VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ivey Child Development Center
17120 Jefferson Davis Highway
S. chesterfield, VA 23834
(804) 526-6544

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Sept. 21, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

The requirements in 22.1-289.058 apply to all licensed programs. Any building built before 2015 used to operate a child care program must be equipped with at least one carbon monoxide detector by September 1, 2021. For a licensed program with multiple buildings on the premises, at least one carbon monoxide detector is required in each building that is used for operating child care.

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 September 21, 2021 and concluded on September 22, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 16 children present, ranging in ages from 2 years to 10 years, with 4 staff supervising. 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 2 child records, 1 medication record and 2 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. 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 #:	22VAC40-185-150-B
Description:	Based on a review of records, the center did not ensure that immunizations received be signed by a physician, his designee, or an official of the local health department. Evidence: The record of Child #2 contained documentation of immunizations that were not signed by a physician, his designee, or an official of the local health department.
Plan of Correction:	Assign site supervisor w/date monthly to do a second check on the child files.
Standard #:	22VAC40-185-160-A
Description:	Based on a review of records and interview, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within 21 days of employment. Evidence: 1. The record of Staff #2 (DOH 8/24/21) did not contain documentation of a tuberculosis screening. 2. Administration acknowledged the documentation had not been received.
Plan of Correction:	Utilize new staff file checklist to help w/correct dates on folders and forms
Standard #:	22VAC40-185-70-A
Description:	Based on a review of records, the center did not ensure that each staff record contains all required documentation. Evidence: 1. The record of Staff #1 contains two telephone references that are not dated.
Plan of Correction:	New reference form will be used w/date box.
Standard #:	22VAC40-185-510-A
Description:	Based on a review of medications and interview, the center failed to have written parental authorization for the center to administer each medication. Evidence: 1. Child #3 did not have documentation of written parental consent for the center to administer one emergency medication. 2. Administration acknowledged the consent form was not signed by the parent.
Plan of Correction:	Staff were informed not to accept meds w/out forms and only via office. Auth forms were placed at greater desk for admin.
Standard #:	22VAC40-185-550-D
Description:	Based on a review of records, the center did not ensure to implement a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: There was no documentation of a fire drill being practiced in April 2021.
Plan of Correction:	Supervisor was reminded to document drills on form directly not via post it or other forms.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of Staff #1 (DOH 4/20/21) did not contain documentation of a central registry finding.
Plan of Correction:	Admin will adjust file check form to ensure files are checked w/2 check system.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The center did not have an inspection report posted. 2. Administration stated she had the inspection in her office. 3. The most recent inspection occurred on March 23, 2021.
Plan of Correction:	Post inspection as soon as received.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of staff records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: The record of Staff #2 (DOH 8/24/21) contained documentation of fingerprints dated 8/26/21.
Plan of Correction:	Admin will use new staff file checklist to correct dates.