VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Atlantic Coast Athletic Clubs of Virginia, Inc.- Preschool
200 Four Seasons Drive
Charlottesville, VA 22901
(434) 978-7529

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 12, 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. 22VAC40-191 Background Checks (22VAC40-191) 20 Access to minor?s records 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

New requirements became effective on October 13, 2021. The facility has not yet [fully] complied with the following requirement(s): The center shall develop written procedures for abusive head trauma.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and interviews. A monitoring inspection was initiated on 11/12/2021 and concluded on 11/16/2021. The director/provider was contacted by telephone and a virtual inspection was conducted. There were 70 children present, ranging in ages from 2 to 5, with 13 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 4 child records and 4 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 #:	22VAC40-185-160-C
Description:	Based on record review, the center failed to ensure one out of four staff updated a tuberculosis (TB) screening at least every two years from the date of the previous screening. Evidence: The documentation of the TB screening for staff 3 is dated 8/13/2019.
Plan of Correction:	Staff 3 will be required to provide documentation of an updated TB screening. A system will be put in place to ensure TB screenings are updated every two years as required.
Standard #:	22VAC40-185-70-A
Description:	Based on record review and interview, the center failed to ensure new staff hired prior to 10/13/21 submitted all required documentation for the records. Evidence: 1. Per record documentation, staff 1 was hired 8/9/21. The TB results in the record are dated 9/10/21. 2. Prior to 10/13/2021, documentation of a negative tuberculosis (TB) screening was required no later than 21 days after employment.
Plan of Correction:	The timeframe requirements for TB screening for new staff will be followed in the future.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, the center failed to obtain a sworn statement or affirmation prior to employment for one out of four employee records reviewed. Evidence: The record for staff 2 documents the start date as 7/6/21. The sworn statement is dated 7/19/21.
Plan of Correction:	The director will discuss this issue with human resources to put an plan in place to ensure fingerprint background checks are completed prior to hire in the future.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint background check results prior to hire for two out of four staff records reviewed. Evidence: 1. The start date for staff 1 is documented as 8/9/21. The fingerprint results are dated 8/18/21. 2. The start date for staff 2 is documented as 7/6/21. The fingerprint results are dated 7/21/21
Plan of Correction:	The director will discuss this issue with human resources to put an plan in place to ensure fingerprint background checks are completed prior to hire in the future.