VIRGINIA DEPARTMENT OF SOCIAL SERVICES

River's Bend Children's Center
120 West Hundred Road
Chester, VA 23836
(804) 530-1256

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Sept. 16, 2019 and Sept. 17, 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)

Comments:

An unannounced renewal inspection was completed on September 16, 2019 from approximately 10:25 a.m. to 12:30 p.m. and additional records were reviewed off site on September 17, 2019. Thirty-two children were in care and six staff were on premises during the inspection. Staff and children were observed in classrooms and on the playground with adequate staff ratios. Staff and children were observed engaged in activities to include structured learning, free play, outside play, preparation for lunch and lunch. Interviews and interactions were conducted and medications were reviewed. Five children?s records, five staff records and two corporate officer records were reviewed. An Administrator was available for the inspection and was 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.

Violations:

Standard #:	22VAC40-185-160-C
Description:	Based on a review of staff records and interview, the licensee failed to ensure that staff obtain and submit results of a follow-up tuberculosis screening/test at least every two years for one of five staff. Evidence: 1. Staff #1's record contained a negative tuberculosis screening/test dated August 28, 2017. 2. In an interview with Administrator #1, she acknowledged the follow-up screening has not been completed timely.
Plan of Correction:	Administrator #1 indicated that the staff already has the screening/test scheduled for later today and will be bringing in the documentation tomorrow.
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. There was no injury prevention plan presented for review. 2. In an interview with Administrator #1, it was reported that the injury prevention procedures are not being reviewed annually.
Plan of Correction:	The Administrator will create a system to begin the annual review of the injury prevention procedures.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of staff records and interview, the licensee failed to maintain all the elements of staff?s records for one of five staff. Evidence: 1. A resume in Staff #3's record, hired on August 8, 2019 as a program lead, indicated that Staff #3 possesses a bachelors' degree. However, the record lacked documentation of the education. 2. In an interview, Administrator #1 acknowledged that Staff #3's record lacked documentation of the educational requirements for the job description.
Plan of Correction:	The Administrator will obtain a copy of the staff's transcripts or degree.
Standard #:	22VAC40-185-240-C
Description:	Based on a review of staff records and interview, the licensee failed to ensure staff obtained 16 clock hours of annual training for one of five staff. Evidence: 1. Staff #4's record, hired on September 26, 2016, reflected approximately nine and a half hours of annual training for the last training year. 2. Administrator #1 acknowledged that Staff #4 has not completed the required amount of annual training.
Plan of Correction:	The Administrator will remind this staff of the Standard requirements about annual training.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of corporate officer records, the licensee failed to obtain fingerprint results for one of two applicants of the corporation, appointed prior to January 22, 2018, by the required date of September 30, 2018. Evidence: 1. CO #1's record, appointed prior to January 22, 2018, contained fingerprint results dated October 12, 2018 and therefore not obtained within the required time frame.
Plan of Correction:	This cannot be corrected.