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Norfolk Academy Before and After School Programs
1585 Wesleyan Drive
Norfolk, VA 23502
(757) 461-2223 (5716)

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Dec. 7, 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.
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)

Comments:
An unannounced monitoring inspection was conducted on 12/7/15 from 3:25pm - 5:05pm. When the licensing Inspector arrived, there were 63 school age children in care with eight staff. A tour of the facility was conducted and children were observed doing homework, playing games, and eating snack. Records were reviewed for five children and four staff. Medication was reviewed along with the emergency preparedness plan and emergency supplies. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview. Please 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 #: 22VAC40-185-60-A
Description: Based on a review of five children's records, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence: 1. The record for child #1, present during the inspection, did not include all the required health information, including documentation of a physical examination and the immunization record. 2.The record for child #2, present during the inspection, did not include all the required health information, including documentation of a physical examination and the immunization record. 3.The record for child #3, present during the inspection, did not include all the required health information, including documentation of a physical examination and the immunization record. 4. The record for child #4, present during the inspection, did not include all the required health information, including documentation of a physical examination and the immunization record. 5. The record for child #5, present during the inspection, did not include all the required health information, including documentation of a physical examination and the immunization record. 6. Staff #1 (Program Director) stated that the physical examinations and immunization records for all children in the program are maintained electronically on a computer in the nurses office, but was unable to access them during the inspcetion.

Plan of Correction: A request was made to the nurse to give the Program Director access to the electronic records during the program's operating hours. The request was approved and the Program Director will have direct access electronically to the physical examination record and the immunization record for each enrolled child.

Standard #: 22VAC40-185-260-A
Description: Based on a review of records, it was determined that the facility did not ensure that an annual fire inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. The most recent fire inspection that was available for viewing during the inspection was dated 11/20/15. 2. Staff #1(Program Director) was unsure if the annual inspection for the current year had been completed.

Plan of Correction: A request was made to the Norfolk fire Department to schedule a fire inspection. The Program director will notify the Licensing Inspector once the fire inspection is completed.

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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