16/2022) does not have a TB screen on file.
Plan of Correction:	Staff person is scheduled for appointment 3/6/23.
Standard #:	8VAC20-780-510-E
Description:	Based on observation and record review the center failed to ensure that the center's procedures for administering medication shall include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Evidence: Child #2 was administered Motrin during the inspection. The parent's authorization form was dated 12/2022. The medication has been administered approximately 12 times from the date of authorization.
Plan of Correction:	The director will ensure that all medication authorization forms are repeated every 10 days. Those that are long term medications or emergency medications the parent and physician will authorize.