VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Pittsylvania County Community Action- Joseph L. Galloway
514 North Main Street
Chatham, VA 24531
(434) 432-8911

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Dec. 16, 2019 and Dec. 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced renewal inspection was conducted on 12/16/2019 and 12/17/2019. There were 43 children, ages 3 year- 5 years, and 6 staff members present during the on-site inspection on 12/16/2019. The inspector reviewed 5 children's records during the on-site inspection. The inspector reviewed 5 staff records, 4 Board Officer Records and 2 Agent Records during the record review inspection at the administrative office on 12/17/2019. The staff stated that there is currently no medication on-site. The children were observed in the following activities during the inspection: music and movement, center time, circle time, in large motor play outside and during lunch. The inspector reviewed the injury prevention plan, the emergency preparedness plans, the emergency supplies and Buses #7 and #13 during the on-site inspection. The inspector discussed the playground, transportation and the licensing process with the staff. The inspector arrived for the on-site inspection at 10:30 a.m. and departed at 1:00 p.m. and arrived for the record review inspection on 12/17/2019 at 9:00 a.m. and departed at 11:00 a.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:

Standard #:	22VAC40-185-150-B
Description:	Based on record review and discussion with the staff, the facility failed to ensure that each physical examination and immunization report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee or an official of a local health department. Evidence: The immunization records for Child #1 and Child #5 were not signed by a physician or a designee.
Plan of Correction:	Will get with Family Service Coordinator and get the forms signed.
Standard #:	22VAC40-185-540-C
Description:	Based on observations, the facility failed to ensure that the first-aid kits shall contain at minimum, the required supplies listed in the standards. Evidence: The first-aid kit on Bus #13 did not contain a thermometer.
Plan of Correction:	Will get with the Transportation Manager.
Standard #:	22VAC40-185-550-H
Description:	Based on observations and discussion with the staff, the facility failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: Bus #13 did not contain a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Bus #13 was used for morning transportation on 12/16/2019.
Plan of Correction:	Will get with the Transportation Manager.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on record review and discussion with staff, the facility failed to obtain all parts of the required background check (sworn statement, search of the central registry and criminal history record check/fingerprint eligibility letter) on new persons designated as applicant before the end of 30 days after the change. Evidence: The record for Board Officer #2 did not contain the finding of a search of the central registry during the inspection. The date on the fingerprint eligibility letter for Board Officer #2 was dated 12/10/2019. Staff confirmed that Board Officer #2 took office on July 1, 2019.
Plan of Correction:	Moving forward all three parts of the background checks will be obtained with the 30 day time frame.