VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Smart Start
610 18th Street
West point, VA 23181
(804) 843-4869

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Aug. 9, 2019 and Aug. 16, 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

Comments:

An unannounced renewal inspection was completed on August 9, 2019 at the child day center from approximately 12:00p.m. to 2:30p.m. and at the corporate office to review staff files from approximately 2:40p.m. to 3:45p.m. An additional record review was completed off site on August 16, 2019. Thirty-one children were in care and twelve staff were on premises during the inspection. Staff and children were observed in classrooms with adequate staff ratios. Staff and children were observed engaged in activities to include activities for infants and nap time. Interviews and interactions were conducted and medications were reviewed. Six children?s records, eight staff records and six corporate officer/agent records were reviewed. The Director and human resource staff were available for the inspection and were present at the exit interview at which time inspection findings were reviewed and an Acknowledgement of Inspection form was signed and left with the licensee. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it within five business days of receipt. Specify how the deficient practice will be or has been corrected. The plan of correction should contain: 1) step(s) to correct the noncompliance with the standard(s), 2) measure(s) to prevent the noncompliance from occurring again and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on a review of children?s records, the licensee failed to obtain an immunization record for a child before the child attended the center for one of five children. Evidence: 1. Child #4's record, enrolled on April 26, 2019, lacked documentation of immunizations. 2. Administrator #1 acknowledged immunization records were not documented in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-140-A
Description:	Based on a review of children?s records, the licensee failed to obtain a physical for one of five children before the child?s attendance or within one month after attendance. Evidence: 1. Child #4's record, enrolled on April 26, 2019, lacked a physical 2. Administrator #1 acknowledged documentation of a physical was not in the record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-40-J
Description:	Based on a review of records and interview, the licensee failed to update the injury prevention procedures at least annually based on documentation of injuries and a review of the activities and services. Evidence: 1. A current injury prevention plan was unable to be produced for review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-260-A
Description:	Based on a review of records and interview, the licensee failed to provide to licensing an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The most recent fire inspection report is dated February 20, 2018 and therefore not current. 2. Administrator #1 acknowledged that the fire inspection is outdated.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-N
Description:	Based on a review of records, the licensee failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then failed to dispose of medications that were not picked up. Evidence: 1. A medication authorization, for a prescription inhaler, was observed for Child #6 with an expiration date of June 18, 2019, and the inhaler was on site at the time of inspection. The medication log observed indicated that the medication was administered on July 18, 2019. 2. Administrator #1 acknowledged that the authorization was expired and that the medication was still present at the center after 14 days.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on a review of records, the licensee failed to obtain a sworn statement for two of two new applicants and a central registry check for one of two new applicants within 30 days. Evidence: 1. CO #3's record, appointed to the board in October 2018, contained a sworn statement dated January 18, 2019. CO #4's record, appointed to the board in February 2018, contained a sworn statement dated March 19, 2019 and a central registry finding dated April 19, 2019. Therefore these were not obtained within the required time frame.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of staff records, the licensee failed to obtain a sworn statement completed prior to the first day of employment for one of eight staff. Evidence: 1. Staff #8's record, rehired on May 14, 2019 after ceasing employment in March 31, 2018, contained a sworn disclosure dated August 31, 2017. 2. Administrator #2 acknowledged the sworn statement was not obtained within the required time frame for a staff when more than 12 consecutive months have passed since employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of staff records, the licensee failed to obtain a central registry finding within 30 days of employment for one of eight staff and employment was not discontinued. Evidence: 1. Staff #8's record, rehired on May 14, 2019 after ceasing employment in March 31, 2018, contained a central registry finding dated September 26, 2016. 2. Administrator #2 acknowledged central registry findings were not in the record but indicated the check had been completed at rehire.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of records, the licensee failed to obtain fingerprint results for one of two new applicants within 30 days of appointment to the board. Evidence: 1. CO #3's record, appointed, to the board in October 2018, contained fingerprint results dated January 30, 2019 and therefore not within the required time frame.
Plan of Correction:	Not available online. Contact Inspector for more information.