VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Inspire, LLC
4753 Spotswood Trail
Penn laird, VA 22846
(540) 298-3150

Current Inspector: Barbara Workman (540) 430-9257

Inspection Date: Nov. 16, 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

Comments:

A non-mandated monitoring inspection was completed on November 16, 2022 from 10:20 A.M.-1:15 P.M. There were seven children present, ranging in ages from three to five years of age, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed in small group activities, preparing for a Thanksgiving program and lunch, and gross motor play indoors. A total of five child records and seven 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. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of staff records, the center failed to ensure that fingerprints were on file prior to the first day of employment. Evidence: 1. Staff #1's date of employment was 09/26/2022. The fingerprints on file were dated 09/30/2022. 2. Administration verified the date of employment and the date on the fingerprints.
Plan of Correction:	The staff fingerprints were done in August of 2022, but the results were never sent to us until 9/30/2022. We had to contact the office of background checks and the police department to have them sent and were not given an explanation as to why we never received the results in the time frame needed. The staff member did pass background check and it is on file at the center. This specific employee was coming to us from another public center where she had a background check done previously. Moving forward, we will not have any staff member work until the background check is in hand.
Standard #:	8VAC20-780-260-B
Description:	Based on a review of the health inspection, the center failed to ensure that an annual health inspection was completed. Evidence: 1. The health inspection currently on file was dated 10/12/2021. A new inspection was required by 10/12/2022. 2. Administration verified that they did not realize the inspection had expired, and a new inspection had not been requested.
Plan of Correction:	A new inspection has been requested with Rockingham County Department of Health and a copy will be sent to the licensing agent when completed.
Standard #:	8VAC20-780-510-F
Description:	Based on review of medication, the center failed to ensure that medication authorization shall be available to staff during the entire time it is effective. Evidence: 1. Child #3 had a prescription emergency medication, an Epi-Pen, at the center. There was no medication authorization form available to the staff. The medication had not been administered. 2. Administration verified that there was not a medication authorization on file. Administration thought the allergy plan served as the authorization.
Plan of Correction:	The child?s physician had signed an allergy plan that their office uses that included the Epi-Pen dosage for the child. However, the correct medication authorization form has now been sent to the parent to be completed by the child?s physician. Additionally, copies of the correct medication authorization form have been made to be kept on hand at Inspire for any new students enrolling.
Standard #:	8VAC20-780-550-P
Description:	Based on review of injury reports, the center failed to ensure that all information was recorded on the injury report. Evidence: 1. On five injury reports reviewed, dated between 10/05/2022 and 10/24/2022, the time the parents were notified was not completed on the reports or stated "at pick-up". 2. Administration verified that the reports were missing the time the parents were notified.
Plan of Correction:	A review of how to properly fill out an accident report was done with staff members. It was explained that ?pickup? is not an adequate description of time. Staff were instructed that exact time of notification needs to be written on every form.