VIRGINIA DEPARTMENT OF SOCIAL SERVICES

VCUHS CDC @ Northside
800 West Graham Road
Richmond, VA 23222
(804) 828-2145

Current Inspector: Lynn Powers (804) 840-8260

Inspection Date: April 10, 2023

Complaint Related: No

Areas Reviewed:

X 8VAC20-780 Administration. X 8VAC20-780 Staff Qualifications and Training. X 8VAC20-780 Physical Plant. X 8VAC20-780 Staffing and Supervision. X 8VAC20-780 Programs. X 8VAC20-780 Special Care Provisions and Emergencies X 8VAC20-780 Special Services. X 8VAC20-820 THE LICENSE. X 8VAC20-820 THE LICENSING PROCESS. X 8VAC20-820 HEARINGS PROCEDURES. X 8VAC20-770 Background Checks X 22.1 Early Childhood Care and Education X 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was initiated on April 10, 2023 and concluded on April 13, 2023. The on site inspection was from approximately 9:35 am to 2:05pm on April 10, 2023. A total of seven child records were reviewed on site and records for 5 staff were provided for remote review on April 11, 2023. There were 64 children present, ranging in ages from 3 months to 5 years, with 13 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. 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, bathrooms and outdoor play areas were inspected. The required postings were reviewed and found to be in compliance. The center's site supervisor was available throughout the inspection to answer questions and an exit interview was conducted with the site supervisor on April 10, 2023. An additional interview was conducted with the site director on April 13, 2023 to discuss findings for the staff records. The center is equipped with toys and supplies and items were available to the children. 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. 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. If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on a review seven children?s records and interview with the site director, the center failed to ensure physical examinations were obtained before the child?s attendance or within 30 days after attendance. Evidence: Child #1?s first date of attendance was 11/7/2022 and the record for Child #1 did not include the required physical examination. During an interview, the site supervisor acknowledged the record did not document a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-A
Description:	Based on review of five staff records and interview, the center failed to ensure an employee completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #2 was hired on 8/8/2022 and has not completed the required training. During an interview with the site supervisor, it was acknowledged that Staff #2 has not completed the required training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-E
Description:	Based on review of five staff records and interview, the center did not ensure staff received orientation training in First Aid and cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care within 30 days of the first day of employment. Evidence: Staff #1 was hired on 02/06/203. Staff #1 has not received orientation training in First Aid and cardiopulmonary resuscitation (CPR). During an interview, the site supervisor acknowledged Staff #1 has not completed the required orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on review of five staff records and interview, the center failed to ensure staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #4 (date of employment: 10-3-2010) record did not document 16 annual training hours were completed for the 2021-2022 year. During an interview with the site director, it was acknowledged that Staff # 4?s record did not document the required 16 hours of annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview, the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: There was one can of Porch, Floor and Patio Wood and Concrete paint with the warning: keep out of reach of children and can cause serious illness, especially in children, stored on the bottom shelf of a rack in the open art area accessible to children. During an interview, the site supervisor, observed and acknowledged the paint was not properly stored.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observations and interview, the center failed to ensure that there was resilient surfacing in all fall zone areas that complies with the minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: The center had approximately one inch of wooden mulch, decomposed mulch and dirt underneath and throughout the fall zones for the preschool play equipment. During an interview, the site supervisor acknowledged the amount of mulch throughout the playground area was out of compliance.
Plan of Correction:	Not available online. Contact Inspector for more information.