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Henrico Police Athletic League - Baker
6651 Willson Road
Henrico, VA 23231
(804) 305-1816

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Nov. 7, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
n/a

Comments:
The licensing inspector conducted an announced monitoring inspection at the administrative building on Thursday, November 7, 2019 to review staff records from 9:00am to approximately 4:15pm. A total of eleven staff records were reviewed for this facility.

Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to me within 5 business days from the day of receipt. You should specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

If you have any questions, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on a review of eleven staff records and interview on 11/07/2019, the center did not ensure that seven staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.

Evidence: During the review of staff records the licensing inspector observed the following:

1) The most recent negative TB screenings in the record for Staff #2 are dated 9/27/2017 and 10/30/2019.

2) The most recent negative TB screenings in the record for Staff #3 are dated 9/28/2017 and 10/30/2019.

3) The most recent negative TB screenings in the record for Staff #4 are dated 9/28/2017 and 10/30/2019.

4) The most recent negative TB screenings in the record for Staff #6 are dated 9/28/2017 and 11/05/2019.

5) The most recent negative TB screenings in the record for Staff #7 are dated 9/28/2017 and 10/30/2019.

6) The most recent negative TB screenings in the record for Staff #10 are dated 10/02/2017 and 11/06/2019.

7) During interview, a member of management acknowledged the subsequent TB screenings/tests for Staff #2, Staff #3, Staff #4, Staff #6, Staff #7, and Staff #10 were not completed within the required two year time frame.

Plan of Correction: Per the Center: "1) Henrico PAL Administrative office will provide notification of TB expiration and requirements to staff #2, #3, #4, #6, #7, and #10.

2) Henrico PAL Administrative office will provide TB screen expiration notification to all staff 30 days before expiration and also provide TB screening to all staff members by registered nurse prior to expiration date.

3) Henrico PAL office manager will be responsible for implementing each step and preventative measure. Implementation began on 11/8/19"

Standard #: 22VAC40-185-240-C
Description: Based on a review of eleven staff records on 11/07/2019, the center did not ensure nine staff received the required 16 hours of annual training.

Evidence: During the review of staff records, the licensing inspector observed the following:

1) Staff #2 completed 12 hours of annual training in the last annual training cycle from 2018-2019.

2) Staff #3 completed 12 hours of annual training in the last annual training cycle from 2018-2019.

3) Staff #4 completed 5 hours of annual training in the last annual training cycle from 2018-2019.

4) Staff #5 completed 7 hours of annual training in the last annual training cycle from 2018-2019.

5) Staff #6 completed 3 hours of annual training in the last annual training cycle from 2018-2019.

6) Staff #8 completed 10 hours of annual training in the last annual training cycle from 2018-2019.

7) Staff #9 completed 10 hours of annual training in the last annual training cycle from 2018-2019.

8) Staff #10 completed 10 hours of annual training in the last annual training cycle from 2018-2019.

9) Staff #11 completed 10 hours of annual training in the last annual training cycle from 2018-2019.

Plan of Correction: Per the Center: "1) Henrico PAL administrative office will notify staff members #2, #3, #4, #5, #6, #8, #9, #10 and #11 of incomplete training hours and the requirement of needing 16 hours of training per year from their date of hire.

2) Henrico PAL will create training calendar and preschedule training opportunities for staff members. Henrico PAL will also keep a detailed spreadsheet record of all types of staff trainings, training hours completed for each staff and training hours needed for completion of licensing requirement for each staff.

3) Henrico PAL office manager will be responsible for implementing each step and preventative measure. Implementation began on 11/8/19

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of eleven staff records on 11/07/2019, the center did not obtain a central registry finding for two staff members within 30 days of employment.

Evidence: 1) The record for Staff #1, hired on 11/26/2018, contained the results of a central registry finding dated 01/25/2019. 2) The record for Staff #8, hired on 09/27/2018, contained the results of a central registry finding dated 11/06/2018.

Plan of Correction: Per the Center: "1) Henrico PAL Administrative office have obtained central registry results for staff #1 and #8

2) Henrico PAL Administrative office will keep detailed records in spreadsheets about timeframes for future central registry follow ups before the 4-day grace period is over from 30 days after date of mailing.

3) Henrico PAL office manager will be responsible for implementing each step and preventative
measure. Implementation began on 11/8/19"

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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