VCUHS CDC @ Northside
800 West Graham Road
Richmond, VA 23222
(804) 828-2145
Current Inspector: Lynn Powers (804) 840-8260
Inspection Date: Oct. 31, 2023
Complaint Related: No
- Areas Reviewed:
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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 renewal inspection was initiated on October 31, 2023. The inspector was on site from approximately 8:15 am to 11:30 am on October 31, 2023. A total of eight child records were reviewed on site and records for 5 staff were provided for remote review on November 1, 2023.
There were 54 children present, ranging in ages from 3 months to 5 years, with 15 staff supervising. The center's site supervisor was available throughout the inspection to answer questions.
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 indoor areas of the facility including classrooms and bathrooms were inspected. The center is equipped with toys and supplies and items were available to the children. The required postings were reviewed and found to be in compliance.
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: REPEAT VIOLATION
Based on a review eight 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:
1. The record for Child #3 (first date of attendance 8/8/2022) did not include the required physical examination.
2. The record for Child #6 (first date of attendance 8/7/2023) did not include the required physical examination.
3. The record for Child #7 (first date of attendance was 8/28/2023) did not include the required physical examination.
4. During an interview, the site supervisor acknowledged the records did not document a physical examination.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-H Description: Based on interview and documentation review, the center did not have evidence of liability insurance coverage during the inspection.
Evidence:
1. During the inspection, Staff #2 acknowledged not having documentation of liability insurance.
2. The center did not provide insurance information during the inspection or upon request.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: Based on record review and interview, the center failed to ensure that the separate record for each child enrolled contained all of the elements as required by the standards.
Evidence:
1. The records for Child #2 (date of attendance: 5/3/2021) and Child #7 did not document the address of one of the designated people to call in an emergency if a parent cannot be reached.
2. The records for Child #6 and Child #7 failed to include; written agreements between the parent and the center as required by 8VAC20-780-90.
3. The record for Child #8 did not contain a written care plan for diagnosed food allergy.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-G Description: Based on a review of documentation and interview, the center did not ensure to maintain documentation of emergency evacuation drills that included all required information.
Evidence:
The 2023 evacuation drills were reviewed. The drills did not include: the identity of the person conducting the drill, the method used for notification of the drills, number of staff participating, number of children participating, any special conditions simulated, the time it took to complete the drill, and the weather conditions.Plan of Correction: Not available online. Contact Inspector for more information.
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.
