VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tri-County Community Action Agency, Inc. - Boydton
117 Mayfield Drive
Boydton, VA 23917
(434) 710-6998

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: April 2, 2021

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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 20 Access to minor?s records 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

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 renewal inspection was initiated on 04/02/2021 and concluded on 04/07/2021. The director was contacted by telephone to initiate the inspection. There were 0 children present and 0 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 children?s records, 2 staff records, and 5 board member/officers submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. 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. Just writing the word ?corrected? is not acceptable. 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 #:	22VAC40-191-40-D-1-A
Description:	Based on record review and interview, the center did not ensure to obtain a sworn statement for each new officer when a change occurred and a central registry check from each officer of the board before the end of 30 days after the change of officer. Evidence: 1. The record of officer #3 (office date: 03/26/2019) contained a sworn statement dated 01/21/2020 and central registry results dated 03/05/2021. 2. The record of officer #5 (office date: 02/17/2020) did not contain a central registry result. 3. Administration acknowledged that the sworn statement and central registry were late for officer #3 and they have not received the results to the central registry search for officer #5.
Plan of Correction:	This information has been given to to our HR office to make sure going forward this will be done within 30 days after or 90 days in advance.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review and interview, the center did not ensure that the results of a fingerprint background check were received by the end of the 30th day for new officers of the board, and by the deadline of 09/30/2018 for officers appointed prior to 01/22/2018 as required. Evidence: 1. Officer #2 (date of office: 05/21/2011) had fingerprint results dated 10/04/2018. 2. Officer #3 (date of office: 03/26/2019) had fingerprint results dated 06/06/2019. 3. Administration acknowledged that the fingerprint results were late for both officers.
Plan of Correction:	This information has been given to to our HR office to make sure going forward this will be done within 30 days after or 90 days in advance.