VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Henrico Education Foundation - Greenwood
10960 Greenwood Road
Glen allen, VA 23059
(804) 547-3504

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: Aug. 27, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

* Staff Orientation Form **Reference check form

Comments:

An announced initial inspection was conducted on August 27, 2019 to determine compliance with licensing standards.The inspection was conducted with the site director and one employee. The space identified for use includes the gym, cafeteria, art room, and library. Staff are scheduled to take Medication Administration Training on 8/28/2019 and daily health observation on 8/30/2019. Not all standards could not be determined as there are no children in care. Policies and procedures were reviewed. A conditional (6 month) license will be recommended. An unannounced follow up inspection will be conducted within 60 days. Time of today's inspection: 1:00 p.m. to 2:30 p.m. If you have questions, please call me at 804-662-9766 or e-mail tara.barton@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review of seven staff files, the facility failed to have all required information in each file. Evidence: Staff 1, Staff 2, Staff 3, Staff 4, Staff 5, Staff 6, and Staff 7 did not have documentation of the name, address and telephone number of a person to be notified in an emergency. Staff 2, Staff 3, Staff 4, Staff 5, and Staff 6 did not have documentation of two references as to character and reputation as well as competency before employment.
Plan of Correction:	Staff will be asked to provide an emergency contact. Two references will be checked for each current employee and before hire for future employees.
Standard #:	22VAC40-185-240-D-5
Description:	Based on review of seven staff files, the facility failed to have documentation of at least one staff member who has obtained daily health observation training. Evidence: there was no documentation that any of the seven staff have daily health observation training.
Plan of Correction:	Daily health observation training is scheduled for 8/30/2019.
Standard #:	22VAC40-185-550-A
Description:	Based on staff interview, the facility failed to have documentation of an emergency preparedness plan that was developed in consultation with local or state authorities. Evidence: the emergency preparedness plan was developed in consultation with the elementary school, but was not reviewed by local or state official.
Plan of Correction:	Center staff will consult with a local or state official to review the emergency preparedness plan.
Standard #:	22VAC40-191-40-C-1-A
Description:	Based on review of four Board member and two agent files, the facility failed to have documentation of a completed search of the central registry (CPS checks) for each Board member. Evidence: there was no documentation of a completed search of the central registry for Board member 4.
Plan of Correction:	The search of the central registry request was submitted to the Office of Background Investigations on August 27, 2019.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of four Board members and two agent files, the facility failed to have documentation of fingerprint results for each Board member. Evidence: there were no fingerprint results for Board member 1, Board member 2, and Board member 4 on file.
Plan of Correction:	Board members submitted to the fingerprint search and are waiting for the results to be sent.
Standard #:	63.2(17)-1721.1-B-3
Description:	Based on review of four Board member and two agent files, the facility failed to conduct a search of the central registry for each Board member in any state in which the individual has resided in the previous five years. Evidence: there was no documentation of an out of state search of the central registry was requested for Agent 1, who has resided in another state in the past five years.
Plan of Correction:	Center staff will send the out of state CPS check for Agent 1.