VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sowing Seeds Academy
2630 New Market Road
Richmond, VA 23231
(804) 795-2336

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: Jan. 27, 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:

The licensing inspector conducted an unannounced Subsidy Health and Safety Inspection (SHSI) on January 27, 2020 from 1:30pm to 5:00pm. The census for today?s inspection consisted of 49 children. During the inspection children were observed napping, reading, braiding hair, and playing with electronic devices. Children?s equipment, learning materials, outdoor and indoor space, restrooms, first aid kit and the nonmedical emergency supplies and injury reports were reviewed. Five children?s records and eight staff records, annual fire and health inspections, liability insurance policy, fire drill, lockdown, and shelter-in-place drill logs, daily attendance, staff training and staff development activities and all required postings were reviewed. The provider stated that transportation is provided and the vehicles and transportation documents were reviewed. Medication is administered and medication, authorization forms, and allergy care plans were reviewed. The owner and director were available for the inspection. The owner was present at the exit interview at which time inspection findings were reviewed and an Acknowledgment of Inspection form was signed and left with the licensee. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; 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. Four violations of the supplemental subsidy health and safety requirements were found. If you have any questions about this inspection, please contact the licensing inspector, Kelly Adriazola, at (804) 662-9760. Please complete the ?plan of correction? and the ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please 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).

Violations:

Standard #:	22VAC40-665-540-A
Description:	Based on record review, the vendor did not ensure that four of eight staff submitted documentation of the tuberculosis screening at the time of employment and that the documentation was completed within the last 30 calendar days of the date of employment. Evidence: 1. The records of Staff #4 (DOH 1/13/19) had a TB dated 11/2/18, Staff #7 (DOH 11/18/19) had a TB dated 10/6/19, and Staff #8 (DOH 11/18/19) had a TB dated 8/9/19, which exceeds 30 calendar days prior to the date of employment. 2. The record of Staff #5 (DOH 9/10/19) had a TB dated 12/25/19, which was not at the date of employment.
Plan of Correction:	Per the administrator: Staff #4, staff #7, staff 8, & 5 The following TB test exceeded 12 months prior to employment and staff #5 exceeded 21 days after employment. The director will wnsure that all staff members will be evaluated by a health profession and that documentation of this will state that they are free of communicable tb. We will ensure that we receive such documentation prior to coming into contact with children and that it has been completed within last 30 calendar days of the date of employment. We will monitor staff records once a month and ensure subsequent TB screenings are updated at least every two years or as required by a physician.
Standard #:	22VAC40-665-580-B
Description:	Based on a record review, the provider did not ensure within the first 90 days of employment or subsidy vendor approval. All caregivers complete Virginia Pre-Service Training for Childcare Staff, sponsored by the Department of Social Services. Evidence: 1. The record of Staff #1 (DOH 7/1/19) contained documentation of Pre-Service Training dated 1/9/20, which exceeded 90 days from the date of vendor agreement. 2. The record of Staff #3 (DOH 10/7/19) did not have documentation of the required Pre-Service training.
Plan of Correction:	Per the administrator: We will ensure that all staff have the Preservice training within the first 90 days. We will set an outlook reminder ensuring we completed it in a timely manner. The co-director will document this once completed.
Standard #:	22VAC40-665-580-E-1
Description:	Based on record review, the provider did not ensure within the first 90 days of employment of service all caregivers complete current certification in CPR and first aid, to include an in-person competency demonstration. Evidence: 1. The records of Staff #1 (DOH 7/1/19), Staff #3 (DOH 10/7/19), and Staff #5 (DOH 9/10/19) did not contain documentation of in-person CPR competency demonstration. 2. Administration stated that none of the center's employees completed the in-person competency portion for CPR certification.
Plan of Correction:	Per the administrator: The center currently does have at least one staff person trained in CPR, and rescue breathing. The Co-director who opens the center has it and an employee who closes at 6 has it. Documentation will be emailed for those employees. Upon acquiring the center, the owner turned in staff 1 record and staff 12 record at the initial inspection and it was reviewed by the inspector. At no point and time was it mentioned nor documented that this was not in compliance with the standards. Therefore, the remaining staff members received the same CPR training. I have contacted another agency so we can complete the proper training and everyone should be in compliance by 03/31/2020.
Standard #:	22VAC40-665-650-E
Description:	Based on an interview with administration and record review, the provider did not ensure a written policy and procedure was developed to ensure each group receives care by consistent staff or team of staff. Evidence: 1. The center does not have a written policy or procedure to ensure that each group of children receives care by consistent staff or team of consistent staff. 2. The administrator acknowledged there had not been a policy and procedure created.
Plan of Correction:	Per the administrator: The director will implement a primary care system where each child will be assigned to a specific teacher who is primarily responsible for that child's care. When children spend a longer day in care than their primary teacher, a second care teacher is assigned to provide the primary relationship. We ensure that teachers practice a team approach. Teachers will work together to lend support to one another and will provide backup base care. Each member of the team will know who has primary responsibility for each child and the team will work together to ensure every child care relate to familiar teachers at all times.
Standard #:	22VAC40-665-770-B-3-f
Description:	Based on an interview with administration and record review, the center did not have a written procedure that addresses reuniting children with a parent or an authorized person designated by the parent to pick up the child after a lockdown. Evidence: 1. The center does not have a written procedure that addresses reuniting children with a parent or an authorized person designated by the parent to pick up the child. 2. The administrator acknowledged a written procedure for reuniting children had not been created.
Plan of Correction:	Per the administrator: The owner will outline steps to be taken to prepare for and respond to emergency situations at the center. Procedures will be followed if evaluation, shelter in place, lockdown, or relocation is necessary and employees will be issued The Emergency Preparedness and response plan and will sign off on once trained. The director and co-director will train all staff by 02/28/20.