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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191)
Technical Assistance:
n/a
Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
A renewal inspection was initiated on August 12, 2021 and concluded on August 13, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 21 children present, ranging in ages from 5months to 12 years, with 5 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 3 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.
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 today. You will need to specify how the deficient practice will be or has been corrected. 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 records on August 13, 2021, the center did not obtain results of a follow-up tuberculosis screening as least every two years from the date of the first initial screening. Evidence: 1. The record of Staff #3 (DOH 1/22/19) contained documentation of a tuberculosis screening dated 9/12/18. The record of Staff #4 (DOH 1/22/19) contained a tuberculosis screening dated 9/6/18. Administration acknowledged they did not have the follow-up tuberculosis screening for the two staff.
Plan of Correction:
We will put a system in place to ensure that our staff members will update their TB test before it expires.
Standard #:
22VAC40-185-550-E
Description:
Based on a review of records and interview on August 13, 2021, the center did not maintain a record of the dates of the practice drills for one year. Evidence: 1. The fire drill log did not contain documentation of a fire drill practiced in July 2021. Administration acknowledged the drill wasn't recorded on the written log as required. 2. The shelter-in-place log did not contain documentation of two shelter-in-place drills for 2020. Administration acknowledged that one of the two required drills was conducted in 2020.
Plan of Correction:
We will record every fire drill after each drill and we will conduct 2 shelter-in-place per year
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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