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Westhampton Day School
6100 Patterson Avenue
Richmond, VA 23226
(804) 282-7459

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Aug. 22, 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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
n/a

Comments:
The licensing inspector conducted an unannounced monitoring inspection on Monday, August 22, 2022 from 10:50am to approximately 2:15pm. There were a total of 130 children in care in the direct care of 22 staff members. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility including all classrooms, the cafeteria, the gym, hallways, the playground and bathrooms were inspected. The required postings were reviewed and found to be in compliance. The center is equipped with toys and supplies and items were available to the children. Medication is administered when required and medication and medication authorizations were reviewed. Ten children's records and ten staff records were reviewed. Additional documentation was later submitted by the facility virtually.

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.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of ten staff records and interview, the center did not ensure one staff obtained fingerprint results prior to hire.

Evidence: 1) The fingerprint results in the record for Staff #2, hired on 08/22/22, were dated 08/24/22. 2) During interview, a member of management confirmed the fingerprint results for Staff #2 were not obtained prior to hire.

Plan of Correction: Staff #2 did not work on 08/23/22 and the fingerprint determination letter was received on 08/24/22. Moving forward, staff will not start employment without a fingerprint determination letter.

Standard #: 22.1-289.035-B-4
Description: Based on a review of ten staff records and interview, the center did not obtain an out-of-state criminal history record check from any state in which one staff member had resided in the preceding five years within the required time frame.

Evidence: 1) The record for Staff #9, hired on 08/01/22, indicated the staff had resided in a
state outside of Virginia within the last five years. The record did not contain a search of a criminal history record information check from the state. 2) During interview, a member of
management confirmed the required out-of-state check was not obtained for Staff #9 within
the required time frame. The out-of-state criminal history record information check must be obtained prior to hire.

Plan of Correction: The out of state background check was requested. Moving forward, out-of-state background checks will be obtained prior to hire.

Standard #: 8VAC20-780-160-A
Description: Based on a review of ten staff records and interview, the center did not ensure three staff members submitted documentation of a negative tuberculosis (TB) screening within the required time frame.

Evidence: 1) The TB screening in the record for Staff #2, hired on 08/22/22, was dated 08/23/22. 2) The TB screening in the record for Staff #3, hired on 08/22/22, was dated 08/23/22. 3) The TB screening in the record for Staff #9, hired on 08/01/22, was dated 08/02/22. 4) During interview, a member of management confirmed the TB screenings for Staff #2, Staff #3, and Staff #9 were not completed within the required time frame. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

Plan of Correction: Corrected. Moving forward, obtaining a TB screening will be moved to the first round of the hiring process.

Standard #: 8VAC20-780-160-C
Description: Based on a review of ten staff records, the center did not obtain the results
of a follow-up tuberculosis (TB) screening for one staff member at least every two years
from the date of the initial screening or testing, or more frequently if recommended by a
licensed physician or the local health department.

Evidence: 1) The most recent TB screening/testing in the record for Staff #10, hired on 08/17/20, expired on 08/12/22.

Plan of Correction: Corrected 08/23/22. Moving forward, staff will obtain a negative tuberculosis screening every two years.

Standard #: 8VAC20-780-240-A
Description: Based on a review of ten staff records and interview, the center did not ensure one staff member completed The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence: 1) The record for Staff #6, hired on 02/28/22, did not contain documentation of The Virginia Department of Education-sponsored orientation course. 2) During interview, a member of management reported Staff #6 has not completed the training to date.

Plan of Correction: Administration will monitor staff progress on completing the orientation training to ensure it is completed within 90 days of hire.

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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