VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Highland Children's House
61 Highland Center Drive
Monterey, VA 24465
(540) 468-1100

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Feb. 7, 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. 8VAC20-770 Background Checks (22VAC40-191) 22.1 Early Childhood Care and Education

Technical Assistance:

A supplemental page was provided.

Comments:

This inspection was conducted by licensing staff using a hybrid protocol, including reviewing some records remotely and an on-site inspection. A renewal inspection was completed on February 7, 2022. There were 12 children present, ranging in ages from 21 months to 7 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies, and nutrition. A total of 2 children's records, 3 complete staff records, and 4 partial staff records were reviewed. Information gathered during the inspection determined non-compliances with applicable standards or law and the violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-770-40-D-1-a
Description:	Based on a record review of the corporation's board officers and confirmation with the director, two new board officers had not completed a sworn statement as one of the required background checks. Evidence: 1. The records for Board Officer #1 and Board Officer #2 did not contain a completed sworn statement. The officers began serving on the board in January 2022. 2. The director confirmed the sworn statements had not been completed.
Plan of Correction:	The director will ensure that sworn statements are completed before the first day a board officer begins service.
Standard #:	8VAC20-780-140-A
Description:	Based on review of children's records and discussion with the director, one child's physical examination record was obtained after the first 30 days of enrollment. Evidence: 1. The record for Child #2 contained a physical examination report that was signed by the physician on 02/03/2021. Date of enrollment for the child was 10/13/2021. 2. The director confirmed that the physical exam report was obtained late.
Plan of Correction:	The provider will ensure that a physical exam report will be obtained for each child before enrollment or within the first 30 days of enrollment.
Standard #:	8VAC20-780-160-A-1
Description:	Based on review of staff records and confirmation from the director, two new staff members did not obtain their tuberculosis (TB) screening/test at the time of hire and before coming in contact with children. Evidence: 1. The record of Staff #1 contained a TB screening dated 01/20/2022. Date of hire was 12/05/2021. 2. The record of Staff #3 contained a TB screening dated 01/19/2022. Date of hire was 10/13/2021. 3. The director reported she was aware the TB screenings were late.
Plan of Correction:	The director has initiated a new onboarding process which will prevent staff being hired and coming into contact with children before they have obtained a negative TB screening.
Standard #:	8VAC20-780-160-C
Description:	Based on review of staff records and verification with the director, three staff members did not obtain their updated tuberculosis (TB) screening/test within two years of the most recent TB screening. Evidence: 1. The records of Staff #5, Staff #6, and Staff #7 contained updated negative TB screenings dated 01/19/2022. The most recent TB screenings for the three staff had been dated 07/24/2019. 2. The director stated she knew the TB screenings were late.
Plan of Correction:	The Highland County Health Department is once again doing TB screenings so the director will be able to send all staff there. TB screenings will be completed within two years of the most recent.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and discussion with staff, one staff member failed to use the required procedure for cleaning and sanitizing the changing pad after changing a diaper. Evidence: 1. After Staff #3 changed a child's diaper, she sprayed the sanitizing spray on the changing pad without first cleaning the pad with a soap and water solution. She then wiped the changing pad with a paper towel without waiting the required time for the sanitizer to remain on the surface. 2. Staff #3 confirmed that she did not clean the pad with soap and water before spraying on the sanitizer, and she did not allow the sanitizer to air dry before wiping it.
Plan of Correction:	The proper technique for cleaning and sanitizing a diaper changing pad was explained to staff during the inspection. The director will retrain all staff during the next staff meeting.