VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Henrico Education Foundation - Shady Grove
12200 Wyndham Lake Drive
Glen allen, VA 23059
(804) 547-3505 (5)

Current Inspector: Sharon Curlee (804) 840-8312

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 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An announced initial inspection was conducted on August 27, 2019 to determine the facilities compliance with licensing standards. The inspection was initiated at 3:30 pm and concluded at 5:00 pm. The program's Director of Operations and the site director participated in the inspection. The facility plans to provide care to children ages four years, eleven months through twelve years eleven months and has requested a capacity of two hundred children. The facility will operate in the Shady Grove Elementary school with care being provided in the cafeteria, Gym, library and art room. Children will have access to the playground equipment at the rear of the school. Transportation will not be provided. The facility is equipped with age appropriate equipment and supplies. An afternoon meal will be provided to the children by the public school. Medications will not be administered. Standards related to supervision and program could not be determined as the facility is not yet fully operational. There were no children enrolled at the time of the inspection. The records of two staff members were reviewed. The first aid kit and non-medical emergency supplies. The first aid kit and supplies were found complete. A conditional (6 month) license will be recommended. An unannounced follow-up inspection will be conducted within 60 days to determine compliance with standards not determined at the initial inspection. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review of two staff records, the facility did not obtain all required documentation for each staff record. Evidence: 1. The record of staff #1 and staff #2, did not contain documentation of two references as to character and reputation that were check before employment. 2. The record of staff #1 and staff #2, did not contain the name, address and phone number of a person to be notified in an emergency which shall be kept at the center.
Plan of Correction:	Per the administrator: Staff #1 corrected the emergency contact during the inspection. All staff will complete the emergency contact information during our training session and references will be added to the records.
Standard #:	22VAC40-185-240-D-5
Description:	Based on interview and review of two staff records, the facility did not obtain documentation of at least one staff member who has obtained within the last three years instruction in performing the daily health observation training. Evidence: 1. There was no documentation of daily health observation training for staff #1 or staff #2. 2. The administrator stated staff did not have daily health training .
Plan of Correction:	Per the administrator: Daily health observation training has been scheduled for August 30, 2019 for all staff.
Standard #:	22VAC40-185-550-A
Description:	Based on interview and review of the emergency preparedness plan, the facility did not develop the plan in consultation with local or state authorities. Evidence: 1. The emergency preparedness plan had not been developed with local or state officials. 2. The administrator stated the emergency preparedness plan had been developed with the elementary school.
Plan of Correction:	Per the administrator: We will have a local or state official review the emergency preparedness plan.
Standard #:	22VAC40-191-40-C-1-A
Description:	Based on review of Board Officer records, the facility did not obtain a search of the central registry for one board officer upon application for licensure or registration as a child welfare agency. Evidence: The record of Board Officer #4 did not contain a completed central registry finding.
Plan of Correction:	Per the administrator: 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 Officers and two agent records, the facility did not obtain a fingerprint based national background check within the required time frame. Evidence: The records for Board Officer #1, Board Officer #2 and Board Officer #4 did not contain documentation of completed fingerprint background checks.
Plan of Correction:	Per the administrator: Board Officers have 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 Officers and two agent records, the facility did not obtain, for each Board Officer, a search of the central registry maintained by any other state in which the individual had resided in the preceding five years. Evidence: The record of agent #1, identified as to have resided in another state within the past five years, did not have documentation that a central registry had been requested from that state.
Plan of Correction:	Per the administrator: Agent #1 is no longer applicable and will be removed from the position of agent.