Current Inspector:
Inspection Date: Oct. 27, 2022
Complaint Related: No
- Areas Reviewed:
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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)
22.1 Background Checks Code, Carbon Monoxide
- Technical Assistance:
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8VAC20-780-(2) Administration.
8VAC20-780-(3) Staff Qualifications and Training.
8VAC20-780-(4) Physical Plant.
8VAC20-780-(5) Staffing and Supervision.
- Comments:
-
An unannounced monitoring inspection was conducted on-site October 27, 2022. The director was available during the inspection. There were 32 children present, ranging in ages from 18 months to 5 years, with 8 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 4 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:
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Standard #: 8VAC20-770-60-C-2 Description: Based on a review of staff records and interview on October 27, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment.
Evidence: 1. The records of staff #2 (DOH 8/28/22), staff #3 (DOH 5/17/22), and staff #4 (DOH 9/2/22) did not contain documentation of central registry results. 2. Staff #5 confirmed the central registry results were not complete.Plan of Correction: On 10/28/22 I emailed CRS. I will continue to email them till records are complete.
Standard #: 8VAC20-780-550-P Description: Based on a review of records on October 27, 2022, the center failed to ensure that written records of children's serious and minor injuries contained all the required information.
Evidence: An incident report for child #4 did not contain documentation of any future action to prevent recurrence of the injury.Plan of Correction: All injury records will be completed and checked by director.
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.
