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Westminster Canterbury Child Development Center
1600 Westbrook Avenue
Richmond, VA 23227
(804) 200-1175

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: June 2, 2022

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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
n/a

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Thursday, June 2, 2022 from 10:15am to approximately 3:25pm. There were a total of 74 children in care in the direct care of 15 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility used by the children were inspected. The center is equipped with toys and supplies and items were available to the children. The required postings were reviewed and found to be in compliance. Transportation is provided and two buses were inspected. Medication is administered when required and medications were reviewed. During the inspection, seven children?s records, ten staff records, and an additional nine staff members? background checks were reviewed. Additional information was later submitted to the inspector and was reviewed virtually.

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.

Violations:
Standard #: 22.1-289.035-A
Description: Based on a review of 16 staff members? background checks, the center did not obtain the required repeat background checks for 14 staff members every five years.

Evidence: 1) The most recent sworn statement in the record for Staff #3 was dated 01/25/22. The previous sworn statement was dated 01/11/17.

2) The most recent central registry finding in the record for Staff #4 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

3) The most recent sworn statement in the record for Staff #5 was dated 01/14/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #5 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

4) The most recent sworn statement in the record for Staff #6 was dated 01/14/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #6 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

5) The most recent sworn statement in the record for Staff #7 was dated 01/14/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #7 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

6) The most recent sworn statement in the record for Staff #8 was dated 01/25/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #8 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

7) The most recent sworn statement in the record for Staff #9 was dated 01/14/22. The previous sworn statement was dated 01/12/17. The most recent central registry finding in the record for Staff #9 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

8) The most recent sworn statement in the record for Staff #10 was dated 01/14/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #10 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

9) The most recent sworn statement in the record for Staff #11 was dated 01/14/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #11 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

10) The most recent sworn statement in the record for Staff #12 was dated 01/14/22. The previous sworn statement was dated 01/11/17. The most recent central registry finding in the record for Staff #12 was dated 03/05/22. The previous central registry finding was dated 02/13/17.

11) The most recent central registry finding in the record for Staff #14 was dated 03/04/22. The previous central registry finding was dated 02/13/17, an updated one was due no later than 02/13/22.
12) The most recent sworn statement in the record for Staff #15 was dated 01/14/22. The previous sworn statement was dated 01/11/16. The most recent central registry finding in the record for Staff #15 was dated 03/04/22. The previous central registry finding was dated 02/13/17.

13) The most recent central registry finding in the record for Staff #16 was dated 04/26/22. The previous central registry finding was dated 02/13/17.

Plan of Correction: In the future, the process to repeat background checks will be initiated two months prior to when they are due to ensure they are on file prior to expiration.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of seven staff records and interviews, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The central registry finding in record for Staff #2, hired on 12/13/21, was dated 01/21/22. 2) During interview, a member of management confirmed the results of the central finding for Staff #2 were not received within 30 days of employment. The record did not contain documentation of any further contact and the staff member had been continuously employed.

Plan of Correction: The center will document further contact with OBI when a central registry search is not returned within 30 days of employment.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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