VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Hanover Academy
117 Frances Road
Ashland, VA 23005
(804) 798-8413

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: May 15, 2023

Complaint Related: No

Areas Reviewed:

X 8VAC20-780 Administration. X 8VAC20-780 Staff Qualifications and Training. X 8VAC20-780 Physical Plant. X 8VAC20-780 Staffing and Supervision. X 8VAC20-780 Programs. X 8VAC20-780 Special Care Provisions and Emergencies X 8VAC20-780 Special Services. X 8VAC20-820 THE LICENSE. X 8VAC20-820 THE LICENSING PROCESS. X 8VAC20-820 HEARINGS PROCEDURES. X 8VAC20-770 Background Checks X 22.1 Early Childhood Care and Education X 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was conducted on May 15, 2023 from approximately 9:30am to 12:20pm. The center director was available throughout the inspection to answer questions. There were 38 children present, ranging in ages 2 to 5 years, with 7 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staff qualifications and training, staffing and supervision, programming, special care and emergencies and nutrition, and special services. A total of five child records and four staff records were reviewed. During the inspection, the children were observed working on the letter Z during a guided art activity, free play and circle time. Staff were observed having positive interactions with the children. All classrooms and bathrooms were inspected. The center is equipped with toys and supplies and items were available to the children. 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. 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. If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on review of staff records and interview, the center did not ensure repeat central registry searches, sworn disclosure statements and criminal history checks were completed every five years. Evidence: The record for Staff #1 (date of hire: 10/26/2015) documented a sworn disclosure statement, dated 4/17/18 and criminal history check dated 4/20/18 which are beyond 5 years. The record for Staff #2 (date of hire: 8/30/2017) documented a central registry search, dated 9/23/17 and criminal history check dated 5/2/18 which are beyond 5 years. The record for Staff #4 (date of hire: 10/6/2014) documented a sworn disclosure statement, dated 4/17/18 and criminal history check dated 5/11/18 which are beyond 5 years. During the exit interview with the center director, it was acknowledged that repeat checks had not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	Based on review of staff records, the center failed to ensure that every two years from the date of the initial testing or screening, staff members obtain and submit the results of a tuberculosis test or screening. Evidence: 1. The record for Staff #1 documents a tuberculosis test dated, 10/19/2018. 2. The record for Staff #4 documents a tuberculosis test dated, 1/28/2019.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on review of staff records and interview, the center did not ensure that each staff's record contained all of the required information. Evidence: 1. The record for Staff #3 (date of hire: 4/28/2023) documented one of the two required references as to the character and reputation as well as competency of Staff #3. 2. During an interview, the center director verified that the record did not document the required two references.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on review of staff records and interview, the center did not ensure 16 hours of ongoing training was completed annually. Evidence: 1. The record for Staff #1 failed to document 16 hours of annual training for the 2021-2022 year. 2. During an interview, Staff #1 acknowledged she had not completed the required 16 hours of annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-L
Description:	Based on review of staff records and interview, the center did not ensure that there was always at least one staff member on duty who had obtained within the last three years, instruction in performing the daily health observation of children. Evidence: 1. Three of four staff records reviewed did not document instruction in performing the daily health observation of children within 3 years. 2. During an interview with the center director, she acknowledged that no staff member has obtained instruction in performing the daily health observation of children within the last three years.
Plan of Correction:	Not available online. Contact Inspector for more information.