VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Scholars Academy Child Development Center
8723 Shrader Road
Henrico, VA 23228
(804) 554-9217

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Nov. 1, 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. 8VAC20-820 HEARINGS PROCEDURES. 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:

Assure that crib sheets fit snuggly to avoid excess fabric that could be a suffocation hazard.

Comments:

A renewal inspection was conducted on 11/01/2022 from approximately 10:20 a.m. - 4:32 p.m. There were 16 children present ranging in ages from 2 months to 4 years old and 4 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of 5 child records and 6 staff records were reviewed. The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. 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, 11/28/2022. 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 preventive measure(s).

Violations:

Standard #:	22.1-289.035-A
Description:	Based on staff record review, the provider failed to ensure that 2 of 6 employees underwent background checks every five years. Evidence: 1. The record for S1, contains searches of the central registry dated 09/09/2016 and 10/27/2022. 2. The record for S2, contains searches of the central registry dated 04/22/2016 and 10/27/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	Based on review of a child record, the provider failed to ensure that pursuant to subsection C of 22.1-271.2 of the Code of Virginia, documentation of immunizations is not required for any child whose: parent submit an affidavit to the center on the current form approved by the Virginia Department of Health stating that the administration of immunizing agents conflicts with the parent?s or child?s religious tenets or practices. Evidence: The record contained a letter from the family?s church leader. The record for C4 did not contain an affidavit on the current form approved by the Virginia Department of Health stating that the administration of immunizing agents conflicts with the parent?s or child?s religious tenets or practices.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on child record review, the provider failed to ensure that two of five records contained all the required information. Evidence: The record for C2, enrolled 09/28/20 failed to contain documentation of annual parent confirmation of up-to-date information in the record as required by 8VAC20-780-420.E.3 since enrollment. The record for C5, enrolled 01/13/2020 failed to contain documentation of annual parent confirmation of up-to-date information in the record as required by 8VAC20-780-420.E.3 since 08/04/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on staff record review, the provider failed to ensure that health information was kept for one of six staff. Evidence: Record for S6 employed 10/31/2022 did not contain health information required by 8VAC20-780-160.C within the required time frame. Based on staff record review, the provider failed to keep documentation to demonstrate that the individual possesses training as required in 8VAC20-780.240 1of 6 staff Evidence: Record for S6 did not contain documentation of orientation required by 8VAC20-780-240 regarding sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, prevention and response to emergencies due to food or other allergic restrictions, and the prevention and control of disease.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-210-A
Description:	8VAC20-780-210.A Based on staff record review, the provider failed to ensure program leader qualifications for 2 staff designated as program leaders. Evidence: Records for S3 and S4 did not contain documentation showing possession of Program Leader qualifications by either: meeting endorsement or bachelor?s degree requirement; educational requirements and programmatic experience; or supervised programmatic experience.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-I
Description:	Based on record review, the provider failed to ensure that the emergency preparedness plan was reviewed annually. Evidence: Provider records did not document an annual review of the center?s emergency preparedness plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on observation, the provider failed to provide annual approval from the health department. Evidence: At the renewal inspection on 11/01/2022 the health inspection available for inspection was dated 10/13/2021. The annual inspection should have been completed by 10/13/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: 1. There was a large patch of peeling paint within reach of children in the preschool classroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-320-B
Description:	Based on observation, the provider failed to ensure that sinks are supplied with running warm water that does not exceed 120 degrees Fahrenheit (?F). Evidence: The water temperature in the bathroom sink used by the toddlers check by a thermometer registered 120.4?F.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-D
Description:	Based on observation, the provider failed to assure that in each grouping at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: S6, hired as an aide was observed supervising 5 children in the pre-school classroom without a program leader or program director being regularly present while staff left the program to transport school age children to the center.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-B
Description:	Based on review of child injury reports and interview, the provider administered nonprescription medication without written permission from parents. Evidence: Child injury reports dated 09/02/2022, 07/14/2022, and 02/21/22 documented staff administering Neosporin and antibacterial cream for minor injuries sustained by children in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointments.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-G
Description:	Based on review of emergency evacuation drills documentation, the provider failed to ensure the documentation contained all of the required information. Evidence: The emergency drill documentation dated January 2022 ? October 2022 did not document any special conditions simulated and weather conditions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-G
Description:	Based on observation, provider failed to ensure all food and bottles brought from home and stored in the refrigerator were clearly dated and labeled in a way that identifies the owner. Evidence: 1. One Apple and Berry squeeze container was not dated or labeled. 2. Multiple bottes in the refrigerator were not labeled with a date or labeled in a way that identified the owner.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-A
Description:	Based on observation, provider failed to assure when children are placed in an infant seat, the protective belts shall be fastened securely. Evidence: Four children seated in infant seats at the feeding table did not have protective belts fastened securely.
Plan of Correction:	Not available online. Contact Inspector for more information.