VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Noble Academy, Inc.
5000 Ridgedale Parkway
N. chesterfield, VA 23234
(804) 275-5683

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Sept. 24, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

n/a

Comments:

An unannounced monitoring inspection was conducted on Tuesday, September 24, 2019 to review the center?s compliance with licensing standards. The inspection was initiated at approximately 9:45am and concluded at 2:35pm. The center?s director and assistant director were present and assisted the inspector throughout the inspection. The census for today?s visit consisted of 14 children in the care and four staff. Upon arrival, the inspector was informed that the preschool children were on a nature walk. The school age staff had just returned to the center from dropping off the children at school. Once the children arrived from their nature walk, the licensing inspector observed each class engaged in a variety of activities. The children in the 3?s/4?s room were observed during circle time, singing songs, discussing the days of the week, months of the year, and the verse of the week. The children in the 2?s room were observed during circle time as they discussed the color yellow. Later, they were observed coloring and identifying ?yellow? items provided by the staff. The staff were observed having positive interactions with the children. The areas where the children receive care were inspected and found to be in compliance. The center is equipped with age and stage appropriate materials. The center had the following posted: license, daily schedule, emergency numbers, evacuation maps, and various parent information. The center?s first aid kit and non-emergency supplies were inspected. The center provides transportation and one van was inspected today. Five children?s records and five staff records were reviewed. The most recent fire inspection was conducted on 07/23/2019. The most recent health inspection was conducted on 05/30/2019. The most recent evacuation drill was documented on 09/05/2019 and the most recent shelter-in-place drill was documented on 06/26/2019. The menu was posted and today?s lunch consisted of: hamburger with rice, corn, peas, peaches, and milk. If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on a review of five children's records and interview on 09/24/2019, the center did not obtain documentation that one child had received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1) The record for Child #3, enrolled on 09/03/2019, did not contain documentation of immunizations. 2) During interview, a member of management reported the documentation of immunizations for Child #3 was obtained, but it could not be located while the inspector was on site.
Plan of Correction:	Per the Center: Immunizations for Child #1 were obtained, but misplaced. The parent was contacted on 9/24 and will bring a copy today. In the future, 2 admin staff will double check files to ensure information is in the record.
Standard #:	22VAC40-185-160-A
Description:	Based on a review of five staff records on 09/24/2019, the center did not ensure that two staff submit documentation of a negative tuberculosis (TB) screening within the required time frame. Evidence: 1) The record for Staff #2, hired on 07/15/2019, did not contain documentation of a negative tuberculosis screening. 2) The record for Staff #4, hired on 07/02/2019, did not contain documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering.
Plan of Correction:	Per the Center: The staff will obtain the TB documentation as soon as possible. In the future, the administration will implement a spreadsheet to ensure all required documentation is on file for staff.
Standard #:	22VAC40-185-160-C
Description:	Based on a review of five staff records and interview on 09/24/2019, the center did not ensure that one staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing. Evidence: 1) The TB results in the record for Staff #1, hired on 09/05/2017, were dated 08/28/2017. 2) During interview, a member of management confirmed Staff #1 did not resubmit TB test results every 2 years. The TB results for Staff #1 expired on 08/28/2019.
Plan of Correction:	Per the Center: The staff will obtain the TB documentation as soon as possible. In the future, the administration will implement a spreadsheet to ensure all required documentation is on file for staff.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of five staff records and interview on 09/24/2019, the center did not ensure two staff records contained the required information. Evidence: 1) The record for Staff #3, hired on 07/05/2019, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) The record for Staff #4, hired on 07/02/2019, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 3) During interview, a member of management reported the references for Staff #3 and for Staff #4 were not obtained prior to hire.
Plan of Correction:	Per the Center: Director will contact references for both staff members and in the future will make sure that references are checked prior to starting employment. The administration will implement a spreadsheet to ensure all required documentation is on file for staff.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of five staff records and interview on 09/24/2019, the center did not ensure that one staff completed a sworn statement or affirmation prior to beginning of employment. Evidence: 1) The record for Staff #2, hired on 07/15/2019, did not contain a completed sworn statement or affirmation. 2) During interview, a member of management reported Staff #2 had not submitted a completed sworn statement to date. An employee or volunteer of a licensed or registered child welfare agency or of a family day home approved by a family day system must not be employed or provide volunteer service until the agency or home has the person's completed sworn statement or affirmation.
Plan of Correction:	Per the Center: The sworn statement will be completed today. In the future, the administration will implement a spreadsheet to ensure all required documentation is on file for staff. Two admin staff will double check files to ensure information is in the record.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of five staff records, observations, and interview on 09/24/2019, the center did not ensure that one staff had a central registry finding within 30 days of employment or volunteer service. Evidence: 1) The record for Staff #2, hired on 07/15/2019, did not contain the results of a central registry finding. 2) The licensing inspector observed Staff #2 working with the children at the center on 09/24/2019. 3) During interview, a member of management reported the central registry search for Staff #2 had not been requested to date. An employee or volunteer of a licensed or registered child welfare agency, or of a family day home approved by a family day system, must be denied continued employment or volunteer service if the licensed or registered child welfare agency or family day system does not have a central registry finding within 30 days of employment or volunteer service.
Plan of Correction:	Per the Center: The central registry request will be sent today. In the future, the administration will implement a spreadsheet to ensure all required documentation is on file for staff. Two admin staff will double check files to ensure information is in the record.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of five staff records on 09/24/2019, the center did not obtain the results of a fingerprint based background check for two staff prior to the beginning of employment. Evidence: 1) The record for Staff #2, hired on 07/15/2019, did not contain the results of a fingerprint based background check. 2) The record for Staff #3, hired on 07/05/2019, contained the results of a fingerprint based background check that were dated 08/27/2019.
Plan of Correction:	Per the Center: The appointment for fingerprints will be scheduled today. In the future, the administration will implement a spreadsheet to ensure all required documentation is on file for staff. Two admin staff will double check files to ensure information is in the record.