VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carlisle School
300 Carlisle Road
Axton, VA 24054
(276) 632-7288

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Sept. 21, 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 20 ACCESS TO MINOR?S RECORDS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced monitoring inspection was conducted on 09/21/2022. There were 16 children, ages 3 years-4 years, 3 staff providing direct care and supervision, and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies and nutrition. A total of 5 children?s records, 5 staff records, and 2 medications were reviewed during the inspection. The inspector arrived to the center at 1:00 pm and departed at 3:10 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review and discussion with staff, the center failed to ensure that every employee at a child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The documented hire date for Staff 1 was 08/15/2010. The most recent sworn statement was dated 08/31/2017; there was not a repeat sworn statement obtained by 08/31/2022. 2. The documented hire date for Staff 4 was 08/16/2003. The most recent sworn statement was dated 08/29/2017; there was not a repeat sworn statement obtained by 08/29/2022.
Plan of Correction:	Will become part of the application to ensure it is obtained prior to hire.
Standard #:	22.1-289.035-B-2
Description:	Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 08/15/2022; the date on the employment eligibility letter was 08/18/2022.
Plan of Correction:	Will get prior to hire.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation. Evidence: 1. The documented hire date for Staff 2 was 08/15/2022. The sworn statement was dated 08/17/2022. 2. The documented hire date for Staff 3 was 08/15/2022. The sworn statement was dated 08/16/2022.
Plan of Correction:	Will be updated today and will be done on an annual basis.
Standard #:	8VAC20-780-80-A
Description:	Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written record of daily attendance for each group of children did not document the departure of each child as it occurs.
Plan of Correction:	Will document both arrival and departure as it occurs.