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Caterpillar Clubhouse # 1
664 Village Highway
Rustburg, VA 24588
(434) 332-6078

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Jan. 2, 2020

Complaint Related: No

Areas Reviewed:
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 0/1/02/2020 to review supplemental health and safety requirements.
A licensing inspection was also conducted 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.

Violations:
Standard #: 22VAC40-665-540-A
Description: Based on record review, the center failed to ensure that documentation of a tuberculosis (TB) screening or test was 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:
1. The documentation for TB test results for staff #1, #2, and #4 were not completed within 30 days prior to the date of employment. The hire dates for staff were: #1 - 12/23/19; #2 - 9/23/19; #4 - 12/11/19. The dates that the documentation was signed by the physician or designee were: staff #1 - 4/15/19; #2 - 10/17/19; #4 - 2/7/19. These were not completed within 30 days prior to employment.

2. Staff #5 did not have documentation of a TB test or screening prior to contact with children or within 30 days prior to employment. Staff #5 had a hire date of 12/14/19 and did not have a completed TB test or screening. There was no documentation of a TB test or screening in the record for staff #5.

Plan of Correction: The director will have staff #5 complete a TB screening or test. The director will make sure all TB tests or screenings are completed for staff within 30 days prior to employment.

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.

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