Foundations Learning Academy at Midlothian
3700 Midlothian Turnpike
Richmond, VA 23224
(804) 231-2149
Current Inspector: LaTasha Smith (804) 588-2362
Inspection Date: May 25, 2023
Complaint Related: No
- Areas Reviewed:
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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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
- Comments:
-
An unannounced monitoring inspection was conducted on May 25, 2023, with center director. The inspection began at approximately 9:30 AM and concluded at 1:05 PM. There were 45 children present, ranging in ages from 1 years to 5 years, with 9 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 5 child records and 5 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.
Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).
If you have any questions about this inspection, please contact the licensing inspector LaTasha Smith at (804) 588-2362.
- Violations:
-
Standard #: 22.1-289.035-B-2 Description: Based on review of five staff records and staff interview, the center failed to ensure that one staff obtained fingerprint background check results prior to employment.
Evidence:
1. Staff #2?s record contained fingerprint background check results that were dated 5/19/2023. Staff #2?s hire date was 4/17/2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-C-2 Description: Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 2 staff as required.
Evidence:
1. The record of staff #3 (DOH: 3/31/2023) did not contain the results of a central registry background check.
2. The record of staff #4 (DOH: 4/17/2023) did not contain the results of a central registry background check.
2. Administration acknowledged that the background checks were not received within the required time frame.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-130-A Description: Based on record review and interview, 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:
1. The record for child #3 (DOE 11/21/2022) did not contain documentation of immunizations.
2. The record for child #4 (DOE 11/21/2022) contained documentation of immunizations that were dated for 12/2/2022.
3. The director verified that immunizations had not been received for child #3.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-140-B Description: Based on a review of 5 children's records and interview, the center did not ensure that 2 children's physical examinations were completed within the required time period.
Evidence:
1. The record of child #3 (DOE:11/21/2022) did not contain documentation of a physical examination.
2. The record of child #4 (DOE: 11/21/2022) did not contain documentation of a physical examination.
3. The director acknowledged that physical was not received for child #3 and #4.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children.
Evidence:
1. The record for staff #2 did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #2?s date of hire was 4/17/2023.
2. The record for staff #4, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 4?s date of hire was 4/17/2023.
3. The record for staff #1 contained documentation of a tuberculosis (TB) test dated 12/21/2022. Staff #1?s date of hire was 11/30/2022.
4. The record for staff #5 contained documentation of a tuberculosis (TB) test dated 1/23/2022. Staff #5?s date of hire was 1/3/2023.
5. The director stated that staff #2 and #4 has completed a tuberculosis (TB) test but was unable to provide documentation.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-280-B Description: Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location.
Evidence:
1. In the Early Head Start I classroom there was a can of Lysol Disinfect Spray in an unlocked drawer that was accessible to children.
2. In the toddler classroom under the changing table in an unlocked cabinet, there was a can of Lysol Disinfect Spray.
3. The warning label stated, "keep out of reach of children, caution, and flammable."Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-510-P Description: Based on review of three medications and staff interview it was determined that the center did not follow procedures to prevent the use of outdated medication.
Evidence: A child has emergency medication on site which expired 11/2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-P Description: Based on record review, the vendor failed to maintain all the components of a written record of children's serious and minor injuries in which entries are made the day of occurrence.
Evidence:
Injury report #2 dated 4//2023 did not contain information regarding the date, time, and how the parent was notified. The injury report did not contain any future action to prevent recurrence of the injury.Plan of Correction: Not available online. Contact Inspector for more information.
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
