VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Goddard School - Ashland
9431 Atlee Commerce Boulevard
Ashland, VA 23005
(804) 550-0092

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

Inspection Date: Nov. 16, 2020 , Nov. 17, 2020 , Nov. 24, 2020 , Nov. 25, 2020 and Dec. 1, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

n/a

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A non-mandated monitoring inspection was initiated on November 17, 2020 and concluded on December 4, 2020. The director was contacted by telephone to initiate the inspection. There were 139 children present and 22 staff. The Inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 5 children?s records and 30 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility. If you have any questions regarding this inspection please contact the licensing inspector, Kelly Adriazola at (804) 662-9760. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of records and interview the provider did not ensure that 3 of 5 children's records contained all the required information. Evidence: 1. The records of Child #1 (DOE 10/12/20), Child #4 (DOE 6/20/20), and Child #5 (DOE 6/17/18) did not contain updated written agreements. 2. On September 21, 2020, the center was sold and a conditional license was issued to the new legal entity of record. Administration confirmed they did not re-enroll each child at the center under the new business entity and that they redo their placement agreements for each child every February.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of records and interview, the center did not ensure that each staff record contains all the required information. Evidence: 1. The records of Staff #2 (DOH 9/14/20), Staff #3 (DOH 3/11/13), Staff #4 (DOH 8/12/19), and Staff #5 (DOH 9/5/20) did not contain a correct date of hire for each staff. The center was sold and a conditional license was issued to the new legal entity of record on September 21, 2020. Administration confirmed the dates of hire for each of these staff were not changed to reflect the license date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-240-A
Description:	Based on a review of records and interview, the center did not ensure that each staff receive orientation by the end of their first day of assuming job responsibilities. Evidence: 1. The records of Staff #1 - Staff #30 did not contain documentation of orientation to reflect the license issuance date of September 21, 2020. 2. Administration confirmed they did not re-do orientation for staff.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1.The record of Staff #22 (DOH 9/21/20) contained documentation of a central registry result dated 11/13/20. 2. Administration stated the original application sent to the Office of Background Investigations (OBI) was not signed by Staff #22. 3. A review of email correspondence between the center and OBI states that OBI was unable to interpret handwriting to send results via email and Staff #22's "failed" search request was returned on 10/01/20. Administration mailed the signed application on October 20, 2020. On November 10, 2020, the center followed up with OBI and OBI informed the center the application was sent to be processed. On November 30, 2020, the center followed up with OBI and OBI responded stating they were processing results timely with no delay. On November 30, 2020, the center received the results dated 11/13/20.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of Staff #11 (DOH 9/21/20) contained documentation of fingerprints dated 9/28/20.
Plan of Correction:	Not available online. Contact Inspector for more information.