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VCUHS CDC @ N-DECK
607 North 10th Street
Richmond, VA 23298
(804) 828-6291

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: March 2, 2023

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

Comments:
An unannounced monitoring inspection was conducted on March 2, 2023 from approximately 11:50 am to 2:00 pm. There were 129 children in attendance and a total of 29 staff present. 10 staff records were viewed electronically and 10 children?s records were viewed on site. All areas of the center were observed including classrooms, bathrooms, and the playgrounds. The children were observed playing in centers, practicing cutting, listening to stories by a guest reader, getting diapers changed, playing outside, and eating lunch, while the licensing inspector was on-site. The center was having pajama day and was celebrating Dr. Seuss.

Violations were cited as a result of this inspection.

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, 03/20/2023. 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 measure(s).

Violations:
Standard #: 8VAC20-780-160-C
Description: Based on records review, and interview, the center failed to ensure that all staff submit documentation of a repeat tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1) The record for staff #5, date of employment 5/6/18, contained a tuberculosis screening dated 10/19/18.
2) The record for staff #10, date of employment 06/3/18, contained a tuberculosis screening dated 06/07/18.
3) When interviewed, administrators stated that the most recent tuberculosis screenings could not be located.

Plan of Correction: Per the center "staff #5 and #10 were sent to receive testing after inspection date. All staff members TB screenings will be reviewed each year in April for compliance."

Standard #: 8VAC20-780-240-A
Description: Based on records review, and interview, the center failed to ensure that the Virginia Department of Education (VDOE) sponsored orientation course is completed within 90 calendar days of employment. Evidence: The record for staff #3, date of employment 05/29/22, did not contain evidence of the VDOE orientation course being completed. When interviewed, Administration acknowledged that staff #3 had not completed the VDOE orientation course within 90 calendar days.

Plan of Correction: Per the center "staff #3 will complete VDOE Preservice training by 3/31/23. All new staff will complete training within their orientation period."

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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