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Phases Prep Academy School House
54 East Cedar Fork Road
Richmond, VA 23223
(434) 623-0405

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Aug. 22, 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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Comments:
An unannounced monitoring inspection was conducted on 8/22/2023. The inspector was on site from approximately 9:57 am-12:10 pm. There were 14 children present, ranging in ages from 2 to 4 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. Five children's records and five 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. You will need to 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.

Violations:
Standard #: 8VAC20-770-60-B
Description: Based on a review of five staff records and interview, the center did not ensure that one staff completed a sworn statement prior to the first date of employment as required.

Evidence:
1. The record of staff #2 (date of employment: 8/1/2023) contained a sworn statement dated 8/3/2023.
2. Administration acknowledged the sworn statement had not been completed prior to the first day of employment.

Plan of Correction: after talking we now have a better understanding of the date process

Standard #: 8VAC20-780-160-A
Description: Based on the review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment as required.

Evidence:
1. The record of staff #2 (date of employment: 8/1/2023) contained a TB screening dated 8/18/2023.
2. Administration acknowledged that the screening was obtained after the start of employment/hire but was obtained prior to children being enrolled.

Plan of Correction: after talking we have a better understanding of the date process

Standard #: 8VAC20-780-60-A
Description: Based on a review of five child records and interview, the center did not ensure that one record contained the required information.

Evidence:
1. The record of child #3 (date of enrollment: 8/21/2023) was missing the phone number of one emergency contact. Children's records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
2. Administration acknowledged that the phone number was missing.

Plan of Correction: ensure that all blanks are filled at the time paper work is done

Standard #: 8VAC20-780-70
Description: Based on a review of five staff records and interview, the center did not ensure that two staff records were kept that contained the required information.

Evidence:
1. The records of staff #1 (date of employment: 8/7/2023) and staff #2 (date of employment: 8/1/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. Administration acknowledged that the references had been taken over the phone but not documented.

Plan of Correction: we understand it needs to be documented on the paper and not just notes

Standard #: 8VAC20-780-280-B
Description: Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. In a two/three year old classroom, a container of disinfectant wipes and a can of disinfectant spray were observed in an unlocked cabinet. The cabinet contained a lock but it was not secured.
2. Administration acknowledged that the cleaning chemicals were not locked.

Plan of Correction: lock the box as soon as you are done even if the lock is present and the box is out of reach

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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