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Churchland Center
120 American Legion Road
Chesapeake, VA 23321
(757) 246-9170

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: Dec. 14, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
An unannounced focused monitoring inspection was conducted to review staff records for 7 sites operated by Hampton Roads Community Action Program. The records sample size consisted of 7 staff records for the program operated at Churchland Head Start. Areas of non-compliance are identified on the violation notice. Thank you for your time during today's inspection. Please do not hesitate to contact me if I may be of assistance.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on a review of records and interview, the licensee did not ensure that each staff obtains the results of a follow-up Tuberculosis (TB) screening every 2 years from the date of their original TB screening upon hire. Evidence: 1. Seven staff records were reviewed. 2. The record for staff #1 contained the most recent results of a Tuberculosis screening which were dated 11/16/16 - more than 2 years ago.

Plan of Correction: Staff #7 went to have the screening conducted during the inspection. This was an oversight. Staff will obtain follow up TB screenings at hire and at least every 2 years thereafter.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on a review of 7 staff records and interview, the licensee could not demonstrate that each employee of the program submitted to fingerprinting prior to October 30, 2018. Evidence: 1. Seven staff records were reviewed. 2. The record for Staff #1 did not contain results of the required Finger print based Criminal Record Review. Rather, another national criminal record review dated 12/28/16, not through the designated vendor (Fieldprint), had been obtained in error. 3. Fingerprint / National Criminal Record Checks were required to be conducted through Fieldprint prior to October 30, 2018.

Plan of Correction: The required Fingerprint / National Criminal Record Check will be requested next week and results will be filed in the record upon receipt. Future Fingerprint / National Criminal Record Checks for new employees will be conducted through Fieldprint prior to hiring them.

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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