VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Genesis Learning Center @ Bensley Commons
2700 Bensley Commons Boulevard
North chesterfield, VA 23237
(804) 271-4724

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Feb. 2, 2023

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.

Comments:

An unannounced inspection was initiated on 2/2/2023 in response to a self-report that was received by the licensing department on 2/1/2023 regarding allegations of inadequate supervision. The inspection was initiated on 2/2/2023 and completed on 2/9/2023. On 2/2/2023, the inspector was on site from approximately 9:30 am to 12:30 pm. Interviews with staff were completed, observations were made in the center, and documentation was reviewed. Additional interviews were conducted remotely. The preponderance of the evidence gathered during the investigation supports part of the allegation; therefore, the self-report is determined to be valid. See the violation notice for more details. If you have any questions about this inspection, please contact the licensing inspector at (540) 430-0384. 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 #:	8VAC20-780-40-E
Description:	Based on review of documentation and interview, the center did not ensure that their activities and services were maintained in compliance with the center's own policies and procedures that are required by the standards. Evidence: 1. Administration identified the center?s required policies and procedures for identifying where children are at all times as a procedure called Name to Face Recognition. In the employee handbook, the center?s written procedure states, ?Each time the class enters or exits through any door in the building, a name to face check must be completed on the check in/check out sheet before entrance or exit? Staff must call the student?s name verbally and see their face to mark them present." In interview, staff #3 (date of employment: 3/9/2022) and staff #4 (date of employment: 7/11/2022) stated that they were trained in these procedures but did not perform the required Name to Face Recognition while entering the building from the playground which resulted in child #1 being left outside unsupervised. The staff stated they did not perform the name to face procedures immediately upon entering the classroom. 2. Administration acknowledged that the staff did not follow the center?s own supervision policies and procedures.
Plan of Correction:	Center managers will use the Procedure Review 2023 to retrain all staff on the name to face check in/out procedure. Each staff will complete the procedure with students and center manager present. Documentation will be placed in the Required Documents Binder located in the front office.
Standard #:	8VAC20-780-340-A
Description:	Based on review of documentation, video footage, and interview, the center did not ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: 1. On 2/1/2023, the center notified the Department of Education that child #1 (age 3) was left unsupervised on the playground. In a video recording, two (2) teachers are observed bringing 15 children inside. Child #1 is then observed sitting on the playground alone in front of the slide chute. Video surveillance indicates that child #1 was outside from approximately 12:14 pm-12:30 pm. Child #1 can be heard crying in the video footage. 2. Staff did not perform the name to face procedures immediately upon entering the classroom and were unaware that Child #1 was missing. 3. Administration acknowledged that the child was left unsupervised for approximately 16 minutes. In interview, staff and administration confirmed that child #1 was crying and visibly upset when he was located and brought inside.
Plan of Correction:	Center Managers will, (1) Retrain all staff on the name to face check in/out procedure (2)Set up signs that designate check in/out stations at the playground entrance/exit, tables near the classrooms and on the backs of teacher clipboards. (3)Complete an additional name to face integrity check (per class) at random and document in the Required Documents Binder.
Standard #:	8VAC20-780-340-F
Description:	Based on review of documentation, video footage, and interview, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Child #1 (age 3) was not within sight and supervision of staff for approximately 16 minutes on 2/01/2023 when the child was left unsupervised outside on the playground. 2. Administration acknowledged that the child was left unsupervised for approximately 16 minutes.
Plan of Correction:	Center managers will place "STOP, CHECK IN/OUT" signage at the following designated areas of the building,(1)Playground Table near Playground Door(2)Tables outside of each classroom (3)Backs of every classroom clipboard. Each staff will stop at the designated areas OR create an area (with the clipboard stop sign) to complete the proper name to face.