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Holistic Life Schools
3620 South Plaza Trail
Virginia beach, VA 23452
(757) 219-2722

Current Inspector: Kimberly Sampson (757) 354-7307

Inspection Date: June 8, 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)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Technical assistance was provided in the following areas of the standards: Background checks, play areas, children's records, Program leader qualifications, nutrition, and carbon monoxide detectors.

Comments:
An unannounced renewal inspection was conducted on 6/8/22 from 10:10am - 12:30pm. During the
inspection there were 30 children ages three years old through seven years old in care with five staff. Children were observed participating in various activities in the classrooms, eating lunch, during rest period, and playing outside. Records were reviewed for five children and five staff during the inspection. There is no medication at the facility. Emergency procedures and emergency supplies were reviewed during the inspection. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program, and were discussed during the exit interview.

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 45 days of employment from any other state in which the employee has resided in the preceding five years.

Evidence:
1. The record for staff #5 (date of hire 2/3/22) did not contain documentation of a completed search of the central registry finding from Maryland. The sworn statement indicated staff #5 had previously lived in Maryland within the last 5 years.
2. Staff #4 review the record for the staff #5 and confirmed that there was not a search of the central registry finding from the state (Maryland) in which staff #5 previously resided in available for viewing during the inspection.

Plan of Correction: The facility responded: Administration will check all personnel files before a new hire starts.

Standard #: 22VAC40-185-330-B
Description: Based on observation, it was determined that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

Evidence:
1. The resilient surface (rubber mulch), around the play structure was approximately three inches in depth
2. Staff #4 viewed the resilient surfacing (rubber mulch) in the fall zone for the play structure, and confirmed that it was not compliant with the requirements in the standards of six inches of resilient surfacing.

Plan of Correction: The facility responded: Our budget for replacing mulch allows for us to have the mulch delivered twice a year (July and December). We will adjust those dates to ensure the surface is always at 6?.

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of five staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

Evidence:
1. The record for staff #1 (date of hire 12/13/21) did not contain documentation of a completed search of the central registry finding.
2. Staff #4 reviewed the record for the staff #1, and confirmed that there was not a search of the central registry finding available for viewing during the inspeciton.

Plan of Correction: The facility responded: Administration will check all personnel files before a new hire starts.

Standard #: 8VAC20-780-160-A-2
Description: Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days.

Evidence:
1. The record for staff #5(date of hire 2/3/22) contained documentation of a negative tuberculosis screening that was dated 9/4/21.
2. Staff #4 reviewed the record for staff #5, and confirmed that the documentation of a negative tuberculosis screening had been completed more than 30 days prior to hire.

Plan of Correction: The facility responded: We have added the requirement to our staff journal that the TB must be within 30 days.

Standard #: 8VAC20-780-60-A
Description: Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.

Evidence
1. The record for child #4 did not contain the name, address and phone number for the second emergency contact.
2. Staff #4 confirmed that the record for child #3 did not contain all of the required information.

Plan of Correction: The facility responded: The application has been changed online to make the second emergency contact a required field. Administration will check all applications for an accurate second contact.

Standard #: 8VAC20-780-240-A
Description: Based on a review of five staff records, it was determined that the licensee did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

Evidence:
1. The record for staff #5 (date of hire 2/3/22) did not contain documentation to demonstrate that staff #5 had completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
2. Staff #4 confirmed that that was no documentation to demonstrate that staff #5 had completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

Plan of Correction: The facility responded: We have a training guideline set for all new hires to complete. Within this training guideline, the new hires will have the preservice training completed before the 60th day of employment.

Standard #: 8VAC20-780-530-A
Description: Based on a review of five staff records and interviews, it was determined that the facility did not ensure that there shall be at least one staff in each classroom or area where children are present that has a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care.

Evidence:
1. The Licensing Inspector observed staff #3 working alone in the School Age classrooms The record for staff #3 did not contain documentation to demonstrate that the staff had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care
2. Staff #4 confirmed that none of the staff did not had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care.

Plan of Correction: The facility responded: We are developing a process to audit the personnel and student files monthly.

Standard #: 8VAC20-780-550-G
Description: Based on a review of the emergency drill log and interview, it was determined that the licensee did not ensure that the center shall maintain a record of the dates of the practice drills for one year.

Evidence:
1. The emergency drill log did not have documentation to indicate an emergency evacuation drill was completed for the month of May 2022.
2. Staff #4 stated that an emergency evacuation drill had been completed during the month of May 2022, but that it had not been documented on the emergency drill log.

Plan of Correction: The facility responded: Administrative staff will ensure the emergency drill is logged on the date the drill takes place.

Standard #: 8VAC20-820-120-E-2
Description: Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises.

Evidence:
1. The results from the most recent inspection (12/16/21) was not posted anywhere in the facility.
2. Staff #4 confirmed that the findings from the most recent inspection were not posted.

Plan of Correction: The facility responded: We will make sure the most recent inspection is posted going forward.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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