STEPS Head Start - Lunenburg
2401 Nottoway Boulevard
Victoria, VA 23974
(434) 696-1139
Current Inspector: Molly Muscat (804) 588-2367
Inspection Date: April 19, 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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
- Comments:
-
An unannounced renewal inspection was initiated on 4/19/2022 and concluded on 4/22/2022. The inspector was on site from 11:10 am-12:15 pm. There were 21 children present, ranging in ages from 10 months to 5 years, with 9 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records, 5 staff records, and 9 board member/agent records were reviewed. Staff records were reviewed remotely.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
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 #: 22.1-289.036-A Description: Based on a review of 9 board member/agent records and interview, the center did not ensure to obtain the results of a repeat central registry background check every 5 years for 1 agent as required.
Evidence:
1. The record of agent #9 contained a central registry background check dated 11/9/2015.
2. Administration acknowledged that they had not received the results of the repeat background check.Plan of Correction: Email reminders of dates have been sent 60 days prior to expiration date- mailed 4/25/2022
Standard #: 22.1-289.036-B-2 Description: Based on a review of 9 board member/agent records and interview, the center did not ensure that 3 records contained the results of a fingerprint background check by the end of the 30th day of taking office as required.
Evidence:
1. The record of board member #3 (DTB:7/1/2020) contained a fingerprint background check dated 3/21/2022. The record of board member #5 (DTB: 1/23/2020) contained a fingerprint background check dated 3/21/2022. The record of board member #6 (DTB:7/1/2021) did not contain the results of a fingerprint background check.
2. Administration acknowledged that the background checks were not completed within the required time frame.Plan of Correction: see section 1: All paperwork has been completed for current members.
Standard #: 8VAC20-770-40-D-1-a Description: Based on a review of 9 board member/agent records and interview, the center did not ensure that 3 records contained a completed sworn statement and the results of a central registry background check by the end of the 30th day of taking office as required.
Evidence:
1. The record of board member #3 (DTB: 7/1/2020) was missing the results of a central registry background check and contained a sworn statement dated 4/11/2022. The record of board member #5 (DTB:1/23/2020) contained a central registry dated 4/18/2022 and a sworn statement dated 3/15/2022. The record of board member #6 (DTB:7/1/2021) was missing the results of a central registry background check and a completed sworn statement.
2. Administration acknowledged that the background checks were not received within the required time frame.Plan of Correction: A plan has been created for all new board members where paperwork will be completed at least 30 days prior to coming on the board. All paperwork has been completed for current members.
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.
