Current Inspector:
Michelle Argenbright
(540) 848-4123
Inspection Date:
Nov. 10, 2021
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) 20 Access to minor?s records 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): The center shall develop written procedures for abusive head trauma.
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 11/10/21 and concluded on 11/16/21. The director was contacted by telephone and a virtual inspection was conducted. There were 77 children present, ranging in ages from 5 to 11, with 9 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 4 child records and 4 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.
Based on record review and interview the center failed to obtain all required information for one out of four children's records.
Evidence:
1. The record for child 4 did not contain the phone number for either of the two required emergency contacts. 2. The director stated the child was new to the area and the parent listed new neighbors they did not have the phone numbers for yet.
Plan of Correction:
The parent will be contacted and the child's file will be updated.
Standard #:
22VAC40-185-550-M
Description:
Based on record review and interview, the center failed to ensure children's injuries were maintained in writing and included all the required information.
Evidence:
An injury report dated 11/9/21 did not contain the time and method the parent was notified.
Plan of Correction:
Staff have been retrained to ensure injury reports are completed as required.
Standard #:
22VAC40-191-60-B
Description:
Based on record review or interview, the center failed to obtain a sworn statement or affirmation prior to employment for two out of four employee records reviewed.
Evidence:
1. The orientation document for staff 3 documents the hire date as 6/1/21. The sworn statement is dated 6/6/21. 2. The orientation document for staff 4 documents the hire date as 6/1/21. The sworn statement is dated 6/5/21.
Plan of Correction:
The director will discuss this issue with human resources to put a plan in place to ensure sworn statements are completed prior to hire in the future.
Standard #:
63.2(17)-1720.1-B-2
Description:
Based on record review and interview, the center failed to obtain fingerprint background check results prior to hire for two out of four staff records reviewed.
Evidence:
1. The orientation document for staff 3 documents the hire date as 6/1/21. The fingerprint results are dated 6/9/21. 2. The orientation document for staff 4 documents the hire date as 6/1/21. The fingerprint results are dated 6/10/21. 3. The director stated the results were obtained prior to starting to work with children but not prior to hire.
Plan of Correction:
The director will discuss this issue with human resources to put a plan in place to ensure fingerprint background checks are completed prior to hire in the future.
Standard #:
63.2(17)-1720.1-B-4
Description:
Based on record review and interview, the center failed to obtain a sex offender registry check for a staff member that lived out-side-of Virginia within the last five years.
Evidence:
1. The record for staff 2 documents the hire date as 3/15/21. The record does not contain a sex offender registry check. 2. The director stated she believed the background check they completed covered this.
Plan of Correction:
A sex offender registry check will be completed for staff 2 and added to the 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