Current Inspector:
Susan Ellington-Sconiers
(804) 588-2368
Inspection Date:
June 13, 2024
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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect
Technical Assistance:
Please work with the school division to obtain the fire inspection report and update the liability insurance documentation for the site.
Comments:
A monitoring inspection was conducted on 06/13/2024 from approximately 9:56 a.m. to 1:10 p.m. There were 18 school age children present and 4 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Five child records and four staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. 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. 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 standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for staff S4, employed 03/04/2024 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check was dated 04/08/2024.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
22.1-289.035-B-4
Description:
Based on staff record review, the provider failed to obtain the results of a sex offender registry search, criminal record check, and out of state child abuse and neglect search from any state in which the individual has lived in the preceding five years.
Evidence: Staff record for S4 documented on the sworn statement having lived out-of-state in the last five years. The record for S4, employed 03/04/2024 did not contain a sex offender searches for two states in which the individual lived in the preceding five years, the results of the out-of-state child abuse and neglect searches from one state, and the results of a criminal background check for one state.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
22.1-289.058
Description:
Based on observation the center failed to have a carbon monoxide detector in the center.
Evidence: The center did not have a carbon monoxide detector onsite.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-770-60-C-2
Description:
Repeat Violation Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S4, employed 03/04/2024 did not contain findings of a central registry search.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-60-A
Description:
Based on review of children records, the provider did not ensure that one of five children?s records contained the required information. Evidence: The record for child, C2 did not document: first day of attendance; child?s address; parents address and phone numbers; two designated people to contact in case of an emergency if the parent cannot be reached; and any health problems or allergies.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-70
Description:
Repeat Violation Based on record review, the provider did not keep the required records for one of four staff. Evidence: The record for S2, did not contain documentation to demonstrate orientation and training required by 8VAC20-780-240-C, 8VAC20-780-240-D, and 8VAC20-780-240-E. The record did not contain a completed orientation and training log and did not document information about any health problems that may interfere with fulfilling the job responsibilities.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-510-I
Description:
Based on review of a medication administration record (MAR), the provider administered a medication to a child without written authorization from a parent. Evidence: The MAR for C6 documented a medication being administered by staff on 05/29/2024. The child record did not contain written authorization from the parent.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-510-L
Description:
Based on interview and observation, the provider failed to ensure that a medication was kept in a locked place. Evidence: S4 reported to licensing inspector that C5?s medication is maintained in the child?s backpack in an unlocked locker in the school hallway. Licensing inspector observed the medication in the child?s backpack in the unlocked locker without a safe locking method that prevents access by children.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-560-G
Description:
Based on observation, the provider failed to ensure food brought from home was clearly labeled in a way that identifies the owner. Evidence: Licensing inspector observed multiple lunch boxes and water bottles that were not labeled with the children?s names.
Plan of Correction:
Not available online. Contact Inspector for more information.
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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