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Chase City Head Start Center
504 North Main Street
Chase city, VA 23924
(434) 575-7916

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Sept. 9, 2020 and Sept. 10, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
n/a

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A renewal inspection was initiated on September 9, 2020 and concluded on September 10, 2020. The director was contacted by telephone to initiate the inspection. There were 3 children present and 2 staff. The Inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 2 staff records submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.

This inspection was amended on November 5, 2020.

If you have any questions regarding this inspection please contact the licensing inspector, Kelly Adriazola at (804) 662-9760.

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 today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must 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 preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of records and interview on September 10, 2020, the center did not ensure that each child's record contained the required information.
Evidence: 1. The records of Child #1 and Child #2 contained documentation of viewing of proof of identity of child's identity and age that was not signed or dated by an agency representative.
2. Administration acknowledged that staff did not completely fill in the proof of identity and that staff were previously trained on doing so.
3. The record of Child #1 did not contain documentation of two designated people to call in an emergency if a parent cannot be reached. The record contained one emergency contact person and listed a parent as a second emergency contact person.
4. The record of Child #2 did not contain a complete address for two designated people to call in an emergency if a parent cannot be reached. There was no house number listed for one emergency contact listed.

Plan of Correction: A meeting was held with family advocates to add this information to the forms. (Although this information is on another form in the application)

Standard #: 22VAC40-191-40-D-1-A
Description: Based on a review of records and email acknowledgment on November 5, 2020, the center did not ensure to obtain a Sworn Statement and a central registry check from each Officer of the Board before the end of the 30 days after the change of officer.
Evidence: 1. The record of Officer #1 (office date 2/4/16) did not contain a central registry result or sworn statement.
2. The record of Officer #2 (office date 7/28/15) did not contain a central registry result or sworn statement .
3. The record of Officer #3 (office date 2/5/18) did not contain a central registry result.
4. Administration acknowledged in an email the documents were missing.

Plan of Correction: In response to Standard 22VAC40-191-(BC)-40-D-1-A, Tri-County Community Action was in violation for not ensuring to obtain a sworn statement and a central registry check from each Officer of the board before the end of the 30 days after the change of the officer. With the direction of our new HR Director and the Executive Assistant, the agency will review each Officer's documentation and update any needed documents to meet the licensing requirements by February 28, 2021. This will include background checks, sworn disclosures, letters of recommendation and a central registry check.

Standard #: 63.2(17)-1720.1-A
Description: Based on a review of records and interview on September 10, 2020, the center failed to obtain central registry search results every five years for all employees.
Evidence: 1. The record of Staff #2 (DOH 4/13/15) did not contain documentation of a repeat central registry check. The last central registry check in Staff #2's file is dated 4/2/15. Staff #2 has been employed for more than 5 years.
2. Administration stated there was nothing she could have done to fix this as the center's HR employee was no longer working for the center as of July 2020.

Plan of Correction: Due to a death in our office this was not found. It was located today. This form was put in her file.

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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