VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Randolph College Nursery School
2500 Rivermont Avenue
Lynchburg, VA 24503
(434) 947-8787

Current Inspector: Susan Mallory (276) 608-4267

Inspection Date: Aug. 30, 2021 and Sept. 1, 2021

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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program. A monitoring inspection was initiated on 08/30/2021 and concluded on 09/01/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 27 children present, ranging in ages from three to five years. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of two children's records and two staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on staff record review, the center failed to ensure that all required information was documented in each record. Evidence: 1. The record for staff #2 was missing documentation of the results of two or more references obtained prior to hire. This staff record was also missing the address for the emergency contact for the staff person. The emergency contact name and phone number was documented; however, the Standards require a name, address, and phone number for a person to contact in the case of an emergency.
Plan of Correction:	According to the director, the references were documented by the college's HR department and she would get a copy of them for the staff person's file. The director will have the staff person document the address of the emergency contact.
Standard #:	22VAC40-185-240-D-4
Description:	Based on interview with the director, the center failed to ensure that a child for whom emergency medications (such as but not limited to albuterol, glucagon, and epipen) have been prescribed was always in the care of a staff member who was trained in medication administrating (MAT). Evidence: 1. There was a child, three years old, who was present at the center on the date of the inspection with an albuterol inhaler prescribed for use as needed. The inhaler was at the center with appropriate parent and physician authorization. There was no staff person present with current MAT training; the MAT certifications are required to be renewed every three years. The MAT trained staff person's certification who was present at the center expired June 2021.
Plan of Correction:	The director will consider the medication administration policies of the center and have staff re-certify for MAT.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, the center failed to ensure that staff had a fingerprint completed prior to hire. Evidence: 1. Staff #1 had a documented hire date of 7/20/2021. The date of the completed fingerprint record was 7/26/2021. 2. Staff #2 had a documented hire date of 8/13/2021. The date of the completed fingerprint record was 8/18/2021.
Plan of Correction:	The director will ensure staff have a completed fingerprint record and any other required background check parts prior to hire as required by the Code of Virginia.