VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America (Glen Allen) LLC
2501 Old Brick Road
Glen allen, VA 23060
(804) 360-0248

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: May 23, 2022

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 (8VAC20-770) 20 Access to minor's records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

n/a

Comments:

The licensing inspector conducted an unannounced monitoring inspection on Monday, May 23rd, 2022 from 10:00am to approximately 3:50pm. There were a total of 101 children in care in the direct care of 15 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility used by the children were inspected. The center is equipped with toys and supplies and items were available to the children. The required postings were reviewed and found to be in compliance. Medication is administered when required and medications were reviewed. The center provides transportation and three buses were inspected. During the inspection, nine children?s records and nine staff records were reviewed. Additional information was later submitted to the inspector and was reviewed virtually. 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 #:	8VAC20-770-60-C-2
Description:	Based on a review of nine staff records and interviews, the center did not ensure that four staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #1, hired on 08/20/21, was dated 09/30/21. 2) The central registry finding in the record for Staff #3, hired on 03/22/22, was dated 05/05/22. 3) The central registry finding in the record for Staff #4, hired on 03/14/22, was dated 05/05/22. 4) The record for Staff #6, hired on 07/12/21, did not contain a central registry finding. A member of management reported the central registry finding for Staff #6 could not be located. 5) During interview, a member of management confirmed the results of the central finding for Staff #1, Staff #3, and Staff #4 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.
Plan of Correction:	The center will document further contact with OBI when a central registry search is not returned within 30 days of employment.
Standard #:	8VAC20-780-130-E
Description:	Based on a review of nine children?s records and interview, the center did not obtain documentation of additional immunizations once every six months for two children under the age of two years. Evidence: 1) The most recent immunization documentation in the record for Child #2 (11-month-old), enrolled on 08/30/21, is dated 08/24/2021. 2) The most recent immunization documentation in the record for Child #3 (23-months), enrolled on 10/18/21, is dated 09/15/2021. 3) During interview, a member of management confirmed the records did not contain additional immunizations.
Plan of Correction:	The center followed up with the children?s parents to request additional immunizations for each child.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of nine staff records and interviews, the center did not obtain the results of a follow-up tuberculosis (TB) screening for two staff members at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. Evidence: 1) The most recent TB screening/testing in the record for Staff #7, hired on 09/06/19, expired on 08/28/21. 2) The most recent TB screening/testing in the record for Staff #8, hired on 09/01/19, expired on 09/01/21.
Plan of Correction:	Staff will obtain new TB screenings and will repeat every two years as required.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of nine children?s records and interview, the center did not ensure one child?s record contained all the required information. Evidence: 1) The record for Child #4, enrolled on 11/18/21, did not contain two emergency contacts other than the parents. 2) During interview, a member of management confirmed the record did not contain two additional emergency contacts for Child #4. Each child record should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	The center followed up with the child?s parents to obtain two emergency contacts.
Standard #:	8VAC20-780-70
Description:	Based on a review of nine staff records and interviews, the center did not ensure that two staff records contained all the required information. Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #6, hired on 07/12/21, were dated 12/06/19. 2) During interview, a member of management acknowledged the TB results for Staff #6 were completed 12 months prior to beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment, should have been completed no more than 12 months prior to beginning employment, and such documentation was to be retained in the staff record. 3) The record for Staff #8, hired on 09/09/19, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 3) During interview, a member of management reported the references could not be located, but were obtained on 05/24/22.
Plan of Correction:	Staff will obtain a new TB screening. The references were obtained on 05/24/22.
Standard #:	8VAC20-780-280-H
Description:	Based on observations, the center did not ensure cosmetics, medications, or other harmful agents were not stored in areas, purposes or pockets that are accessible to children. Evidence: 1) The licensing inspector observed a bottle of staff medication in an unlocked cabinet in the Two?s classroom.
Plan of Correction:	Corrected on site - A member of management removed the medication from the unlocked cabinet and reminded staff medications should be maintained locked and inaccessible to children.
Standard #:	8VAC20-780-580-B
Description:	Based on observations and interview, one out of three vehicles used for transporting children did not meet safety standards set by the Department of Motor Vehicles. Evidence: 1) The license plates for one vehicle are expired. The license plate tags on the vehicle expired in December 2021. 2) During interview, a member of management confirmed the tags were expired and the vehicle was used for transporting children.
Plan of Correction:	Management has contacted home office to request the new license plate tags