Faces of the Future Academy, Inc
1350 Anderson Highway
Powhatan, VA 23139
Current Inspector: Jennifer Moore (540) 430-0384
Inspection Date: April 13, 2021
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
20 Access to minor?s records
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 monitoring inspection was initiated on 04/12/2021 and concluded on 05/03/2021. A self-reported incident was received by the department regarding a serious injury. The director was contacted by telephone to conduct the investigation. The inspector emailed the director a list of documentation required to complete the investigation.
The evidence gathered during the investigation supported the self report of non-compliance with standards or law and violations were issued. Any violations not related to the self-report but identified during the course of the investigation can be found on the violation notice.
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. Just writing the word ?corrected? is not acceptable. 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.
Standard #: 22VAC40-185-50-A Description: Based on interview, the center did not ensure that children's records were treated confidentially.
1. In an interview, administration reported that the record of child #1 (DOE: 04/12/2021) with all of its contents was handed over to the emergency medical technicians.
2. Administration were unable to determine who took possession of the record when they contacted the hospital.
3. The whereabouts of the record remain unknown.
Plan of Correction: As addressed above the file would normally not have left the facility however due to the time constraints and the arrival of the ambulance and director almost simultaneously the file was taken with the child to the hospital to ensure what information was needed was available. All files are now handled electronically to prevent this situation from occurring again..
Standard #: 22VAC40-185-60-A Description: Based on interview, the center did not ensure that a complete record was maintained at the center for each enrolled child.
1. The licensing inspector requested the record of child #1. (DOE: 04/12/2021) Administration reported that the record was not at the center.
2. The director stated that she was not sure if the record was complete because it was the child's first day and she had not done a complete check of the information provided by the parent.
3. The record was given to emergency personnel and cannot be located.
Plan of Correction: The director was not on site upon the child?s drop off and as such had no way to verify that the parent had brought in the requested documentation. The director who was out recovering from surgery was called into the facility due to the incident and arrived within 15 minutes. Upon arrival the director grabbed the child?s file to review for allergies, medical conditions, hospital preference etc. In a normal situation the file would have been kept at the facility but due to the ambulance showing up almost immediately the director who rode with the child also took the file. During the ride the EMT took the file and the director was advised by the hospital staff the file was given to the parents.
Standard #: 22VAC40-185-340-A Description: Based on review of documentation, video surveillance review, and interviews, the center failed to ensure the care and protection of the children they were supervising.
1. On 04/12/2021, a child in the infant room sustained serious burns while in the care of the center. Staff #1 (DOH: 07/26/2017) heated up a cup of water in the microwave to warm a bottle. Staff #2 (DOH: 06/27/2020) removed the cup from the microwave, placed the bottle in the cup and put the cup on a high chair. Child #1 (DOE: 04/12/2021) reached for the cup on the highchair and was burned when the hot water spilled from the cup. Staff #2 picked up the child who was crying, and removed the clothing. Staff #2 then called her mother, who was not a staff member, for guidance on how to handle the situation. She applied gauze to the areas that were "peeling and red". The owner, who was on site during the injury, called the director who was off site and requested that the director return to the facility to assist. The director called 911. The emergency medical technicians arrived and took the child to the hospital to receive medical care for the burns.
Plan of Correction: On 4/12/2021 an incident occurred in which two staff members present in the infant room did not follow basic procedure and protocols resulting in the injury of a child. Both staff members were trained in CPR/First Aid and did not follow those procedures. When the owner arrived into the room one of the staff members was already on the phone and advised she had called 911. The owner then called the director for additional support at the facility. Upon hearing of the situation, the director placed what she believed to be an additional call to 911. It was not until much later that the owner and director were made aware of the staff member calling her mother and not 911. Due to this and the multiple violations of company policy both staff members were terminated immediately upon the arrival of the director from the hospital. The method for heating up bottles was re-evaluated and bottle warmers were purchased and the microwave removed. Following this incident staff was retrained on how to handle emergency situations. Additional monthly training on emergency situations has also been scheduled to ensure this type of incident never occurs again.
Standard #: 22VAC40-185-550-M Description: Based on review of documentation, video surveillance, and interviews, the center did not maintain a written record of children's serious injuries in which entries are made the day of occurrence. The injury report did not include all of the required information.
1. On 04/12/2021, a serious injury occurred at the center. An injury report was created on 04/13/2021.
2. The injury report did not contain the type and circumstance of injury. The report states that "circumstances are unknown aside from what the video shows and what the employees at the facility told to authorities and 911."
3. The injury report did not include staff present and treatment provided. Staff interviews and video surveillance confirm that first aid was administered at the center but it was not included on the injury report.
4. Administration stated that they believed that a staff member had completed the injury report.
Plan of Correction: A written record was told to have been created by one of the former staff members, the staff member informed the director she had completed it. Upon arrival back to the center it was unable to be located and has not been found. The director attempted to have the former staff member come in to document the details of the incident however the former staff member was uncooperative and refused. A report was created by the owner and the director the following day advising that video surveillance was available and should be used to determine the events of the day as neither party was present in the room at the time of the incident.
Standard #: 22VAC40-185-570-G Description: Based on interviews, the center did not ensure that formula was not heated or warmed directly in the microwave.
1. Staff were interviewed regarding the bottle preparation procedures at the center. Two staff that regularly worked in the infant room stated that pre-made formula bottles were removed from the refrigerator and heated directly in the microwave.
2. Administration informed the licensing inspector that bottle warmers were purchased during the investigation.
Plan of Correction: The staff were trained on the proper procedure to heat up a bottle. The staff decided to take it upon themselves to divert from their training and use alternate methods of heating up bottles. This was not done when the director or the owner were around and was something not brought to the attention of either party until the incident. Due to this the microwave was removed and now the only method of heating up bottles are the warmers in the room. The staff were retrained on the infant room procedures.
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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