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Hanover Academy
117 Frances Road
Ashland, VA 23005
(804) 798-8413

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: April 29, 2024

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.
8VAC20-770 Background Checks

Comments:
A renewal inspection was conducted on April, 29, 2024 from approximately 12:18 pm to 2:55 pm. 26 children were present, ranging in ages from 2 years to 5 years with 5 staff supervising. A total of 3 children?s records and 3 staff records were reviewed.

The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, special care and emergencies, special services, and background checks.

During the inspection, children were observed napping and later participating in teacher-directed and self-directed activities. Staff were observed having positive interactions with the children. 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 within 5 business days. Please specify how the deficient practice will be or has been corrected.

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 the licensing specialist.

Cindy Horne
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone# 804-297-4469
cindy.horne@doe.virginia.gov

Violations:
Standard #: 8VAC20-780-40-J
Description: Based on an interview with a Center Representative (CR #1), the center failed to update their injury prevention procedures at least annually based on documentation of injuries and a review of activities and services.

Evidence: In an interview on 4/29/24, CR #1 was unaware if any injury prevention procedures had been developed. CR #1 acknowledged as a result, that they have not been updating the procedures annually.

Plan of Correction: Update the Injury Prevention Procedures and review annual in regards to the accidents that occur.

Standard #: 8VAC20-780-60-A
Description: Based on the review of 1 child?s record (Child #1), and an interview with a center representative (CR #1), the agency failed to maintain information in the child?s record as required.

Evidence: The immunizations received for Child #1 were dated 9/15/23. The first day of attendance for Child #1 was 9/05/23. In an exit interview on 4/29/24, CR #1 acknowledged that they did not obtain documentation of the child?s immunizations before the child began attending the center.

Plan of Correction: CR will place the information needed for the parents to have the immunization records turned into the school on or before their child's start date. CR will also be sure to verbally remind the new families that they will need to have them turned in by their child's start date.

Standard #: 8VAC20-780-70
Description: (Repeat Violation) Based on the review of two staff records (Staff #1 and Staff #3), and an interview with a center representative (CR #1), the agency failed to keep staff records as required.

Evidence:
Staff #1 -- The tuberculosis screening for Staff #1 was dated 7/7/23. Documentation of the tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment. Staff #1 began employment on 11/27/23.
Staff #3 ? Staff #3 began employment on 4/28/23. Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was documentation in the record that Staff #3 completed 6 hours of training between 4/28/23 and 4/29/24. In an exit interview on 4/29/24, CR #1 acknowledged that Staff #3 did not complete 16 hours of training as required.

Plan of Correction: Staff #1 Correction plan-Once the current Tuberculosis screening expiration date nears CR will request that the staff member obtain an updated TB screening.

Staff #3 Correction Plan-Make sure to maintain the adequate trainings for every staff member within the preschool program.

Standard #: 8VAC20-780-380-A
Description: Based on observations and an interview with a Center Representative (CR #1), the center failed to post a daily schedule for the children.

Evidence: There was no daily schedule observed posted at the center. In an exit interview on 4/29/24, CR #1 acknowledged that they were not posting daily schedules as required.

Plan of Correction: Will make the daily schedules to be posted in the classrooms.

Standard #: 8VAC20-780-550-E
Description: Based on the review of emergency procedure drills, and an interview with a center representative (CR #1), the agency failed to practice shelter in place drills a minimum of twice per year.

Evidence: The most recent shelter in place drill was documented on 4/12/23. In an exit interview on 4/29/24, CR #1 acknowledged that they had not completed shelter in place drills twice a year as required.

Plan of Correction: CR will maintain the Shelter in Place drill twice a year.

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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