Current Inspector:
Michelle Argenbright
(540) 848-4123
Inspection Date:
Nov. 12, 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. 22VAC40-191 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 11/12/2021 and concluded on 11/16/2021. The director/provider was contacted by telephone and a virtual inspection was conducted. There were 70 children present, ranging in ages from 2 to 5, with 13 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, the center failed to ensure one out of four staff updated a tuberculosis (TB) screening at least every two years from the date of the previous screening.
Evidence:
The documentation of the TB screening for staff 3 is dated 8/13/2019.
Plan of Correction:
Staff 3 will be required to provide documentation of an updated TB screening. A system will be put in place to ensure TB screenings are updated every two years as required.
Standard #:
22VAC40-185-70-A
Description:
Based on record review and interview, the center failed to ensure new staff hired prior to 10/13/21 submitted all required documentation for the records.
Evidence:
1. Per record documentation, staff 1 was hired 8/9/21. The TB results in the record are dated 9/10/21. 2. Prior to 10/13/2021, documentation of a negative tuberculosis (TB) screening was required no later than 21 days after employment.
Plan of Correction:
The timeframe requirements for TB screening for new staff will be followed in the future.
Standard #:
22VAC40-191-60-B
Description:
Based on record review, the center failed to obtain a sworn statement or affirmation prior to employment for one out of four employee records reviewed.
Evidence:
The record for staff 2 documents the start date as 7/6/21. The sworn statement is dated 7/19/21.
Plan of Correction:
The director will discuss this issue with human resources to put an plan in place to ensure fingerprint background checks 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 start date for staff 1 is documented as 8/9/21. The fingerprint results are dated 8/18/21. 2. The start date for staff 2 is documented as 7/6/21. The fingerprint results are dated 7/21/21
Plan of Correction:
The director will discuss this issue with human resources to put an plan in place to ensure fingerprint background checks are completed prior to hire in the future.
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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