VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Learning Experience
4683 Pouncey Tract Road
Glen allen, VA 23059
(804) 360-4226

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Dec. 17, 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:

n/a

Comments:

An unannounced monitoring inspection was conducted on Tuesday, December 17, 2019 to determine the center's compliance with licensing standards. The inspector arrived at 11:05am and concluded the inspection at approximately 2:30pm. The center's director and business manager were present and assisted the inspector throughout the inspection. The census for today's inspection consisted of 89 children in the direct care of 19 staff members. Additional staff were on site and available to the children in care. Upon arrival, the children were engaged in a variety of activities. Each classroom was inspected and formal observations were completed. The center is equipped with age and stage appropriate materials and equipment for the children's use. Staff were engaged with the children and were observed offering guidance when needed. All areas where the children receive care were inspected and found to be in compliance. The center had the following posted: license, daily schedules, emergency numbers, evacuation maps, menu, and various parent information. The center's first aid kit and non-emergency supplies were inspected and found complete. During the inspection, eight children's records and eight staff records were reviewed. Medication is administered and one medication was reviewed today. One bus used for transportation was also inspected. The most recent evacuation drill was documented on 11/27/2019. Two shelter-in-place drills were documented on 04/24/2019 and 06/12/2019. Fire Inspection: 09/12/2019 Health Inspection: 05/01/2019 If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on a review of eight children's records on 12/17/2019, the center did not ensure four children's records contained the required information. Evidence: 1) The record for Child #1, enrolled on 10/23/2018, did not contain an address for the second emergency contact listed. 2) The record for Child #4, enrolled on 09/10/2019, did not contain the addresses for the two emergency contacts listed. 3) The record for Child #6, enrolled on 11/01/2019, did not contain an address for the second emergency contact listed. 4) The record for Child #7, enrolled on 11/05/2019, did not contain an address for the second emergency contact listed. The record for each child enrolled shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Per the Center: "Based on the time of year, will have emergency contact information completed by Jan 3, 2020, since families may be out for the holidays. In the future we will make sure both phone numbers and addresses are complete during orientation (prior to child's start date)."
Standard #:	22VAC40-185-240-C
Description:	Based on a review of records and interview on 12/17/2019, the center did not ensure four staff annually attended 16 hours of staff development activities that shall be related to child safety and development and the function of the center. Evidence: 1) The staff development file for Staff #5 (DOH: 04/12/2016) indicated Staff #5 completed a total of 4 hours of annual training. 2) The staff development file for Staff #6 (DOH: 08/07/2009) indicated Staff #6 completed a total of 2 hours of annual training. 3) The staff development file for Staff #7 (DOH: 12/28/2012) indicated Staff #7 completed a total of 9 hours of annual training. 4) The staff development file for Staff #8 (DOH: 10/18/2018) indicated Staff #8 completed a total of 6.5 hours of annual training.
Plan of Correction:	Per the Center: "Missing training hours will be completed within 2 weeks, by 1/3/2020. In the future all staff will be given a deadline on their first day as to when training hours are due. Current staff will be handed reminders as to when hours are due. A reminder will be written in calendar/email reminder so it is not overlooked."
Standard #:	22VAC40-191-60-B
Description:	Based on a review of eight staff records and interview on 12/17/2019, the center did not ensure that one staff had a completed sworn statement or affirmation prior to hire. Evidence: 1) The record for Staff #4, hired on 10/09/2019, did not contain a completed sworn statement. 2) During interview, a member of management reported Staff #4 did not complete a sworn statement prior to hire. An employee or volunteer of a licensed or registered child welfare agency or of a family day home approved by a family day system must not be employed or provide volunteer service until the agency or home has the person's completed sworn statement or affirmation.
Plan of Correction:	Per the Center: "Sworn disclosure will be signed tomorrow 12/18/19 unless [staff] calls out of work. If he is not present, sworn disclosure will be signed no later than Friday 12/20/19. In the future will have this signed on first day of interview."
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review eight staff records on 12/17/2019, the center did not ensure that one staff member had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #4, hired on 10/09/2019, did not contain the results of a central registry finding. The record did not contain documentation of any further contact, and the staff has been continuously employed.
Plan of Correction:	Per the Center: "Contacted CPS operations about central registry. Received email stating we would be contacted within 3 business days. Will follow up Friday 12/20/19. In the future, will put email and calendar reminder prior to 30 days to check in with CPS."