VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Abundant Love Learning Center - Louisa
522 Industrial Drive
Louisa, VA 23093
(540) 967-4427

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Dec. 7, 2021

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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 20 Access to minor?s records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

New requirements became effective on October 13, 2021. The facility has not yet [fully] complied with the following requirement(s): 22VAC40-185-40-K The center shall develop written procedures for prevention abusive head trauma; 22VAC40-185-240-C Orientation for new staff has been changed and a new form has been provided to the center to assist them with the changes; 22VAC40-185-550 Procedures for emergencies have multiple changes that the center will review.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and interviews. A monitoring inspection was initiated on 12/7/21 and concluded on 12/9/21. The director was contacted by telephone and a virtual inspection was conducted. There were 28 children present, ranging in ages from infant to five, with seven 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.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review an interview, the center failed to obtain an out of state child abuse and neglect search request by the end of the 30th day of employment for for staff that have live out of VA within the last five years. Evidence: 1. Staff 1's start date is documented as 10/18/21. The sworn statement documented staff 1 lived in a different state within the last five years. The record did not contain the results of an out of state child abuse and neglect search request. 2. The director stated she had not completed the search.
Plan of Correction:	An out of state child abuse and neglect search request was completed and results were received on 12/8/21. In the future an out of state child abuse and neglect search request will be completed when required within 30 days of employment.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center failed to obtain results of a central registry background check within 30 days of employment. Evidence: 1. The start date for staff 3 is documented as 11/9/21. There is no current documentation of a central registry background check in the file. 2. The director stated she thought the central registry background check from when staff 3 previous worked at the center would still apply. Staff 3 left employment 7/20.
Plan of Correction:	Staff 3 will complete documents for a new central registry background check.
Standard #:	8VAC20-770-60-D-1
Description:	Based on record review and interview, the center failed to follow up on a central registry background check that was not returned within 30 days. Evidence 1. The date of hire for staff 2 was documented as 9/21/21. There was no documentation of a central registry background check in the file. 2. The director stated one was mailed but the results were not received. The director followed up on 12/8/21 and they stated they mailed it back for not including payment. The director stated she never received the document.
Plan of Correction:	Staff 2 will redo the central registry background check. In the future a system will be put in place to ensure the director will follow up if the results are not received within 30 days.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain documentation of a physical examination within one month after attendance for one out of three children's records reviewed. Evidence: The record for child 3 did not contain documentation of a physical examination. Child 3's first date of attendance was 8/30/21.
Plan of Correction:	The parent's of child 3 will be advised to provide a copy of a physical examination. In the future the provider will ensure a physical examination is obtained as required.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center failed to obtain all the required information for each child's record. Evidence: 1. The record for child 1 did not contain the work phone number for either parent. 2. The record for child 3 only contained one emergency contact when two that are not the parents are required. One of the emergency contacts provided was the father's.
Plan of Correction:	The provider talked to the parents of child 1 and obtained the work phone numbers. The father's work number is the same as his cell number. The provider will obtain obtain another emergency contact from the parents of child 3.