Current Inspector:
Danielle Morrison
(804) 929-3771
Inspection Date:
March 3, 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. 8VAC20-770 Background Checks (22VAC40-191)
Comments:
A renewal/ inspection was conducted on March 3, 2022 and concluded on March 3, 2022. The inspection was conducted on site by Licensing staff from approximately 10:30 am to 1:00 pm. The director assisted with the inspection. There were 14 children present, ranging in ages from three years to five years, with three 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 five child records and six staff records were reviewed along with five board officer/ agent records.
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 review of six staff records, the center did not ensure that the required fingerprint national criminal history check for one staff member was not dated more than 90 days prior to the date of employment.
Evidence:
The record of staff #6, hired 09/16/2021, had documentation of a fingerprint criminal history check dated 12/12/2019, exceeding 90 days prior to hire.
Plan of Correction:
Per the administration: We had planned on hiring the staff member in January 2020, however we were waiting on the central registry and then COVID hit. We were closed for a period of time and did not need the staffs services. When she returned, we believed her background checks would still be valid. We did have updated background checks completed after we realized the requirement.
Standard #:
22.1-289.036-B-2
Description:
Based on review of five board officer and or agent records, the licensee did not obtain a fingerprint based national criminal history check for two board officers/ agents within the required timeframe.
Evidence:
1. The record for board officer #1, appointed 01/24/2022, contained the results of a fingerprint based national criminal history check dated 02/25/2022, exceeding the 30 days allowance to obtain. 2. The record for board officer #3 appointed 01/24/2022, contained the results of a fingerprint based national criminal history check dated 02/28/2022, exceeding the 30 days allowance to obtain.
Plan of Correction:
Per the administration: We have made many administrative changes in our program. We believed we had 30 days from appointment to request the background checks for board officers/ agent. which we did, causing the results to be acquired after the 30 days. Going forward, we will have the potential board officers acquire background check results before appointment.
Standard #:
8VAC20-770-40-D-1-a
Description:
Based on review of five board officers and/ or agents records, the licensee did not obtain a central registry record check for any new person designated as an agent whenever there is a change, before the end of the 30 day after the change.
Evidence:
1. Agent #1, appointed 01/24/2022, did not have documentation of a completed central registry finding, exceeding 30 days from appointment. 2. Agent #2, appointed 01/24/2022, had documentation of a completed central registry finding dated 03/03/2022, exceeding 30 days from appointment. 3. Agent #3, appointed 01/24/2022, did not have documentation of a completed central registry finding, exceeding 30 days from appointment. 4. Agent #4, appointed 01/24/2022, did not have documentation of a completed central registry finding, exceeding 30 days from appointment. 5. Agent #5, appointed 01/24/2022, did not have documentation of a completed central registry finding, exceeding 30 days from appointment. 6. Administration stated request for the central registry checks for agent #1, #3, #4, and #5 had been requested and mailed off on 02/23/2022.
Plan of Correction:
Per the administration: We have made many administrative changes in our program. We believed we had 30 days from appointment to request the background checks for board officers/ agent. which we did, causing the results to be acquired after the 30 days. Going forward, we will have the potential board officers acquire background check results before appointment.
Standard #:
8VAC20-770-60-B
Description:
Based on review of six staff records, the center did not ensure that a required sworn statement for one staff member was not dated more than 90 days prior to the date of employment.
Evidence:
The record of staff #6, hired 09/16/2021, had a completed sworn statement dated 12/10/2019 exceeding 90 days prior to hire.
Plan of Correction:
Per the administration: We had planned on hiring the staff member in January 2020, however we were waiting on the central registry and then COVID hit. We were closed for a period of time and did not need the staffs services. When she returned, we believed her background checks would still be valid. We did have updated background check completed after we realized the requirement.
Standard #:
8VAC20-770-60-C-2
Description:
Based on review of six staff records, the center did not ensure that a required central registry finding for one staff member was not dated more than 90 days prior to the date of employment.
Evidence:
The record of staff #6, hired 09/16/2021, had a completed central registry finding dated 02/03/2020, exceeding 30 days prior to hire.
Plan of Correction:
Per the administration: We had planned on hiring the staff member in January 2020, however we were waiting on the central registry and then COVID hit. We were closed for a period of time and did not need the staffs services. When she returned, we believed her background checks would still be valid. We did have updated background checks completed after we realized the requirement.
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.
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