VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Henrico Education Foundation - Shady Grove
12200 Wyndham Lake Drive
Glen allen, VA 23059
(804) 547-3505 (5)

Current Inspector: Danielle Morrison (804) 929-3771

Inspection Date: March 9, 2020 and March 12, 2020

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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191)

Comments:

An unannounced renewal inspection was conducted on March 9, 2020 to determine the center's compliance with licensing standards. There were 58 children in attendance with nine staff. Children kindergarten through first grade were observed constructing microscopes from cups, water and plastic wrap and then examining plants. Second graders had snack and then did an activity in robotics. Third graders made owl key chains while the fourth and fifth grade children played outside in the field area with a soccer ball. All areas used for child care were inspected. The program is equipped with supplies and age appropriate materials. The first aid kit and non-medical emergency supplies were inspected and found complete. Parent pick up was observed. The center has a parent board located at the front desk. The inspector interacted with staff and children in care. Seven children's records and emergency contact information for ten staff were reviewed during the inspection on 03/09/2020. Ten staff records were reviewed on 03/12/2020 at the administrative office. Medication is on site and was reviewed. One staff has current MAT, DHO, CPR and first aid training. Violations cited during the licensing period were checked for corrections. There were four repeat violations cited. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of children's records and interview, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1. The record for child #1, child #2, child #3, child #4, child #5, child #6 and child #7, all enrolled on 09/03/2019, did not contain documentation of immunizations. 2. The administrative director acknowledge documentation of immunizations were not in the record or on the electronically stored records. 3. The administrative director started a copy of the children's immunization records were in the elementary school office however he did not have access to them. 4. When a center is located on the same premises where a child attends school and the child's record has a statement verifying the school's possession of the health record, the center is not required to maintain duplicates of the school's health record for that child provided the school's records are accessible during the center's hours of operation. The immunization records in the elementary school office were not available during the inspection on 03/09/2020.
Plan of Correction:	Per the administrative director: I will ask parents to complete release forms in order for the school to provide documentation or have the parent provide the documentation for the record.
Standard #:	22VAC40-185-140-A
Description:	Based on review of children's records and interview, the center did not obtain documentation of a physical examination for each child before the child's attendance or within one month after attendance. Evidence: 1. The record for child #1, child #2, child #3, child #4, child #5, child #6 and child #7, all enrolled on 09/03/2019, did not contain documentation of a physical examination. 2. The administrative director acknowledge documentation of physical examinations were not in the record or on the electronically stored records. 3. The administrative director started a copy of the children's physical examination records were in the elementary school office however he did not have access to them. 4. When a center is located on the same premises where a child attends school and the child's record has a statement verifying the school's possession of the health record, the center is not required to maintain duplicates of the school's health record for that child provided the school's records are accessible during the center's hours of operation. The children's records in the elementary school office were not accessible during the inspection on 03/09/2020.
Plan of Correction:	Per the administrative director: I will ask parents to complete release forms in order for the school to provide documentation or have the parent provide the documentation for the record.
Standard #:	22VAC40-185-160-A
Description:	Based on review of ten staff records, the center did not obtain documentation of a negative tuberculosis screening that shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to employing or volunteering. Evidence: 1. The record of staff #1, hired 08/28.2019, had documentation of a tuberculosis screening dated 03/12020, exceeding the requirement to obtain with in 21 days from employment. 2. The record of staff #6, hired 10/21/2019, did not contain documentation of a tuberculosis screening. 3. The record of staff #8, hired 09/23/2019, did not contain documentation of a tuberculosis screening. 4. The record of staff #9, hired 09/27/2019, did not contain documentation of a tuberculosis screening.
Plan of Correction:	Per the administrative director: I will collect all missing paperwork, Going forward we will make sure we have all documentation at the time of hire.
Standard #:	22VAC40-185-60-A
Description:	Based on review of seven children's records, the center did not obtain all required information for one child's record. Evidence: The record of child #4, enrolled 09/03/2019, did not contain the name, address and phone number for a second emergency contact to call in an emergency if a parent cannot be reached.
Plan of Correction:	Per the administrative director; We will reach out to parents for missing information and review all applications at time of enrollment to make sure they are complete.
Standard #:	22VAC40-185-70-A
Description:	Based on review of ten staff records at the administrative office on 03/12/2020, the center did not obtain all required documentation for each staff record. Evidence: 1. The record of staff #1, identified as a program leader, did not contain written documentation that the individual possessed the education required by the job position. 2. The record of staff #3, identified as a program leader, did not contain written documentation that the individual possessed the education, staff development, and experience required by the job position. 3. The record of staff #5, identified as the assistant director, did not contain written documentation that the individual possessed the education, staff development, orientation training and experience required by the job position; documentation of two or more references as to the character and reputation that were check before employment or volunteering. 4. The record of staff #6, identified as a program leader, did not contain written documentation that the individual possessed the education required by the job position. 5. The record of staff #7, identified as a program leader, did not contain written documentation that the individual possessed the education required by the job position. 6. The record of staff #10 did not contain documentation of a second reference as to the character and reputation that was checked before employment or volunteering.
Plan of Correction:	Per the administrative director; I will have staff provide documentation for their record.
Standard #:	22VAC40-185-340-A
Description:	Based on observation and interview, the center did not ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Sixteen children (third graders) were observed with staff #6 and staff #7 in the school cafeteria working on an art project. 2. Staff #7 was sitting at a table across the cafeteria talking with two children while staff #6 continued assisting the remaining fourteen children with an art project. 3. Staff #6 walked two tables over and assisted other children while leaving the hot glue gun on and resting on a chair with five children sitting around the chair. 4. Staff #6 stated the children were good about not touching it.
Plan of Correction:	Per the administrative director: We have talked with staff on safety procedures.
Standard #:	22VAC40-185-550-E
Description:	Based on interview, the center did not maintain a record of the dates of the practice drills for one year. Evidence: During the inspection on 03/09/2020, the administrative staff stated practice drills for evacuation and shelter-in-place had been conducted however the drill log could not be located.
Plan of Correction:	Per the administration; We will keep the drill log in a binder and ensure it is available for review.
Standard #:	22VAC40-185-550-M
Description:	Based on review of children's injury reports, the center did not obtain staff and parent signatures or two staff signatures for reports of children's serious and minor injuries. Evidence: Nine injury reports reviewed only had documentation of one staff's signature when the signature of a staff and parent or two staff signatures was required.
Plan of Correction:	Per the administrative director: We will review with staff the requirement to ensure two signatures are obtained.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of ten staff records, the center did not obtain a central registry finding within 30 days of employment or volunteer service for one staff. Evidence: 1. Staff #4, hired 08/20/2019, had documentation of a central registry dated 10/21/2019, exceeding the 30 day from hire allowance to obtain. 2. Documentation reviewed indicated the central registry request for staff #4 was mailed on 09/26/2019.
Plan of Correction:	Per the administrative director: Going forward we will ensure request are mailed within 4 days of hire. If the request are not returned within 30 days, we will maintain documentation.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview, the center did not ensure the findings of the most recent inspection of the facility was posted on the premises of each facility. Evidence: 1. The most recent inspection notice was not posted on the premises of the facility. 2. The administrative director acknowledged the most recent inspection notice was not posted.
Plan of Correction:	Per the administrative director: We will post the current inspection report on the parent board at the sign in/out desk.