The Licensing Inspector conducted an unannounced Subsidy Health and Safety inspection (SHSI)on Tuesday, October 4, 2022 from approximately 9:50am to 1:05pm. There were 16 children in attendance and a total of six staff directly supervising. A total of five children?s files and five staff files were reviewed. A code compliance inspection was conducted on the same date as the SHSI supplemental inspection.
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 a review of five staff records and interview, the vendor did not obtain a completed sworn statement for one staff before employment.
Evidence: 1) The sworn disclosure statement in the record for Staff #5, employed 03/08/22, did not include the date it was completed. 2) During interview, management confirmed the sworn statement was incomplete.
Plan of Correction:
Corrected 10/04/22
Standard #:
8VAC20-790-550-2-f
Description:
Based on a review of five staff records and interview, the vendor did not obtain a repeat sworn disclosure statement and a repeat central registry check every five years for three staff.
Evidence: 1) The central registry finding in the record for Staff #1, employed 07/01/91, expired on 09/15/22. 2) The sworn disclosure statement in the record for Staff #1 expired on 03/23/22. 3) The central registry finding the record for Staff #3, employed 06/01/90, expired on 09/18/22. 4) The sworn disclosure statement in the record for Staff #3 expired on 03/22/22. 5) The central registry finding in the record for Staff #4, employed 06/01/00, expired 09/17/22. 6) The sworn disclosure statement in the record for Staff #4 expired on 03/22/22. 7) During interview, management reported the central registry and the sworn statement for Staff #1, Staff #3, and Staff #4 were not completed every five years as required.
Plan of Correction:
New background checks have been requested. In the future, required background checks will be repeated every 5 years for all staff.
Standard #:
8VAC20-790-560-A
Description:
Based on a review of five staff records, the vendor did not ensure one staff was evaluated by a health professional and was issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the require timeframe.
Evidence: The TB screening in the record for Staff #5, employed 03/08/22, was dated 01/14/22. The documentation should have been completed within the last 30 calendar days of the date of employment.
Plan of Correction:
The staff will be required to obtain a new TB screening. In the future, a TB won't be accepted if it is more than 30 calendar days prior to the date of employment.
Standard #:
8VAC20-790-600-B
Description:
Based on a review of five staff records, the vendor did not ensure one staff, who works directly with children, completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.
Evidence: The Virginia Preservice Training certificate in the record for Staff #5, employed 03/08/22, was completed on 06/17/22.
Plan of Correction:
Moving forward, staff will be required to complete the Virginia Preservice training within 90 days of employment.
Standard #:
8VAC20-790-640-A
Description:
Based on observations, the vendor did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence: During a walk-through of the facility, the inspector observed unlocked cleaning materials in one of the bathrooms used by children and in the Preschool classroom. The materials were unlocked and were within the reach of children.
Plan of Correction:
Corrected on site. Staff will be reminded to lock all cleaning materials after each use.
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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