An announced nonmandated inspection was initiated on 12/11/2023 and completed on 12/11/2023. A review of staff personnel files was conducted by inspectors, Margaret Allworth, Mahrukh Aziz, Leah Pagala, Alyssa Simons and Derek Acosta at the Pennino SACC office. Record reviews new hires are documented with the SACC at Hunt Valley file.
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.
The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification of the Acknowledgement Form. Once the background check is received by the center, the results must be forwarded to the licensing inspector.
Please contact the assigned licensing inspector if you have any questions.
Based on a review of staff records, one staff does not have completion of Sworn Statement prior to first day of employment. Evidence: Staff #1, date of employment 11/6/2023 does not have documentation of a Sworn Statement prior to the first day of employment.
Plan of Correction:
Management will have staff complete a sworn statement and file.
Standard #:
8VAC20-770-60-C-2
Description:
Based on a review of staff records, one staff does not have documentation of complete central registry finding within 30 days of employment. Evidence: Staff #1, date of employment 11/6/2023 does not have completion of a central registry search within 30 days of employment.
Plan of Correction:
Management will complete the central registry search for the staff member, the results will be emailed to the licensing inspector and filed in the staff's record.
Standard #:
8VAC20-780-160-A
Description:
Based on a review of staff records, one staff does not have documentation of tuberculosis screening submitted at the time of hire. Evidence: Staff #6, date of hire 9/25/2023 does not have documentation of a tuberculosis screening at the time of hire.
Plan of Correction:
Staff will obtain their tuberculosis screening, the results will be filed in the staff's record.
Standard #:
8VAC20-780-160-C
Description:
Based on a review of staff records, one staff has not updated their tuberculosis screening every two years from the date of the last screening. Evidence: Staff # 5 has not updated their tuberculosis screening at least every 2 years from the date of the last screening. Last TB dated 5/17/2018.
Plan of Correction:
Staff will obtain their tuberculosis screening, the results will be filed in the staff's record.
Standard #:
8VAC20-780-70
Description:
Based on a review of staff records, one staff does not have documentation of 2 or more references before employment. Evidence: Staff # 1, date of employment 11/6/2023 does not have documentation of 2 or more references on file.
Plan of Correction:
Management will obtain the staff's references and file in record.
Standard #:
8VAC20-780-240-B
Description:
Based on a review of staff records, one staff does not have documentation of new employee training no later than 7 days of the date of assuming job responsibility. Evidence: Staff #1, date of employment 11/6/2023 does not have documentation of completion of new employee orientation.
Plan of Correction:
Management will conduct the orientation training and file the documentation in the staff's record.
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