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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: July 27, 2017

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)

Technical Assistance:
Technical assistance was provided in the following areas of the standards: 22VAC40-185-(7)-550 (Emergency procedures); 22VAC40-185-(8)-560 (Nutrition); Posting requirements.

Comments:
An unannounced monitoring inspection was conducted on 7/13/17 from 12:20m - 4:00pm. During the inspection there were 80 children ages two years old to twelve years old in care with 18 staff. A tour of the facility was conducted and children were observed playing in the gym and outside, participating in various classroom activities, and eating lunch. Records were reviewed for eight children and twelve staff. Medication, emergency procedures, and emergency supplies were reviewed. Areas of non-compliance are identified on the violation notice, and were discussed during the exit interview.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of eight children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child#8 did not contain documentation of a physical examination. 2. Staff #13 (Program Director) confirmed that the physical had not been received for child #8.

Plan of Correction: The facility responded: The parent of child #8 will be asked to provide a copy of the physical examination.

Standard #: 22VAC40-185-60-A
Description: Based on a review of eight 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 #7 and child #8 did not contain the place of employment and work phone number for either parent. 2. Staff #13 (Program director confirmed that the employment information for child #7 and child #8 was not available for viewing during the inspection.

Plan of Correction: The facility responded: The parents will be asked to provide the missing information.

Standard #: 22VAC40-185-510-C
Description: Based on a review of medications being stored at the facility, it was determined that the facility did not ensure that they follow their procedures for administering prescription medication. Evidence: 1. The medication form for child #2 contained a doctor's signature, but did not contain the the parent's signature that gives the facility written permission to administer medication. 2. The medication form for child #9 contained a doctor's signature, but did not contain the the parent's signature that gives the facility written permission to administer medication. 3. The medication (Epi-Pen) for child #10 had an expiration date of May 2017.

Plan of Correction: The facility responded: The parents of child #2 and child #9 signed the medication authorization form. A new Epi-Pen was received for child #10.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on a review of 12 staff records, it was determined that the facility did not ensure that staff provide before three years since the dates of the most recent criminal history record check report. Evidence: 1. The record for staff #8 contained a completed criminal history record check report dated 6/10/13. 2. There was documentation to show an updated request was submitted, but it had been returned not completed. 3. administrative staff confirmed that staff #8 did not have an updated criminal record check.

Plan of Correction: The facility responded: The updated criminal record check has been submitted for staff #8 and we are waiting to receive it. All staff will complete an updated criminal record check before their current one expires.

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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