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PCCA Head Start Refuge Temple #2
205 Clearview Dr.
Martinsville, VA 24112
(434) 432-8911

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

Inspection Date: Jan. 25, 2022 and Jan. 26, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 ADMINISTRATION.
8VAC20-780 STAFF QUALIFICATIONS AND TRAINING.
8VAC20-780 PHYSICAL PLANT
8VAC20-780 STAFFING AND SUPERVISION.
8VAC20-780 PROGRAMS.
8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES
8VAC20-780 SPECIAL SERVICES.
22.1 EARLYCHILDHOOD CARE AND EDUCATION

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, document review and a virtual tour of the program.

A monitoring inspection was initiated on 01/20/2022 and concluded with a virtual record review inspection on 01/23/2022. The provider was contacted by Zoom and a virtual inspection was conducted. There were 2 children, both were 3 years old, and 3 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, programs, emergencies and nutrition. A total of 2 children?s records and 2 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

Evidence: The record for Staff 2 had a documented hire date of 08/09/2021; fingerprint eligibility letter was dated 09/16/2021.

Plan of Correction: Fingerprints will be done prior to hire.

Standard #: 8VAC20-770-60-B
Description: Based on record review and discussion with staff, the center failed to ensure that a person must not be employed until the agency has the person?s completed sworn statement or affirmation.

Evidence: The record for Staff 2 had a documented hire date of 08/09/2021; the sworn statement was dated 08/11/2021.

Plan of Correction: All forms will be given at during the application process.

Standard #: 8VAC20-780-40-K
Description: Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

Evidence: Staff 3 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.

Plan of Correction: Procedures are being created.

Standard #: 8VAC20-780-530-C
Description: Based on record review and discussion with the staff, the center failed to ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the centers during the center?s hours of operation, on fieldtrips, and wherever children are in care.

Evidence: There was only one staff member that met the requirements of subsection A.

Plan of Correction: A class has been scheduled.

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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