Current Inspector:
Danielle Morrison
(804) 929-3771
Inspection Date:
April 12, 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. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect
Comments:
An unannounced monitoring inspection was conducted on 4/12/2022 from 9:10 am to 12:30 pm. The children were observed participating in a music class, engaging in jelly bean themed activities, painting, and playing on the playground. A formal observation was completed in the Pre-Kindergarten (fours/fives) classrooms. All classrooms and playgrounds were inspected today as well as the facility?s transportation.
5 children?s records and 5 employee records were reviewed during this inspection.
Medication is being administered and was reviewed. Injury reports were reviewed. The center's first aid kit (van) and emergency supplies were inspected. Last emergency drill: 3/25/2022 Last shelter-in-place drill: 3/8/2022 Last fire inspection: 7/28/2021 Last health inspection: 8/9/2021
Total enrollment: Today, the following child to staff ratios were observed: Twos ? 6:2 Threes ?11:2 Pre-K ?11:2 Pre-K 9:2
There were no repeat violations found during today?s inspection.
If you have any questions about this inspection, please contact the licensing inspector, Jennifer Moore 540-430-0384 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 preventative measures. Please do not use staff names; list staff by positions only
Based on review of five staff records and interview, the center did not ensure to obtain a completed sworn statement or affirmation prior to the first date of employment for two staff as required.
Evidence: 1. The record of staff #1 (DOH:9/8/2020) contained a sworn statement dated 10/8/2020.The record of staff #2 (DOH: 9/8/2020) contained a sworn statement dated 9/24/2020. 2. Administration acknowledged that the sworn statements were completed after the first date of employment.
Plan of Correction:
Sworn statements will now be completed as part of the interview process prior to a candidate being offered a position on our staff.
Standard #:
8VAC20-770-60-C-2
Description:
Based on review of five staff records and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for two staff as required.
Evidence: 1. The record of staff # 1 (DOH: 09/08/2020) and staff #2 (DOH: 09/08/2020) did not contain the results of a central registry background check completed by the center. 2. Administration stated that at the time they believed the central registry checks were portable and had the checks from the previous facility in the file dated from 2018.
Plan of Correction:
All background checks, including Central Registry, will now be completed prior to a candidate being offered a position on our staff. Central Registry background checks transferred with these employees (which is not acceptable) so a request for new background has been forwarded to Central Registry.
Standard #:
8VAC20-780-70
Description:
Based on review of five staff records and interview, the center did not ensure that two staff had complete records.
Evidence: 1. The records of staff #1 (DOH:9/8/2020) and staff #2 (DOH: 9/8/2020) did not contain documentation to demonstrate that the individuals possessed the education and certification required by the job position. 2. Administration acknowledged that staff #1 and #2 were program leaders who possessed the training and education required by the position but it had not been obtained for the record.
Plan of Correction:
When hiring staff with previous teaching experience, we will be sure to have documented evidence of lead teacher credentials. All requirements by job description will be reviewed to ensure records are complete and compliant with Standards. Documentation for sited individuals is being obtained from previous director for files.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
Find this content at:
http://www.dss.virginia.gov/facility/search/cc.cgi