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) 63.2(17) License & Registration Procedures
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 monitoring inspection was initiated on November 4, 2021 and concluded on November 4, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 71 children present, ranging in ages from 4 months to 5 years, with 16 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 4 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. 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 a review of records and interview on November 4, 2021, the center did not ensure that each staff record contains all required information. Evidence: 1. The record of Staff #4 (DOH 8/30/21) contained telephone references dated 9/7/21. 2. Administration acknowledged they were documented late. 3. The record of Staff #3 (DOH 9/16/21) did not contain documentation of a completed staff orientation. 4. Administration stated the orientation was completed but acknowledged it was not documented. 5. The record of Staff #1 (DOH 8/19/21) did not contain documentation of proof of education for lead teacher qualifications. 6. Administration confirmed the proof of education was not present in the record.
Plan of Correction:
To ensure all documentation is completed before and/or at the first day of hire. Documentation of education to be due prior to their first day of work.
Standard #:
22VAC40-191-60-B
Description:
Based on a review of staff records and interview on November 4, 2021, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: 1. The records of Staff #2 (DOH 9/8/21) and Staff #4 (DOH 8/30/21) did not contain a sworn statement disclosure. 2. Administration confirmed there were no sworn statements in those records.
Plan of Correction:
To have missing Sworn Statement completed.
Standard #:
63.2(17)-1720.1-B-4
Description:
Based on a review of records and interview on November 4, 2021, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of Staff #4 (DOH 8/30/21) did not contain documentation of an out-of-state sex offender registry check and central registry check. 2. Administration acknowledged the out-of-state checks were not completed.
Plan of Correction:
To work with DL and get background checks back in as soon as possible. Will follow up with inspector when forms are sent & returned.
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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