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CDI HS Serving Frederick & Clarke Counties, VA Clarke Center
34 Westwood Road
Berryville, VA 22611
(540) 869-1558

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Oct. 9, 2018 and Oct. 11, 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 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for background checks. The risk assessments for violations were provided. Also, we reviewed requirements for staff training, tuberculosis statements, outdoor maintenance, and written policies and procedures.

Comments:
Thank you for your assistance during the initial inspection conducted from 10:30 AM to 2:30 PM at the main office on October 9, and on October 11, 2018 from 9:50 PM to 10:44 AM at the school site and from 12:28 PM to 5:10 PM at the main office. I viewed indoor and outdoor areas, emergency supplies, emergency planning, agency inspection reports, three staff records, staff qualifications, staff training, background checks for business entity representatives, and policies and procedures. Issuance of a conditional six month license will be issued upon receipt of all required background checks for business entity representatives. Let me know if you need any assistance of have any questions. 540/430-9259

Violations:
Standard #: 63.2-1720.1-B-2
Description: Based on a review of background checks for three business entity representatives, and interviews with administrative staff, the organization staff and agents did not ensure that any individual required to undergo a background check in accordance with the Code of Virginia submitted to fingerprinting for the criminal history records and obtain the results by September 30, 2018, including business entity representatives who held offices of the corporation as of January 22, 2018. Evidence: The licensing staff communicated with administrative staff in advance of the October 9, 2018 about the required fingerprint results that needed to be viewed for business entity representatives during the initial licensing inspections and for approval of each license. An e-mail notice to administrative staff and phone conversations occurred on Friday, October 5, 2018. During the record review on October 9, 2018, the licensing inspector requested to view the fingerprint findings completed with the Office of Background investigations for BE1, BE2 and BE3. The only record available was an eligibility finding dated on October 9, 2018 for BE1. The licensing inspector was told that the Fieldprint fingerprint appointments were attended by BE2 on October 5, 2018 and on October 9, 2018 by BE3. During the continued record review on October 11, 2018, the licensing inspector was present when an administrative staff called the Office of Background Investigations and was told the background check for BE2 and BE3 were in process. The results were received for BE 2 and BE 3 and passed on to the licensing inspector on October 12, 2018.

Plan of Correction: Administrative staff began arranging fieldprint appointments for all three business entity representatives on October 5, 2018. Administrative staff contacted the Office of Background Investigations on October 11 and 12, 2018 to inquire about the processing of the background checks for BE 2 and BE3 which were received on October 12, 2018 for the requirements of the initial license. An administrator will assign a staff person in each licensed program to attend to all communication in licensing. Also, an administrator will assign a staff person in each licensed program to ask the state licensor if there are any new regulations during unannounced inspections. An administrator will ensure that the administrative assistant/HR understands and tracks background checks for all staff and anyone connected with the state child care license on the application (Child Development Institute Head Start board officers) and all staff.

Standard #: 63.2-1720.1-B-3
Description: Based on a review of background check results for three business entity representatives, and interviews with administrative staff, a copy of the results of the searches of any child abuse and neglect registry or equivalent registry maintained by any other state in which the three individuals have resided in during the preceding five years were not obtained as required by September 30, 2017 to determine if there were any founded complaints of child abuse or neglect against them. Evidence: During the record review on October 9, 2018, the inspector requested to see the out-of-state child abuse registry findings for BE1, BE2 and BE3. An administrative staff person contacted staff at another licensed Virginia program to obtain the information from their files. Administrative staff told the licensing inspector that staff at the other program did not find the documentation in the files and that the child abuse registry requests had not been completed as required between July 1, 2017 and September 30, 2017. Administrative staff and the business entity representatives disclosed that BE1 has been living in one other state, BE2 has lived in two other states, and BE has been living in one other state during the previous five years.

Plan of Correction: Administrative staff immediately began to follow the procedures for the Adam Walsh state contacts and request the child abuse registry findings and notified the three business entity representatives for assistance with this process. The results were obtained by e-mail from all four states by October 11, 2018. An administrator will assign a staff person in each licensed program to attend to all communication in licensing. Also, an administrator will assign a staff person in each licensed program to ask the state licensor if there are any new regulations during unannounced inspections. An administrator will ensure that the administrative assistant/HR understands and tracks background checks for all staff and anyone connected with the state child care license on the application (Child Development Institute Head Start board officers) and all staff.

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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