Inspection Date:
April 20, 2021
,
April 21, 2021
,
April 22, 2021
,
April 23, 2021
and
April 26, 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) 63.2(17) License & Registration Procedures
Technical Assistance:
n/a
Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A renewal inspection was initiated on 04/20/2021 and concluded on 04/26/2021. The director was contacted by telephone to initiate the inspection. There were 51 children present and 14 staff. The inspector emailed the director a list of items required to complete the inspection. The inspector reviewed four children?s records, four staff records, and board officer background checks submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.
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 the date of receipt. 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 standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).
The licensing inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
Based on record review and interview, the center did not implement a monthly practice evacuation drill.
Evidence: 1) The licensing inspector reviewed the center's evacuation drill log. An evacuation drill was not documented for February 2021. 2) During interview, a member of management reported an evacuation drill was not practiced in the month of February 2021. The center shall implement a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios.
Plan of Correction:
Per the Center: "Evacuation and shelter-in-place drills will be conducted as described. Monthly reminders will be placed on calendars and the Program Director and Designated Person in Charge will remind the Administrator if drills have not been completed by 20th of the month."
Standard #:
22VAC40-191-40-D-1-A
Description:
Based on review of records and interview, the facility did not obtain required background checks for each board officer and agent within 30 days after the change.
Evidence:
1) Board Officer #3, appointed to office on 01/14/2020, had documentation of a sworn statement dated 04/13/2021, exceeding the 30 days from when the board officer took office. 2) During interview, a member of management reported an earlier sworn statement could not be located for Board Officer #3.
3) Board Officer #3, appointed to office on 01/14/2020, had documentation of a central registry finding dated 04/21/2021, exceeding the 30 days from when the board officer took office. 4) During interview, a member of management reported an earlier central registry finding could not be located for Board Officer #3.
Plan of Correction:
Per the Center: "A written policy on new Board Members and newly elected officers will be created and shared with all current Board Members. The Board Members will also be listed in the staff chart that illustrated all items that need to be renewed. The Administrator and Secretary of the Board of Directors shall be responsible for ensuring checks are done as required."
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