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Children's Harbor - Suffolk
1020 Champion's Way
Suffolk, VA 23435
(757) 483-2693

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: June 15, 2015

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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced monitoring inspection was conducted on 6/15/15 from 9:05am - 10:30am. During the inspection there were 69 children ages 4 months to 12 years old in care with 14 staff. A tour of the facility was conducted and children were observed in a variety of activities in the classrooms including arts and crafts, writing, playing with blocks, sensory activities and story time. Records were reviewed for five children and five staff. Medication, emergency procedures, and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were reviewed during the exit interview. lease complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to 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 preventive measure(s).

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on a review of five staff records, it was determined that the facility did not ensure that each staff member submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing. Evidence: 1. The record for staff #5 (date of hire 3/26/15) had documentation of a TB screening dated 2/19/14. 2. Staff #6 (Program Director) confirmed that the TB screening was received for staff #5 had not been completed within 12 months prior to the frist day of employment.

Plan of Correction: Staff #5 has an appointment on 6/24/15 to get an updated TB screening. The reading for the TB screening will take place on 6/26/15. The Program Director will be responsible for reviewing documentation to ensure that standards are met. We will follow agency policy for TB screenings. TB screenings are due within 30 days before initial employment and every two years thereafter.

Standard #: 22VAC40-185-500-B
Description: Based on an observation of the diapering process, it was determined that ithe facility did not ensure that disposable diapers are disposed in storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The Licensing Inspector found a plastic grocery bags that contained a dirty diaper outside the Infant room door that leads to the playground. 2. Staff #7 (Assistant director) confirmed that the diaper from the Infant room was disposed of in the proper way.

Plan of Correction: Staff was verbally trained on 6/15/15 during the licensing visit and retrained on procedures for disposing of diapers on 6/23/15 and signed off on procedures to follow. The Program Director was responsible for implementing the training.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a review of five staff records, it was determined that the facility did not ensure that staff provide a search of central registry and criminal history record check before three years since the last search of central registry and criminal history record check. Evidence: 1. The record for staff #1 (date of hire 3/8/10) contained a completed search of central registry dated 3/23/12, and a completed criminal history record check dated 3/27/12. 2. There was documentation that showed an updated search of central registry and criminal history record check were mailed on 6/12/15 to be completed. 3. Staff #6 (Program Director) checked the record for staff #1 and confirmed that an updated search of central registry and criminal history record check had not been received.

Plan of Correction: Administrative staff submits central registry and criminal history record to the Business Office to be processed and sent off in a timely manner. Administrative staff will check with Business Office 30 days prior to ensure that documentation is being processed to meet requirements. Administrative staff will be responsible for submitting documentation and the Business Office is responsible for processing the 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.

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