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Westhampton Day School - Willow Lawn
5311 Markel Road
Richmond, VA 23230
(804) 799-4037

Current Inspector: Sharon Curlee (804) 840-8312

Inspection Date: Feb. 27, 2023

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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 SANCTIONS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 BACKGROUND CHECKS
22.1 EARLY CHILDHOOD CARE AND EDUCATION

Comments:
A renewal inspection was conducted on February 27, 2023. The inspector was on site from approximately 10:30 am until 12:45 pm. The acting director and a member of management were present and assisted with the inspection. There were 17 children present, ranging in ages from three years to five years, with four staff supervising. Children in one classroom were observed coloring and cutting out green eggs and ham in preparation for Dr. Seuss?s birthday. Later children played in centers of legos, dollhouse and puzzles. Children in the second classroom were participating in an activity where they were drawing a picture according to the direction given. Children also played in centers and each classroom of children had time in Pop, Hop & Rock, a gym class. 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 five child records and four staff record were reviewed. The inspector interacted with staff and children in care.
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. If you have questions regarding this inspection, please contact the licensing inspector.

This inspection was amended on March 14, 2023.


Sharon Curlee, Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-840-8312
Sharon.curlee@doe.virginia.gov

Violations:
Standard #: 22.1-289.036-A
Description: Based on a review of agent records, the center failed to ensure that one agent undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter.
Evidence:
1. The record of Agent #1 contained documentation of a national fingerprint background check dated 02/14/2018, exceeding five years.

Plan of Correction: This was an oversight on our part. As soon as we realized it, the national fingerprint criminal record was obtained and sent to the licensing inspector.

Standard #: 8VAC20-770-60-C-2
Description: Based on review of four staff records, the center did not obtain the results of a central registry background report within 30 days of employment.

Evidence:

1. The record of staff #3, employed 08/24/2022, did not contain the results of a central registry
Background check exceeding 30 days from employment. Staff #3 was on cite and working on February 27, 2023. Additional documentation showed the original request had been submitted on 08/29/2022 and resubmitted on 02/13/2023. There was no documentation of a follow-up within 30 days of submitting the request to check the status of the central registry.
2. The record of staff #4, employed 07/18/2022, contained documentation of a completed central registry background check dated 01/25/2023, exceeding 30 days from the date of employment. The record contained documentation of a follow up on 08/05/2022 and again on 01/03/2023 as to the status of the central registry results. There was no documentation of additional follow-ups from September 2022 until 01/03/2023.

Plan of Correction: Per the director: We will follow-up with status of the central registry check immediately and provide documentation of the status with 10 days.

Standard #: 8VAC20-780-160-A
Description: Based on review of four staff records, the center did not obtain documentation of a negative tuberculosis screening for three staff at the time of employment and that had been completed within 30 calendar days of the date of employment.

Evidence:

1. The record of staff #1, employed 02/13/2023, had documentation of a tuberculosis screening dated 02/15/2023 exceeding the first day of employment.
2. The record of staff #3, employed 08/24/2022, had documentation of a tuberculosis screening dated 09/03/2022 exceeding the first day of employment.
3. The record of staff #4, employed 07/18/2022, had documentation of a tuberculosis screening dated 01/21/2022 exceeding 30 days prior to employment.

Plan of Correction: Per the director: Going forward, we will obtain completed tuberculosis screenings prior to employment and ensure they are no older than 30 days at the time of employment.

Standard #: 8VAC20-780-550-F
Description: Based on review of the emergency drill log and interview, the center did not practice lockdown procedures at least annually.

Evidence:

There was no documentation of a lockdown drill for the 2022 year. The director stated the lockdown drill had not been conducted for 2022.

Plan of Correction: Per the director: We will conduct a lockdown drill within 30 days and ensure at least on lockdown drill is completed annually.

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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