VIRGINIA DEPARTMENT OF SOCIAL SERVICES

West End Center For Youth
1226 Patterson Avenue, S.W.
Roanoke, VA 24016
(540) 342-0902

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Nov. 21, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was completed on 11/21/19. There were 72 children present with six staff supervising. Five children's records and four staff records were reviewed. No medications are administered at the center. Two inspectors arrived at the center at 3:00 pm and departed at 5:45 pm. The children were observed during outside times, during snack, and during homework.

Violations:

Standard #:	22VAC40-185-140-A
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that each child had documentation that a physical examination was completed by or under the direction of a physician prior to enrollment or within 30 days after enrollment. Evidence: 1. There was no physical examination observed in the record for child #5. Child #5 had an enrollment date of March 2019.
Plan of Correction:	The child care director will request the child's school entrance physical from the parent.
Standard #:	22VAC40-185-160-C
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that at least every two years from the date of the last tuberculosis screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening. Evidence: 1. The last documentation of a tuberculosis screening or test for staff #2 was dated 1/11/17.
Plan of Correction:	The program director will request an updated tuberculosis test or screening from staff #2.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, the center failed to ensure that staff did not have a central registry finding within 30 days of employment. Evidence: 1. Staff #6 did not have a completed search of the central registry within 30 days of employment. Staff #6 had a documented hire date of 10/14/19. There was no documentation that the search had been sent.
Plan of Correction:	The central registry check will be sent.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, the center failed to ensure that staff submitted a fingerprint record check as a part of the background check prior to employment. Evidence: 1. The fingerprint criminal record check for staff #6 was dated 11/12/19. Staff #6 had a documented date of employment was 10/14/19. The fingerprint criminal record check was not completed prior to employment.
Plan of Correction:	The program director will submit for fingerprinting before hire.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and interview, the center failed to ensure that staff authorized the child day center to obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against the staff person. Evidence: 1. The driver's license issued March 2015 by the state of Florida was observed in the record of staff #6. 2. Staff #6 was asked if the staff had resided in any states other than Virginia within the last five years. Staff #6 stated that they had resided in Maryland from 2017-2018 and in Florida from 2013-2017. 3. There was no evidence that an out of state request had been made to Maryland or Florida by the center. Staff #6 had a hire date of 10/14/19.
Plan of Correction:	The child care director will request the central registry checks for the appropriate states.