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Henrico Education Foundation - Ratcliffe
2901 Thalen Street
Richmond, VA 23223
(804) 263-2825

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: May 24, 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.

Comments:
An unannounced monitoring inspection was conducted on May 24, 2022 and concluded remotely on June 1, 2022. The director was available during the inspection. There were 51 children present, ranging in ages from 8 years to 12 years, with 9 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 5 child records and 5 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-B
Description: Based on a review of record and interview, the center did not ensure to obtain a Sworn Statement from each staff prior to employment.
Evidence: The record of staff #3 (hired 2/24/22) contained a sworn disclosure statement dated 2/28/22. Administration acknowledged the sworn statement was late.

Plan of Correction: Already corrected

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of staff records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: 1. The record of staff #1 (hired 10/7/21) contained documentation of central registry results dated 11/30/21. 2. The record of staff #2 (hired 10/8/21) contained documentation of central registry results dated 3/28/22. 3. The record of staff #4 (hired 11/29/21) contained documentation of central registry results dated 4/26/22. 4. Administration acknowledged the central registry checks were late.

Plan of Correction: Center has set systems for proper follow-up with CPS for results not sent back in a timely manner.

Standard #: 8VAC20-780-70
Description: Based on a review of staff records and interview, the center did not ensure that each staff record contains all the required documentation.
Evidence: The record of staff #4 (hired 11/29/21) did not contain documentation of program leader qualifications. Administration acknowledged there was no documentation of program leader qualifications in the staff's file.

Plan of Correction: Proper documentation will be obtained.

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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