VIRGINIA DEPARTMENT OF SOCIAL SERVICES

ACAC Crozet Park
1075 Claudius Crozet Park
Crozet, VA 22932
(434) 817-2063

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Feb. 1, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 Physical plant. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 8VAC20-790 SUBSIDY REGULATIONS. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (22VAC40-191) 20 Access to minor?s records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

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 2/1/22 and concluded on 2/7/22. The director was contacted by telephone and a virtual inspection was conducted. There were 33 children present, ranging in ages from 5 years to 10 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. A total of 3 child records and 3 staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center failed to ensure three out of three staff obtained fingerprint background checks prior to employment. 1. Staff 1's date of hire was documented as 8/3/21. Staff 2's date of hire was documented as 9/10/21. Staff 3's date of hire was documented as 9/3/21. There was no documentation of fingerprint background check results in the three staff records. 2. The director stated the center did not have staff complete fingerprint background checks.
Plan of Correction:	A. As of 2/15/2022, Staff 1 has an appointment to have their fingerprints taken and background check run on Monday, February 21, 2022. B. As of 2/15/2022, Staff 2 has an appointment to have their fingerprints taken and background check run on Monday, February 18, 2022. C. As of 2/15/2022, acac has received the email confirmation from OBI-Criminal Background Unit, reporting that Staff 3 is ELIBIBLE pursuant to 22.1-289.035. The document was provided to licensing on 2/16/2022. D. Licensing requirements for this specific licensing standard have been reviewed with the Program Director. Notes from meeting were provided to licensing.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview, the center failed to ensure one out of three staff records reviewed contained a sworn statement or affirmation prior employment. Evidence: 1. Staff 3's record documents the hire date as 9/3/21. There is no sworn statement in the record. 2. The director verified a sworn statement was not completed for staff 3.
Plan of Correction:	A. Staff 3 is currently out on medical leave, due to surgery. Upon return to work, and prior to working with or around the children Staff 3 will complete a Sworn Statement. B. Licensing requirements for this specific licensing standard have been reviewed with the Program Director. Notes from meeting were provided to licensing.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review and interview, the center failed to ensure central registry background check findings were obtained within 30 days of employment for three out of three staff records reviewed. Evidence: 1. Staff 1's date of hire was documented as 8/3/21. Staff 2's date of hire was documented as 9/10/21. Staff 3's date of hire was documented as 9/3/21. There was no documentation of central registry in the three staff records. 2. The director stated the center did not complete central registry background checks for the three staff.
Plan of Correction:	A. Staff 1 completed the Central Registry form. It was notarized and mailed on 2/14/2022. Documents were provided. B. Staff 2 completed the Central Registry form. It was notarized and mailed on 2/14/2022. Documents were provided. C. Staff 3 is currently on medical leave, due to surgery. Upon return to work a Central Registry form will be completed, notarized and mailed. D. Licensing requirements for this specific licensing standard have been reviewed with the Program Director. Notes from meeting were provided to licensing.
Standard #:	8VAC20-780-160-A-1
Description:	Based on record review and interview, the center failed to ensure three out of three staff provided documentation of tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 1's date of hire was documented as 8/3/21. Staff 2's date of hire was documented as 9/10/21. Staff 3's date of hire was documented as 9/3/21. There was no documentation of TB screenings in the three staff records. 2. The director stated the three staff did not provide documentation of TB screenings.
Plan of Correction:	A. Tuberculosis screening has been scheduled for 2/18/22 at 12:30 pm. The screening will take place at the Crozet Park location. B. Written documentation of the screening and the results will be placed into the employee's licensing files. C. Licensing requirements for this specific licensing standard have been reviewed with the Program Director. Notes from meeting were provided to licensing.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center failed to ensure three out of three staff provided all required items for staff records prior to the first day employment. Evidence: 1. Staff 1's date of hire was documented as 8/3/21. Staff 2's date of hire was documented as 9/10/21. Staff 3's date of hire was documented as 9/3/21. Each staff record contained one reference dated 12/1/21 and one reference dated 2/4/22. At least two references are required before employment. 4. The director verified references were not completed before employment for the three staff.
Plan of Correction:	Licensing requirements for this specific licensing standard have been reviewed with the Program Director. Notes from meeting were provided to licensing.