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Henrico Police Athletic League - Harvie
3401 Harvie Road
Henrico, VA 23223
(804) 690-1588

Current Inspector: Florence Martus (804) 662-9772

Inspection Date: Nov. 17, 2017 and Nov. 29, 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.
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
An exit meeting was completed by the licensing inspector with the site director to review the findings of the inspections.

Comments:
The licensing inspector conducted an unannounced non-mandated monitoring inspection on Friday, November 17, 2017 from approximately 2:30 pm to 4:38 pm to determine the program's compliance with licensing standards. During this inspection, the center's director was present and assisted the licensing inspector throughout this inspection. Upon the licensing inspector arrival, some of the children were observed arriving to the school by bus transportation and transitioning into the facility accompanied by staff. The census for today's inspection consisted of 68 children. The children were observed by the licensing inspector in the various settings at the facility. The inspector was informed by the staff that the children will be participating in Fun Friday activities. During this inspection, the licensing inspector completed observations of the children completing a variety of activities to include completing bathroom breaks, playing duck duck goose with peers and staff in the music room, lining up to go to the cafeteria for their snack or dinner choice available at the program. The children's snack today consisted of animal crackers and fruit punch and the dinner consisted of turkey/ham sandwiches, cheese, apples, veggie dippers and milk. The inspector also completed observations of the children at the program transitioning outdoors to the playground area and during parent pick up. The inspector interacted with the children and staff when appropriate. The following information was reviewed: attendance logs, snack/dinner menu, emergency supplies, allergy list, fire, and shelter-in-place drills. During this inspection, the classrooms, the bathrooms, cafeteria, and transportation were inspected today. During this inspection, the required postings were reviewed and determined to be in compliance. Medication is being administered, medications, and written authorizations were reviewed for the center's compliance. There were five children?s records reviewed for compliance of licensing standards. The program is required to have all staff emergency contact information at the facility due to staff records being maintained at the home office. There are multiple staff with current First Aid and CPR, MAT, and Daily Health Observation training on site. Some of the licensing standards but not all licensing standards were inspected. The violations from the previous inspection were checked for corrections, there were no repeat violations during today's inspection.

On November 29, 2017, the licensing inspector completed a review of twelve staff records at the program's home office to determine compliance of licensing standards. The program is strongly recommended to ensure compliance of all licensing standards at all times. If you have any questions about this inspection, please contact your licensing inspector, Tiffany Harris, at (804) 662-9772.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on review of staff records, the program did not ensure each staff submitted documentation for tuberculosis within 21 days after employing. Evidence: 1. In Staff#1's record date of hire 09/05/13 (program licensed 09/29/17), there was no documentation of tuberculosis screening found. 2. In Staff#7's record date of hire 08/31/16 (program licensed 09/29/17), there was no documentation of a tuberculosis screening found. The tuberculosis screen shall be submitted no later than 21 days after employment or volunteering.

Plan of Correction: Both employee #1 and #7 have been notified that they cannot return to work until they have submitted documentation for TB. Staff member #7 is currently out on maternity leave and is not scheduled to return until 2/1/2018. These individuals missed the TB screening provided by HPAL HARVIE. HPAL provided screening for all employees to prepare for state licensing. Going forward, each new hire will receive the form when they complete their new hire paperwork. Due date will be clearly marked and notice will be given that this must be done by that date to continue employment. Office Manager and Site Manager are responsible for implementing and monitoring.

Standard #: 22VAC40-185-60-A
Description: Based on review of children's records, the center did not ensure each child's record contained all of the required information.

Evidence:
1. In child#2's record, the second emergency contact address was missing.
2. In child#3's record, the two emergency contacts identified addresses were missing.
The name, address, number of two designated persons to call in case of an emergency if a parent cannot be reached is the required information.

Plan of Correction: Children's records will be reviewed by Director to ensure the records contain all of the required information.

Standard #: 22VAC40-185-70-A
Description: Based on review of documentation, the program did not maintain the required emergency information on site for the staff.

Evidence: During this inspection, there was no documentation containing the staff emergency contacts information available on site.
Name, address and telephone number of a person to be notified in an emergency shall be kept at the center.

Plan of Correction: The site director will print staff information by 11/20/17 and ensure it is maintained on site.

Standard #: 22VAC40-185-340-F
Description: Based on observations at the facility, the center did not ensure children under 10 years of age are always within actual sight and sound supervision of staff.

Evidence: During this inspection, the licensing inspector observed a child in care wandering in the facility hallway without sight and sound supervision of staff. The child was escorted by the site director and inspector to the cafeteria area where the staff and other children were sitting. It was determined that staff was unaware of the child's exact whereabouts at this time.

Plan of Correction: Director will discuss with administrator about staffing to address corrective action. The program will ensure children receives age appropriate within actual sight and sound supervision of staff.

Standard #: 22VAC40-191-60-B
Description: Based on review of staff records, the progam did not ensure a sworn statement document was completed by staff as required.

Evidence: In staff#1's record, date of hire 09/05/13 (program licensed 09/29/17), there was no completed documentation for a sworn statement or affirmation. The sworn statement is required on the first day of employment.

Plan of Correction: Employee #1 has been notified that they cannot return to work until they have submitted a sworn statement.
Going forward , each new hire will receive the form in their new hire packet and must complete prior to or on their first day. Officer Manager and Site Managers are responsible for implementing and monitoring.

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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