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Henrico Police Athletic League - Baker
6651 Willson Road
Henrico, VA 23231
(804) 305-1816

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: March 17, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
n/a

Comments:
A renewal inspection was initiated on 03/15/2022 and concluded on 03/30/2022. The facility submitted documentation to the inspector on 03/15/2022 and the inspector conducted an unannounced inspection on-site on 03/17/2022 from approximately 2:30pm to 4:45pm. An announced record review inspection was conducted at the center's administrative office on 03/22/2022. On 03/17/2022, there were 84 children present with eight staff directly supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medications, special care and emergencies and nutrition. A total of five child records and eight staff records were reviewed. Five children's medications and Board Officers' background checks were also 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 the date of receipt. 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 standards, 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).

The provider's responses for the 'plan of correction' were not received as of 04/27/2022 and will not appear on this Violation Notice.

Violations:
Standard #: 22.1-289-036-B-4
Description: Based on a review of documentation, the center did not obtain a copy of the results of a criminal history record information check and a sex
offender registry check from any state in which one board officer had resided in the preceding five years within the required time frame.

Evidence: 1) The record for Board Officer #2 indicated the Officer has resided in another state outside of Virginia within the last five years. The results of the out-of-state criminal history record information check were dated 10/07/21. The results of the out-of-state sex offender registry check were dated 10/07/21. The results of the out-of-state background check searches were required to be obtained by December 31, 2020 for existing applicants prior to July 1, 2020. Board Officer #2 was an officer prior to July 1, 2020.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of eight staff records and interview, the center did not ensure that one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The central registry finding in the record for Staff #7, hired on 10/25/21, was dated 12/13/21. 2) During interview, a member of management confirmed the central registry finding for Staff #7 was not received within the required time frame.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-C
Description: Based on a review of eight staff records and interview, the center did not ensure five staff members resubmitted tuberculosis (TB) test/ screening results at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a
licensed physician or the local health department.

Evidence: 1) The TB screening in the record for Staff #2, hired on 10/02/17, expired on 10/30/21. A repeat TB screening was completed on 11/04/21.

2) The TB screening in the record for Staff #3, hired on 10/02/17, expired on 06/01/21. A repeat TB screening was completed on 11/04/21.

3) The TB screening in the record for Staff #4, hired on 09/27/18, expired on 10/30/21. A repeat TB screening was completed on 11/04/21.

4) The TB screening in the record for Staff #5, hired on 10/02/17, expired on 10/30/21. A repeat TB screening was completed on 11/04/21.

5) The TB screening in the record for Staff #8, hired on 10/02/17, expired on 10/30/21. A repeat TB screening was not observed in the staff's record.

6) During interview, a member of management acknowledged the subsequent TB screenings/ tests for Staff #2, Staff #3, Staff #4, Staff #5 and Staff #8 were not completed within the required two year time frame.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on a review of five children's records, the center did not ensure one child's record contained the required information.

Evidence: 1) The two emergency contacts in the record for Child #4, enrolled on 11/09/21, did not contain an address. Each child record
should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A-8
Description: Based on documentation reviewed and interview, the center did not ensure to have a written care plan for two children with a diagnosed
food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of
a suspected or confirmed allergic reaction.

Evidence: 1) Documentation reviewed for Child #7 indicated the child has a diagnosed food allergy, but a written care plan was not observed
at the center.

2) Documentation reviewed for Child #8 indicated the child has a diagnosed food allergy, but a written care plan was not observed at the
center.

3) During interview, a member of management reported the center does not have a written care plan for Child #7 or Child #8.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-245-A
Description: Based on a review of eight staff records, the center did not ensure five staff received the required 16 hours of annual training.

Evidence: 1) The record for Staff #2, hired on 10/02/17, did not contain documentation of annual training in the last annual training cycle
10/2020-09/2021.

2) Staff #3, hired on 10/02/17, completed 9 hours of annual training in the last annual training cycle from 10/2020-09/2021.

3) Staff #4, hired on 09/27/18, completed 2 hours of annual training in the last annual training cycle from 10/2020-09/2021.

4) The record for Staff #5, hired on 10/02/17, did not contain documentation of annual training in the last annual training cycle from
10/2020-09/2021.

5) Staff #8, hired on 10/02/17, completed 9 hours of annual training in the last annual training cycle from 10/2020-09/2021.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-260-A
Description: Based on a review of documentation and interview, the center did not provide an annual fire inspection from the appropriate fire official having jurisdiction.

Evidence: 1) Documentation of the center's annual fire inspection report was requested. A member of management reported they did not have documentation of the most recent annual fire inspection from the appropriate fire official having jurisdiction.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-F
Description: Based on a review of six medications and interviews, the center did not ensure that one medication authorization was available to staff
during the entire time it was effective for one out of five children.

Evidence: 1) A prescribed medication was observed for Child #7, but the medication authorization for this medication was not present at the center.

2) During interview, a member of management reported the authorization for this medication was not present.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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