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Nansemond Suffolk Academy Enrichment Programs
3373 Pruden Boulevard
Suffolk, VA 23434
(757) 539-8789

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Aug. 8, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance was provided in the following areas of the standards: Background checks; 22VAC40-185-(3)-210 (Program leader qualifications); 22VAC40-185-(4)-330 (Play areas)

Comments:
An unannounced monitoring inspection was conducted on 8/3/18 from 9:15am to 11:15am. During the inspection there were 52 children ages three years old through eleven years old in care with 23 staff. Children were observed participating in various activities in the classrooms, eating lunch, during rest period and returning form a field trip. Records were reviewed for five children and ten staff. Medication, emergency procedures and emergency supplies were reviewed during the inspection. Areas of non-compliance are identified on the violation notice and were discussed during the exit interview.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of ten staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing. Evidence: 1. The record for staff #10 (date of hire (7/2/18) did not contain documentation of a negative TB screening. 2. Staff #11 (Program Director) confirmed that a negative TB screeninghad not been received for staff #10.

Plan of Correction: The facility responded: Staff #10 will be sent to complete a TB screening. All new staff will complete a TB within the first 21 days of employment.

Standard #: 22VAC40-185-70-A
Description: Based on a review of ten staff records, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. The record for staff #2 did not include written documentation that the orientation training had been completed. 2. The record for staff #7 did not include written documentation that the orientation training had been completed. 3. The record for staff #9 did not include written documentation that the orientation training had been completed. 4. The record for staff #11 did not include written documentation that the orientation training had been completed. 5. Staff #11 (Proram Director) stated that she had completed orientation training with each of the staff listed above, but could not provide written documentation of the orientation training during the inspection.

Plan of Correction: The facility responded: Written documentation of orientation training will be placed in each staff's record. All new employees will have their orientation training documentation placed in their record by the end of their first day of employment.

Standard #: 22VAC40-185-330-B
Description: Based on observation, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. The Licensing Inspector observed exposed roots in the fall zone for the blue play structure on the Preschool playground. The resilient surface (mulch), around the blue play structure was approximately three inches. in addition, there are some additional exposed tree roots that are tripping hazards. 2. Staff #11 (Program Director) viewed the resilient surfacing (mulch) in the fall zone for the blue play structure, and confirmed that it was not compliant with the requirements in the standards of six inches of resilient surfacing.

Plan of Correction: The facility responded: A work will be placed with our maintenance department to replenish the mulch. In addition, a plan will be developed to handle the exposed tree roots.

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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