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: April 5, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770)

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 April 5, 2022 and concluded on April 5, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 30 children present, ranging in ages from 2 years to 11 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 3 child records and 3 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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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 #:	8VAC20-770-60-C-2
Description:	Based on a review of staff records and interview on April 5, 2022, 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 (hired 11/22/21) contained documentation of a central registry finding dated 1/4/22. Administration acknowledged the finding was late.
Plan of Correction:	Director will create a form for documenting all follow-up calls to cps. The hiring process has been revised to accommodate.
Standard #:	8VAC20-780-160-A-1
Description:	Based on a review of staff records and interview on April 5, 2022, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2 (hired 1/5/22) did not contain documentation of a tuberculosis screening. Administration confirmed it was not complete.
Plan of Correction:	Director will use the same changes to the hiring process listed above to maintain correct TB status. Director will create a system (checklist) for inspection follow-up 2-part check system moving forward.
Standard #:	8VAC20-780-160-A-2
Description:	Based on a review of staff records on April 5, 2022, the center did not ensure each staff member completed tuberculosis screening within the last 30 calendar days prior to beginning employment. Evidence: The record of staff #1 (hired 11/22/21) contained documentation of a tuberculosis screening dated 6/4/21.
Plan of Correction:	Director will use the same changes to the hiring process listed above to maintain correct TB status. Director will create a system (checklist) for inspection follow-up 2-part check system moving forward.
Standard #:	8VAC20-780-70
Description:	Based on a review of staff records and interview on April 5, 2022, the center did not ensure that two or more references were checked before employment. Evidence: The record of staff #1 (hired 11/22/21) did not contain documentation of two references. Administration reported the references were blank and not complete.
Plan of Correction:	Process has been added for admin team to follow up on hire. Admin will check references and complete form of process to director.
Standard #:	8VAC20-780-260-A
Description:	Based on a review of records and interview on April 5, 2022, the center did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The record of the annual fire inspection is dated 3/9/21. Administration could not locate the most recent fire inspection.
Plan of Correction:	Director will create a system (checklist) for inspection follow-up 2-part check system moving forward.
Standard #:	8VAC20-780-350-F
Description:	Based on an interview with administration on April 5, 2022, the center did not ensure to develop a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or a team of staff. Evidence: Administration reported the center did not develop a written policy and procedure for care by consistent staff.
Plan of Correction:	Director will create policy