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Culpeper Human Services Kid Central Early Head Start
450 Wolford Street
Culpeper, VA 22701
(540) 829-2330

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: July 24, 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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A renewal inspection was conducted on July 24, 2023 from 11:13 A.M.-3:30 P.M. There were 41 children present, ranging in ages from four months to three years of age, with 20 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 eight child records, six staff records, and three agent 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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:
Standard #: 8VAC20-780-70
Description: Based on interview and review of staff records, the center failed to obtain documentation to demonstrate that the individual possess the education or certification required by the job position.

Evidence:
1. In Classroom #1, Staff #7,#8 and Staff #1 stated that Staff #1 was the Lead in the classroom.
2. There was no documentation in the staff record that Staff #1 possessed the education or certification required by the job position.
3. In Classroom #9, Staff #9 and Staff #5 stated that Staff #5 was the Lead in the classroom.
4. There was no documentation in the staff record that Staff #5 possess the education or certification required by the job position.
5. Administration verified the job positions for Staff #1 and Staff #5 and that there was not documentation of education or certification in the staff records.

Plan of Correction: The center will correct the violation by assuring that when an employee is promoted to a Group Leader the following is documented: 24 hours of additional training, 6 months of full time or 1 year of part-time experience, a copy of high school diploma or GED, and that the employee is over 18.

Will be collected an verified by the Early Head Start Education manager and updated in the file by the Early Head Start Operations Manager/or Kid Central Program Manager.

Standard #: 8VAC20-780-240-A
Description: Based on review of staff records, the center failed to ensure that the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment.

Evidence:
1. Staff #1's date of hire was 09/26/2022. The certificate for the orientation was dated 01/09/2023. The orientation was required to be completed by 12/26/2022.
2. Administration verified the date of employment for Staff #1 and the date on the orientation certificate.

Plan of Correction: The center will notify all new hires of this requirement with the date the training is to be completed (90 days from date of hire.) This will be tacked by the operation manger and it collection from employee will be supported by the Early Head Start Education Manager.

Standard #: 8VAC20-780-520-A
Description: Based on observation, the center failed to ensure that over-the-counter skins products shall not be kept beyond the expiration date of the product.

Evidence:
1. In Classroom #9 there was a tube of Desitin Diaper Ointment that expired on May 2023.
2. Staff #5 verified that the ointment was expired.

Plan of Correction: The center will prevent this from happening by using a diaper log per child and adding the expiration dte of the diaper rash ointment to the log. The Classroom Teacher will be responsible at the end of each month when they file the logs to dispose of any diaper ointment that will expire in the upcoming month and replace it with a new one if the center provides the ointment. If parent provides ointment, the Classroom Teacher will follow the same procedure to monitor expiration date and return the ointment to the parent and obtain a new one.

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.

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