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Hampton Roads Academy
739 Academy Lane
Newport news, VA 23602
(757) 884-9117

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Aug. 8, 2019

Complaint Related: No

Areas Reviewed:
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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Clear documentation of medication policy was discussed. Program exemptions related to specialty camps was discussed. Clear documentation for Program Leader qualifications for staff responsible for a grouping of children was also reviewed.

Comments:
An unannounced monitoring inspection was conducted on August 8, 2019 from approximately 8:00 am until 1:15 pm. Upon arrival to the center, there were 29 children present with three staff members. There were additional staff on site for administrative and support purposes. The licensing inspector reviewed four medications and playground areas. The children were observed playing group games on the field, playing on the playground and playing board games, cards, coloring and drawing. The sample size of records reviewed were five children's records and five staff records. Areas of non-compliance are noted on the violation notice. The results of the inspection were reviewed and verified with the Program Director during the exit interview. Please contact the licensing inspector with any questions Christine Mahan, (757) 404-0568.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review of 5 staff records and staff interviews, the licensee did not ensure staff records contained a copy of a tuberculosis screening (TB) within 21 days of employment and not older than one year.


Evidence: The record for staff #2 (date of hire June 2018), staff #4 (date of hire 5-6-19) and staff #3 (date of hire May 2019) did not include documentation of TB screenings.

Plan of Correction: The Program Director will send staff to get TB screenings.

Standard #: 22VAC40-185-160-C
Description: Based on review of 5 staff records and staff interviews, the licensee did not ensure staff records included at least updated (tuberculosis) TB screenings every two years from the date of the first initial screening.

Evidence: The record for staff #5 did not include an updated TB screenings, as the most recent one available for review was dated 6-17-17.

Plan of Correction: The Program Director will send staff to get TB screenings.

Standard #: 22VAC40-185-60-A
Description: Based on review of 5 children's records and staff interviews, the licensee did not ensure children's records included all required information.

Evidence: The record for child #5 did not include the home address for one parent listed and the employment location and phone number for one parent listed. Program Director confirmed the missing information.

Plan of Correction: The Program Director will contact parent and obtain address.

Standard #: 22VAC40-185-70-A
Description: Based on review of 5 staff records and staff interviews, the licensee did not ensure all staff records included all required information.

Evidence: The following information was missing from the staff records and was confirmed by the Program Director.
1) The record for staff #1 did not include the written information to demonstrate the individual possesses the education, staff development or certification required by the job position. Staff #1 was identified as a Program Lead by the Program Director.
2) The record for staff #3 did not include the documented hire date.
3) The record for staff #2 did not include the required two references.

Plan of Correction: The Program Director will update records.

Standard #: 22VAC40-185-240-B
Description: Based on review of 5 staff records and staff interview, the licensee did not ensure all staff had obtained by the end of the first day of supervising children, all required information in writing.

Evidence: The record for staff #1 (start date 6-1-18) and staff #2 (start date June 2018) was not
provided in writing the following information;
1) Procedures for action in case of lost or missing children, ill or injured children, medical emergencies and general emergencies.
2) Procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center.

Plan of Correction: The Program Director will go over information with staff and have staff complete the form.

Standard #: 22VAC40-185-240-C
Description: Based on review of 5 staff records and staff interview, the licensee did not ensure all staff who work directly with children shall annually attend 16 hours of staff development activities that shall be related to child safety and development and the function of the center.

Evidence: The record for staff #1 (start date 6-1-18), staff #5 (start date 5-12-17) and staff #2 (start date June 2018) did not have the required 16 hours of annual training. This missing information was confirmed by Program Director.

Plan of Correction: The Program Director will have staff complete training and documentation,

Standard #: 22VAC40-185-260-A
Description: Based on documentation review and staff interviews, the center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

Evidence: There is not documentation of an annual fire inspection conducted as the most recent one available for review is dated 4-16-18. This was confirmed by the Program Director.

Plan of Correction: The Program Director will work with school business office to have it conducted.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the licensee did not ensure all hazardous substances were kept in a locked place.

Evidence: In the multipurpose room, in an unlocked closet there were more than 30 cans of paint labeled "keep out of reach of children" and "warning".

Plan of Correction: The Program Director has asked school staff to put lock on closet.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the licensee did not ensure all electrical outlets shall have protective covers that are of a size that cannot be swallowed by children

Evidence: In the multipurpose room, there were 13 outlets observed without protective covers.

Plan of Correction: The Program Director will put covers on the outlets and do a daily check.

Standard #: 22VAC40-185-530-A
Description: Based on review of staff records and staff interviews, the licensee did not ensure there was at least one staff trained in first aid and CPR to the age of children in care on the premises during the centers' hours of operation and also one person on field trips and where ever children are in care.


Evidence: On August 8, 2019 between 7:00 am and 8:00 am there was not one person on the premises that is trained in CPR and first aid while children were in care. The Program Director verified the staff member with CPR and First Aid was not on site this morning.

Plan of Correction: The Program Director will make sure there is a staff certified on site.

Standard #: 22VAC40-185-550-C
Description: Based on observation and staff interviews, emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of each building.

Evidence: The maps posted did not include shelter in place and procedures for evacuation and shelter in place.

Plan of Correction: The Program Director will put new maps in the multipurpose room.

Standard #: 22VAC40-185-550-D
Description: Based on documentation and staff interviews, the center shall implement a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios.

Evidence: There was not documentation of an evacuation drill conducted in July or August 2019. The missing documentation was confirmed by the Program Director

Plan of Correction: The Program Director will make sure they are written in the book.

Standard #: 22VAC40-185-560-F
Description: Based on documentation and staff interviews, the center did not ensure when food is provided that a menu listing foods to be served for meals and snacks during the current one-week period shall be posted or given to parents.

Evidence: The menu posted was not dated for the current one-week period as there were no dates posted.

Plan of Correction: The Program Director will put the date on the schedule.

Standard #: 22VAC40-191-60-B
Description: Based on review of 5 staff records and staff interviews, the licensee did not ensure employees or volunteers of a licensed or registered child welfare agency must not be employed or provide volunteer service until the agency or home has the person's completed sworn statement or affirmation.

Evidence: The record for staff #2 (date of hire June 2018), did not include documentation of a sworn statement Staff #2 was working during the inspection as verified by the Program Director.

Plan of Correction: The Program Director will have staff complete.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of 5 staff records and staff interviews, the licensee did not ensure employees or volunteers of a licensed or registered child welfare agency have a central registry finding (CPS) within 30 days of employment or volunteer service or employment shall be denied.


Evidence: The record for staff #2 (date of hire June 2018), did not include documentation of a CPS check. Staff #2 was working during the inspection as verified by the Program Director.

Plan of Correction: The Program Director will have paperwork completed.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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