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: April 21, 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) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on-site on April 21, 2022. The director was available during the inspection. There were 154 children present, ranging in ages from 6 months to 6 years, with 22 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 10 child records and 14 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 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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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 #:	22.1-289.035-B-4
Description:	Based on a review of staff records and interview on April 21, 2022, the center did not obtain results of a check of the out-of-state criminal history record check and out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #3 (hired 1/31/22) did not contain documentation of out of- state child abuse and neglect registry results. Staff #3 indicated living in another state in the previous five years on the staff's sworn disclosure statement. 2. The record of staff #10 (hired 12/31/21) did not contain documentation of out of state central registry results and contained documentation of an out of state criminal name search and sex offender registry search both dated 1/5/22. 3. Administration acknowledged the background checks were late.
Plan of Correction:	There was documentation that I sent off the CPSC request for out of state but never received correspondence back from those states. Per multiple conversations with our licensor, she has stated that as long as we had documentation of out of state checks, that would be sufficient documentation. We have this documentation on file and request that this violation be removed.
Standard #:	8VAC20-770-60-B
Description:	Based on a review of staff records on April 21, 2022, the center did not ensure to obtain a sworn statement from each staff prior to employment. Evidence: The record of staff #4 (hired 3/21/22) contained documentation of a sworn statement dated 3/23/22.
Plan of Correction:	The sworn statement is always signed on the first day with paperwork on 3/21/22. This employee accidentally wrote the wrong date.
Standard #:	8VAC20-780-70
Description:	Based on a review of staff records and interview, on April 21, 2022, the center did not ensure that each staff record contains all required documentation. Evidence: 1. The records of staff #11 (hired 10/11/21) and staff #12 (hired 12/1/21) contains documentation of telephone references that are not signed. 2. Administration acknowledged the references were not signed.
Plan of Correction:	The references were completed and properly documented. We will make sure that all references are signed going forward.
Standard #:	8VAC20-780-340-D
Description:	Based on a review of staff records and interview on April 21, 2022, the center did not ensure that there is a qualified program leader regularly present in each grouping of children. Evidence: 1. The Firefighters infant room was observed with two staff present caring for 8 infants. Administration identified staff #13 (hired 3/22/21) as the program leader. Staff #13's record did not contain documentation of programlead qualifications. 2. The Conductor's Toddler room was observed with two staff present caring for 8 toddlers. Administration identified staff #14 (hired 9/21/20) as the programleader. Staff #14's record did not contain documentation of program leader qualifications. 3. The Pilot's 2 year old classroom was observed with two staff caring for 16 children. Administration identified staff #6 (hired 8/16/21) as the program leader. Staff #6's record did not contain documentation of program leader qualifications. 4. The Explorer's 3 year old classroom was observed with one staff caring for 10 children. Administration identified staff #12 as the program leader. Staff #12's record did not contain documentation of program leader qualifications. 5. Administration acknowledged that none of the staff identified as program leaders met the lead teacher qualifications.
Plan of Correction:	We do have this documentation on file but it was in a separate file. Staff #6 has lead teacher qualifications in the form of a CDA. She was in Pilots. The program lead for Pilots was on vacation. We will make sure going forward that every teacher hired is program lead qualified, and will begin training current teachers that are not to ensure that they are also lead program qualified.
Standard #:	8VAC20-780-520-C
Description:	Based on a review of parent authorizations and interview on April 21, 2022, the center did not ensure that when using diaper ointment or cream all the requirements are met. Evidence: The parent authorization forms in the infant room did not contain information on any adverse reactions. Administration acknowledged the form was missing that component.
Plan of Correction:	This is the same cream form that we have used since the school opened in 2005 and have never been cited on this violation. We will add a section that the parents sign off on any adverse reactions that could occur from diaper cream, sunscreen, and chapstick, which is what these forms are used for.
Standard #:	8VAC20-780-570-K
Description:	Based on observation on April 21, 2022, the center did not ensure that staff feed semisolid food with a spoon unless written instructions from a physician or physicians designee state differently. Evidence: A staff member in the infant was observed feeding child #5 directly from a semisolid food pouch. Child #5's record was reviewed and there was no documentation of written instructions from a physician or designee in the child's record.
Plan of Correction:	These types of pouches have been used in our infant classes for years and has never been considered a semisolid food. If these guidelines changed, we would like a notice from our licensor on this change before being cited. We also checked with 2 pediatricians and they have never received a request to provide this documentation.