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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education
Comments:
An unannounced monitoring inspection was conducted on 9/29/2022. The inspector was on site from approximately 9:30-11:45 am. There were 24 children in care, ranging in age from 18 months to five (5) years with seven (7) staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of five (5) children's records and five (5) 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.
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 five (5) business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
Based on a review of five (5) staff records and interview, the center did not ensure to have a central registry finding for two (2) staff within 30 days of employment as required.
Evidence: 1. The record of staff #2 (date of employment: 8/15/2022) did not contain a central registry finding. The record of staff #4 (date of employment: 6/14/2022) contained a central registry finding dated 7/20/2022. 2. Administration acknowledged that the findings were not obtained within the required time frame.
Plan of Correction:
Staff #2's request was lost in the mail, she's been since terminated and unable to submit request. Admin will add calendar reminders in the future to make sure and check for results within the proper time window.
Standard #:
8VAC20-780-160-C
Description:
Based on a review of five (5) staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for one (1) staff at least every two years from the date of the initial screening or testing as required.
Evidence: 1. The record of staff # 1 contained a tuberculosis screening dated 5/31/2020. 2. Administration acknowledged that a follow up tuberculosis screening had not been obtained for staff #1.
Plan of Correction:
Admin reminded employee and have created a calendar reminder to ensure employees are reminded in advance in the future.
Standard #:
8VAC20-780-550-D
Description:
Based on a review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill.
Evidence: 1. The drill log was reviewed on 9/29/2022. An evacuation drill was not documented in August on 2022. 2. Administration acknowledged that a drill was not conducted in August.
Plan of Correction:
Admin will set up calendar reminders to make sure to conduct ER drills even in summer months.
Standard #:
8VAC20-780-550-O
Description:
Based on a review of documentation and interview, the center did not ensure to notify parents by the end of the day of any known minor injuries as required.
Evidence: 1. On 9/29/2022, three (3) injury reports were reviewed. One (1) report documented a minor injury that occurred on 09/22/2022. The parent notification date was documented as 09/23/2022. 2. Administration acknowledged that the parent was not notified on the day of occurrence.
Plan of Correction:
Admin will review injury policy with staff and remind them it's mandatory to inform parents day-of
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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