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. 22VAC40-80 SANCTIONS. 22VAC40-80 HEARINGS PROCEDURES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.
Comments:
An unannounced monitoring inspection was conducted on 9/11/19 from 10:45am until 1:00pm. At the time of entrance, there were 58 children in care with 11 staff present. A sample of 6 children's records and 7 new staff records were reviewed. Children were observed participating in morning learning activities, playing outside on the playground and eating lunch. Infant diapering, restroom and hand washing procedures were also observed. Medication, first aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, children's injury reports and center postings were reviewed. Four violations in the areas of administration, special care provisions and emergencies and background checks are identified on the violation notice and were discussed with the center director during the exit interview.
Based on record review and interview, the center did not ensure that documentation of additional immunizations are obtained once every six months for children under the age of two years.
Evidence: 1. The record for child 2,age 2 years, does not contain documentation of an updated immunization record. Child 2 has a documented date of enrollment of 9/21/16. The last documented immunization record is dated 9/26/16. 2. The record for child 3, age 2 years, contains immunization records dated 4/4/17 and 4/16/19. Updated immunization records were not obtained by the center every six months while the child was under 2 years of age. 3. The center director confirmed that updated immunization records were not obtained every six months for child 2 and child 3.
Plan of Correction:
The parent of child 2 will be contacted and an updated immunization record will be requested. Going forward, the center will ensure updated immunization records are obtained within the required time frames.
Standard #:
22VAC40-185-140-A
Description:
Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance.
Evidence: 1. The record for child 1 does not contain documentation of a physical examination. Child 1 has a date of enrollment of 6/19/19 and was in care on the day of the inspection. 2. The center director confirmed that the record for child 1 is lacking documentation of a physical examination.
Plan of Correction:
The parent of child 1 will be contacted today and a copy of the most recent physical will be obtained and placed in the child's record.
Standard #:
22VAC40-185-550-E
Description:
Based on a review of the emergency drill log and interview, it was determined the center did not maintain a record of the dates of the practice drills for one year.
Evidence: 1. There was no record of evacuation drills for the months of July and August 2019. 2. Staff confirmed the drills occurred but they were not documented in the drill log.
Plan of Correction:
The center director will make up the missing emergency drills. Going forward, the center will ensure that all emergency drills are documented as soon as they are completed.
Standard #:
63.2(17)-1720.1-B-3
Description:
Based on record review and interview, the center did not ensure that staff who have lived outside of the state of Virginia within the past 5 years obtain a central registry check from that state.
Evidence: 1. Staff 1 has a hire date of 4/30/19. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Louisiana within the past five years. There is no documentation that a request for an out of state central registry check was sent to Louisiana for staff 1. 2. The center director confirmed that an out of state central registry check was not requested for staff 1.
Plan of Correction:
The center director will ensure the out of state central registry search for staff 1 is completed and mailed off this week.
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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