VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Barrow Center
790 Irisburg Road
Axton, VA 24054
(276) 806-2797

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: May 15, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING 8VAC20-780 PHYSICAL PLANT 8VAC20-780 STAFFING AND SUPERVISION 8VAC20-780 PROGRAMS 8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES 8VAC20-780 SPECIAL SERVICES 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE

Comments:

An unannounced monitoring inspection was conducted on 05/15/2024. There were 12 children, ages 8 months-6 years, and 6 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies, and nutrition. The children were observed in free choice activities and during rest time. A total of 5 children?s records, 5 staff records, and 5 medications were reviewed. The inspector arrived for the inspection at 11:15 am and departed at 2:40 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation. Evidence: The record for Staff 3 contained a documented hire date of 05/03/2024; there was not a sworn statement in the record.
Plan of Correction:	Will get a sworn statement completed.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 2 contained a documented hire date of 04/07/2024; there were no findings from the search of the central registry in the record.
Plan of Correction:	The request has been made.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 1 contained a documented hire date of 02/20/2024; the tuberculosis screening was dated 03/05/2024.
Plan of Correction:	Will get the screening at the time of hire.
Standard #:	8VAC20-780-70
Description:	3rd REPEAT VIOLATION Based on record review, the center failed to ensure that each staff record contains all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (the signature of the person making the call, a requirement for when a reference is taken over the phone, were not included). 2. The record for Staff 2 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one completed reference check available for review; and the date of the call and the signature of the person making the call, requirements for when a reference is taken over the phone, were not included). 3. The record for Staff 3 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one completed reference check available for review; and the name of the person contacted, the date of the call and the signature of the person making the call, requirements for when a reference is taken over the phone, were not included).
Plan of Correction:	Will go through all staff records and get any missing information into the records.
Standard #:	8VAC20-780-290-A-3
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were four uncovered electrical outlets in the multipurpose classroom. The youngest child in the room was determined to be 2 years old.
Plan of Correction:	Will cover the outlets today.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: There were 2 plastic slides observed on the hardtop play area. There was no resilient surfacing under or around the slides. The staff confirmed that the slides were used on the hardtop by the children.
Plan of Correction:	Will measure the slides. If they are short enough they will be moved inside, if not they will be removed.
Standard #:	8VAC20-780-340-D
Description:	REPEAT VIOLATION Based on observations and record review, the center failed to ensure that in each grouping of children at least one member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: Staff 4 was the only staff member supervising the infant class during the 05/15/2024 inspection. Staff 4 does not meet the qualifications of a program leader or program director.
Plan of Correction:	Will get the staff qualified as a program leader.
Standard #:	8VAC20-780-550-E
Description:	Based on document review, the center failed to ensure that shelter-in-place procedures shall be practiced a minimum of twice per year. Evidence: There were no shelter-in-place procedures practiced in 2023.
Plan of Correction:	Will do two shelter in place drills.
Standard #:	8VAC20-780-550-F
Description:	Based on document review, the center failed to ensure that lockdown procedures shall be practiced at least annually. Evidence: There were no lockdown procedures practiced in 2023.
Plan of Correction:	Will do 1 drill in 2024.