VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Horizons Edge Sports Campus
325 Cornerstone Lane
Harrisonburg, VA 22802
(540) 340-3343

Current Inspector: Barbara Workman (540) 430-9257

Inspection Date: July 26, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A non-mandated monitoring inspection was conducted on site on July 26, 2023 from 9:00 A.M.-10:45 A.M, and concluded on August 9, 2023. There were 40 children present, ranging in ages from 5 years to twelve years of age, with four 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 five child records and five 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	22.1-289.018-A
Description:	Based on interview and documentation, the licensee failed to, at all times, afford the Superintendent reasonable opportunity to inspect all of their records. Evidence: On 07/26/2023, staff #5 had stated that Human Resources stores the staff records and Staff #7 was who needed to be contacted in Human Resources. The Licensing Inspector waited at the Human Resources office for 30 minutes in attempt to inspect the staff records. Staff #7 was on the premises, but not in her office. The Licensing Inspector left a message and a business card with the Staff at the Front Desk. The Licensing Inspector also made the following requests to inspect the staff records, all to no avail: left voicemail for Staff #7 on 07/28/2023, and telephone call to Staff #6 on 7/28/2023, emails sent to staff #6 on 07/31/2023 and 08/04/2023, and voicemail for staff #6 on 08/08/2023. After a final email was sent to staff #6 on 08/09/2023, only a portion of the requested records was provided for inspection.
Plan of Correction:	Certifications and required test for Edge employees will be kept onsite at the Edge. Human Resources will maintain all employees personnel files at Camp Horizons. Employee files have been placed in a secured, locked file in the office. Human Resource is in the process of creating a Human Resource inbox. All file requests and Human Resource matters should be sent to the email address once created. This will ensure Human Resource requests are completed within 24 hours once a request has been made.
Standard #:	22.1-289.035-B-2
Description:	Based on review of staff records and observation, the center failed to ensure that a national criminal history background check was completed and on file prior to the first day of employment. Evidence: 1. On 07/26/2023, Staff #1 and Staff #3 were observed supervising a group of children outside, and Staff #2 was observed supervising a group of children indoor at the climbing wall. 2. Staff #1, #2, and #3?s staff records did not contain a completed national criminal history background check.
Plan of Correction:	Staff will be required t show proof of fingerprint appointment prior to the first day of work. Human Resource will ensure that they have received the completed background check and placed in the record.
Standard #:	8VAC20-770-60-B
Description:	Based on review of staff records and observation, the center failed to ensure that a sworn disclosure statement was completed and on file prior to the first day of employment. Evidence: 1. On 07/26/2023, Staff #1 was observed working with a group of school age children. 2. Staff #1?s record did not contain a sworn disclosure statement.
Plan of Correction:	Going forward, Human Resource Staff will communicate with Horizon Edge staff once documents are received. New hires will not be permitted for onboarding until the Human Resource reviews the file and gives the all clear. Staff #1 completed the sworn disclosure statement on 08/14/2023.
Standard #:	8VAC20-770-60-B
Description:	Based on review of staff records and observation, the center failed to ensure that a sworn disclosure statement was completed and on file prior to the first day of employment. Evidence: 1. On 07/26/2023, Staff #1 was observed working with a group of school age children. 2. Staff #1?s record did not contain a sworn disclosure statement.
Plan of Correction:	Going forward, camp staff will follow-up with parents about emergency contact address and continue to include it on the camp registration.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. Staff #3?s date of hire was 06/12/2023. There was not a completed central registry finding in the record for Staff #3. 2. Staff #2?s date of hire was 06/05/2023. There was not a completed central registry finding in the record for Staff #2.
Plan of Correction:	Staff #3 completed the form May 17th under the government name. Staff #2 mailed the central registry form to Richmond, Virginia. Going forward, Horizon Edge Leadership team will be required to complete a New Hire Check List prior to the new hires first day of work. If documents are missing, the Edge Supervisor wil reach out to Human Resources for assistance. At that time Human Resource will follow-up with the new hire.
Standard #:	8VAC20-780-130-A
Description:	Based on review of children records, the center failed to obtain documentation of immunizations before the child can attend the center. Evidence: 1. Child # 3?s first date of attendance was 06/12/2023. There were no immunization records in Child #3?s record. 2. Child #5?s first date of attendance was 06/26/2023. There were no immunization records in Child #5?s record.
Plan of Correction:	Horizon Edge will create a checklist for camper records that will be obtained prior to attendance for camp.
Standard #:	8VAC20-780-160-A
Description:	Based on review of staff records and observations, the center failed to obtain documentation of a tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. On 07/26/2023, Staff #1, #2, #3, and #4 were observed supervising groups of children. 2. There was no documentation of a tuberculosis screening being completed for Staff #1, #2, #3 and #4.
Plan of Correction:	TB screening will be required prior to each employees start date and included on the staff check list.
Standard #:	8VAC20-780-60-A
Description:	Based on review of children records, the center failed to ensure that all required information was in the record. Evidence: 1. Child #1, #2 and #5?s records were each missing a complete address and phone number for one of the individuals listed as an emergency contact. 2. Child #3 and #4?s records were each missing a complete address and phone number for the two individuals listed as emergency contacts
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of staff records, the center failed to ensure all required information was in the staff record. Evidence: 1. On 07/26/2023, Staff #1, #2, #3, and #4 were observed supervising children. 2. Staff #1 and Staff #2?s records did not contain a date of hire. 3. Staff #1, #2, #3, and #4?s records did contain the job title or verification of age requirement. 4. Staff #1?s record only contained one of the two reference checks required prior to employment. 5. Staff #2, #3, and #4?s record did not contain any reference checks as to the charter and reputation as well as competency. 6. There was no documentation for Staff #1, #2, #3 and Staff #4 to demonstrate that the individuals possess the education, certification, and experience by required by the job position, and documentation that orientation had been completed
Plan of Correction:	Going forward, Human Resources and Horizon Edge staff will check references prior to the employee start date. We will attempt to call references three times before asking for another references. Staff #1 had two references checked on May 17th, and Staff #2 will have a second reference checked. In the future Human Resources will work closely with the Edge Leadership team to ensure that the selection process is followed, and all required information is in the staff's record.
Standard #:	8VAC20-780-510-B
Description:	Based on interview and review of documentation, the center failed to ensure that medication was only given with written authorization from the parent. Evidence: 1. Child #3 had a prescription medication, Guanfacine Hydrochloride, at the center. The medication authorization form signed by the parent, dated 06/02/2023, was only valid for 10 business day and expired on 06/16/2023. The medication log was reviewed, and the medication had been administered to the child for an additional 18 days (06/19/2023-07/25/2023), without parent or physician authorization. 2. Staff #5 verified that an updated authorization form had not been obtained and the medication had been administered 18 times between 06/19/2023-07/25/2023.
Plan of Correction:	The parent of the camper signed a new authorization form on 07/26/2023 for the medication. Going forward, the camp director will review all medication paperwork and follow-up with parents for an updated authorization if needed.
Standard #:	8VAC20-780-520-B
Description:	Based on observation, the center failed to follow all the requirements regarding sunscreen. Evidence: 1. There was a container of Banana Boat Sunscreen in a book bag in the Mezzanine area upstairs that was not labeled with the child?s name. 2. Sunscreen was not kept inaccessible to children. There were two bottles of sunscreen observed in backpacks that were located on a hook in the upstairs Mezzanine. The backpacks were accessible to children.
Plan of Correction:	Going forward, camp staff will collect sunscreen, label each bottle with the campers name and place them in a container in the camp office until time for application.
Standard #:	8VAC20-780-530-A
Description:	Based on observation, interview, and review of staff records, the center failed to ensure that at least one staff in each classroom or areas where children are present shall be certified in cardiopulmonary resuscitation and First Aid. Evidence: 1. On 07/26/2023, Staff #1 and #3, were observed supervising a group of children outside in the Gaga Pit. 2. There was no documentation that Staff #1 and #3 were certified in CPR and First Aid. 3. Staff #5 verified that Staff #1 and Staff #3 were not certified in CPR and First Aid.
Plan of Correction:	Going forward, Horizon Edge will ensure that camp staff are paired with a CPR/FA trainer or in a group with a staff member who is certified. We will be developing a certified trainer within our organization so all necessary staff can be trained in a timely fashion.
Standard #:	8VAC20-780-550-D
Description:	Based on review of evacuation drills, the center failed to implement a monthly practice evacuation drill. Evidence: 1. There were no evacuation drills documented for June 2023. 2. Staff #5 verified that the evacuation drill had not been completed or documented.
Plan of Correction:	An evacuation drill was completed and documented for August. To ensure that required drills are completed there will be a scheduled one each month that the director is responsible to ensure it is completed and documented.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, the center failed to ensure that all food brought in from home shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the upstairs Mezzanine area there were five lunchboxes not dated and three lunchboxes not identified with the owner.
Plan of Correction:	Going forward staff will use index cards to label the campers name and date.