VIRGINIA DEPARTMENT OF SOCIAL SERVICES

LeafSpring School at The Boulders
7411 & 7421 Boulder Springs Drive
North chesterfield, VA 23225
(804) 272-0641

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: March 4, 2020

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:

The licensing inspector conducted an unannounced renewal inspection on Wednesday, March 4, 2020 to determine the center?s compliance with licensing standards. The inspector initiated the inspection at 10:00am and concluded at approximately 12:40pm. A member of management was present and assisted the inspector throughout the inspection. The census for today?s inspection consisted of 117 children. The children and staff were engaged in a variety of activities when the licensing inspector arrived. The inspector observed and inspected each classroom and completed formal observations throughout. All areas where the children receive care, inside and outside, were inspected. The center is equipped with toys and supplies and items are available to the children. The required postings were observed and found to be in compliance. The center?s first aid kit and non-medical emergency supplies were inspected and found complete. The following information was also reviewed: injury reports, daily sheets, daily attendance, infant feeding schedules, practiced emergency drill logs, parent agreements, staff training information and liability insurance. Medication is administered and four medications and authorizations were reviewed. During the inspection, ten children?s records and ten staff records were reviewed. Health Inspection: 09/06/2019 Fire Inspection: 10/24/2019 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 date of receipt. 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 standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s). If you have any questions about this inspection, please contact the licensing inspector, Florence Martus, at (804) 662-9772.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on a review of ten staff records on 03/04/2020, the center did not ensure that one staff shall submit documentation of a negative tuberculosis screening within the required time frame. Evidence: 1) The tuberculosis screening in the record for Staff #9, hired on 09/23/2019, was dated 10/24/2019. An earlier tuberculosis screening form for Staff #9 was also viewed, but it was dated 05/30/2018. Documentation of the screening shall be submitted no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering.
Plan of Correction:	Per the Center: "Upon new ownership all staff were given the appropriate onboarding paperwork. A clerical error resulted in the dating of this tuberculosis screening being outside of the documentation window. All staff onsite have been properly screened for tuberculosis and we have monthly and annual audits in place to maintain compliance. Site administration is responsible compliance audits and ensuring all new staff are properly onboarded."
Standard #:	22VAC40-185-60-A
Description:	Based on a review of ten children's records and interview on 03/04/2020, the center did not ensure one child's record contained the required information. Evidence: 1) The record for Child #8, enrolled on 01/06/2020, did not contain documentation of viewing proof of the child's identity and age. 2) During interview, a member of management reported the proof of the child's identity and age was viewed, but it was not documented.
Plan of Correction:	Per the Center: "Administration has contacted the family and shared that this child will not be allowed to return without the proper documentation on file. Documentation requirements have been reviewed with the administrative team onsite. Site administration is responsible for ongoing compliance."