VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tick...Tock...Around the Clock, LLC
60 Battle Road
Hampton, VA 23666
(757) 224-3758

Current Inspector: Tiffany Jones (757) 403-3045

Inspection Date: Nov. 14, 2019

Complaint Related: No

Areas Reviewed:

63.2(17) License & Registration Procedures 22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

A Subsidy Health and Safety Inspection was conducted on November 14, 2019 from approximately 10:00 am ?3:30 pm to review supplemental health and safety requirements. Upon arrival to the facility, there were 63 children present with 12 staff members. Additional staff were on site for administrative and support purposes. The children were observed having snack, washing their hands, singing, resting and practicing emergency preparedness procedures. Six staff records and six children's records were reviewed. A licensing inspection was also conducted on this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Exit interview was conducted with the Owner.

Violations:

Standard #:	22VAC40-665-540-A
Description:	Based on record review, in three of six staff records reviewed, the vendor did not ensure that staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The TB screening for Staff #3 (date of hire 9/9/19) was dated 9/10/19. The TB screening for Staff #4 (date of hire 8/26/19) was dated 2/27/19 and the chest results were dated 9/5/19. There was no documentation of a TB screening in the record for Staff #5 (date of hire 8/26/19).
Plan of Correction:	Staff #5 will obtain the TB screening tomorrow; he had a screening done but his paperwork was misplaced. We will make sure that all other staff have results prior to hire.