Current Inspector:
Danielle Morrison
(804) 929-3771
Inspection Date:
Oct. 25, 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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 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.
Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, and documents review. The program tour was completed on site.
A monitoring inspection was initiated and concluded on 10/25/2021. There were 25 children present, ranging in ages from 23 months to 4 years, with 6 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 3 child records and 3 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. 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 preventative measures. Please do not use staff names; list staff by positions only.
Based on record review and interview, the center did not ensure to obtain the results of a negative tuberculosis screening for one staff.
Evidence: 1. The record of staff #3 (DOH: 11/9/2020) did not contain the results of a negative tuberculosis screening. 2. Administration acknowledged that the screening was missing.
Plan of Correction:
Staff member given TB screening paper and directed to have it signed and returned.
Standard #:
22VAC40-185-160-C
Description:
Based on record review and interview, the center did not ensure to obtain the results of a follow up tuberculosis screening for one staff at least every two years from the date of the first initial screening or testing as required.
Evidence: 1. The record of staff #2 (DOH: 1/3/2013) contained a tuberculosis screening dated 7/11/2019. 2. Administration acknowledged that a two year follow up screening had not been completed.
Plan of Correction:
Staff member presented a signed TB screening on 10-27-2021.
Standard #:
22VAC40-185-70-A
Description:
Based on record review and interview, the center did not ensure that a record was kept for each staff with all required information.
Evidence: 1. The record of staff #1 (DOH: 8/2/2021) did not contain documentation of orientation training. 2. Administration acknowledged that the training had been conducted; however, the required documentation had not been obtained.
Plan of Correction:
Training was completed on 8-2-2021. Staff member and director signed documentation on 10-25-2021.
Standard #:
22VAC40-191-60-B
Description:
Based on record review and interview, the center did not ensure to obtain documentation of a sworn statement or affirmation for one staff prior to the first date of employment as required.
Evidence: 1. The record of staff #1 (8/2/2021) did not contain documentation of a sworn statement. 2. Administration acknowledged that the sworn statement was missing.
Plan of Correction:
A sworn statement was collected from this staff member on 10-25-2021.
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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