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Primrose School at Westerre Commons
3855 Westerre Parkway
Henrico, VA 23233
(804) 290-7969

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

Inspection Date: Oct. 1, 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)
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
None

Comments:
An unannounced monitoring inspection was conducted on October 4, 2019 from approximately 1:30 PM to 3:40 PM to determine the facility's compliance with licensing standards. The staff to child ratios were observed as follows: Infants 2:7, Young Toddlers 3:9, Toddlers 2:11, EPS I 1:14, EPS II 1:13, EPS III 1:9, PS I 2:23 , PS II 1:15, PK I 1:19, PK II 1:19. Lunch today consisted of chicken nuggets, baked beans, carrots, milk. All areas used for child care were inspected. The facility has age appropriate materials and supplies. The following required information was posted; the license, most recent inspection notice, emergency numbers, evacuation map/procedures, daily schedules, and various parent information. The first aid kits and non-medical emergency supplies were inspected and found complete. The inspector interacted with staff and children in care. Ten staff records and ten children's records were reviewed. Medications were reviewed along with authorizations. Multiple staff on site have current First Aid, CPR, MAT, and DHO training. The most recent evacuation drill was documented on 9/20/19. The most recent shelter-in-place drill was documented on 9/26/19. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9092.

Violations:
Standard #: 63.2(17)-1720.1-B-3
Description: Based on review of ften staff records, one record did not contain an Out of State Child Abuse and Neglect Search Request. Evidence: 1. The updated Sworn Disclosure Statement indicated Staff #5 (hire date 6/13/19) lived out state within the past 5 years. 2. The record for Staff #5 did not contain an Out of State Child Abuse and Neglect search request for one state listed. 3. Administration reported the request had not been sent for Staff #5 for the state listed.

Plan of Correction: Administration will provide licensing with documentation of the out of state search for this staff. The staff had lived in two other states in the last five years. Although one out of state search was initiated, the second state was not due to an oversight. Administration will closely review Sworn Statement Disclosures to make sure each state search is completed as required in the future.

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.

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