VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children's Enrichment ProgramLLC
75 Merrimans Lane
Winchester, VA 22601
(540) 664-9238

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Feb. 7, 2019

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. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

We discussed the requirements for background checks, staff records, and children's age/identity verification. The risk assessments for violations were provided. The outdoor playground equipment has not been in use during the winter season. Alternate outdoor experiences have been provided, weather permitting. We talked about applicable requirements when the fellowship hall is used for active play.

Comments:

Thank you for your assistance during today's unannounced renewal inspection conducted from 10:00 AM to 2:25 PM. Today, there were thirty children, ages three through five years, with five to six staff. I viewed program activities, staffing, supervision, interactions with children, equipment, daily routines, meals, posted information, agency inspection reports, insurance, five records for children, emergency planning, emergency supplies and drill records, asbestos management, eight staff records, staff qualifications, staff training, indoor and outdoor areas. The teachers have implemented a variety of group activities for learning the alphabet letters, counting, music, movement and art/crafts. Hand washing routines were practiced before and after children ate lunch. The children were appropriately supervised during transitions in hallways. Let me know if you need any assistance. 540/430-9259

Violations:

Standard #:	22VAC40-185-40-G
Description:	Based on a review of five records for children, and an interview with administrative staff, the center failed to meet all requirements of verifying the proof of age and identity for one child. Evidence: Child 2 began attending the program on August 25, 2018. A copy of the birth certificate for child 2 had an issuance date of October 9, 2018. The administrative staff did not view proof of identity with an acceptable form of identity at the time of enrollment, or within seven business days, and did not report the lack of a birth record to the appropriate law enforcement agency as required.
Plan of Correction:	During future enrollment of children, if a family does not have a birth certificate for their child,a different form of proof of identity, such as a hospital letter, will be requested and viewed within seven business days of initial attendance. If proof of identity is not submitted, the director will report the lack of verification as required by state law.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of eight records for staff, and an interview with administrative staff, there was required information missing from the staff record of one staff. Evidence: Although there were names of references in the record of staff member 3 who began work on August 22, 2017, the results of reference checks were not located with the information. Administrative staff indicated that the references were not obtained.
Plan of Correction:	The director will obtain and document two reference checks for staff member 3. The director will make sure at least two references are obtained at the time of hire for new staff.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of eight records for staff, and an interview with administrative staff, the center did not request and obtain Virginia central registry finding within thirty days of initial employment for one staff member. Evidence: Staff member 8 began employment on January 4, 2019 and there was not a copy of a request form or finding from a search of the child abuse and neglect registry. An administrative staff person contacted the Office of Background Investigations and they did not have any record of receipt of the request or processing.
Plan of Correction:	The director will have staff member 8 complete a request form and the form will be mailed during the week of February 11, 2019. A copy of the request form will be kept in the staff record. The director will check all forms of mail for receipt of the background check. The director is using a new system for tracking record needs and maintaining record dates for each employee.