VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Barrow Center
790 Irisburg Road
Axton, VA 24054
(276) 806-2797

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: June 7, 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. 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 renewal inspection was conducted on 06/07/2023. There were 14 children, ages 2 1/2 years-12 years, and 6 staff member present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. The children were observed in free choice activities, during lunch and during rest time. A total of 5 children?s records, 5 staff records, 5 applicant/agent records and 5 medications were reviewed. The inspector arrived for the inspection at 10:15 am and departed at 2:15 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. This inspection was amended upon the receipt of additional information on 06/15/2023.

Violations:

Standard #:	22.1-289.035-B-2
Description:	REPEAT VIOLATION Based on document review and staff interviews, 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: 1. The record for Staff 4 contained a documented hire date of 05/18/2023. The employment eligibility letter for Staff 4 was dated 05/26/2023. 2. The record for Staff 5 contained a documented hire date of 04/17/2023. The employment eligibility letter for Staff 5 was dated 04/18/2023.
Plan of Correction:	Will not hire before the fingerprints come back.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for Child 1 did not contain an immunization record. Child 1 was observed in care during the inspection. 2. The record for Child 4 contained a documented start date of 04/10/2023. The date on the immunization record for Child 4 was 05/16/2023; the immunization record was not obtained before the child attended the center.
Plan of Correction:	Will get the information from parents.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff 1 contained a documented hire date of 05/29/2023. There was not documentation of a negative tuberculosis screening in the record for Staff 1. Staff 1 was observed working during the inspection. 2. The record for Staff 4 contained a documented hire date of 05/18/2023. There was not documentation of a negative tuberculosis screening in the record for Staff 4. Staff 4 was observed working during the inspection.
Plan of Correction:	Will remind the staff.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: written care plan for a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction; and the first date of attendance. 2. The record for Child 3 did not contain the following information: documentation of viewing proof of the child?s identity and age. 3. The record for Child 4 did not contain the following information: the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 4. The record for Child 5 did not contain the following information: the phone number of the child?s physician.
Plan of Correction:	Will contact the parents to request the information.
Standard #:	8VAC20-780-70
Description:	REPEAT VIOLATION Based on record review, the center failed to ensure that each staff record contains all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 2. The record for Staff 2 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 3. The record for Staff 3 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 4. The record for Staff 4 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 5. The record for Staff 5 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.
Plan of Correction:	Will review and revise the documentation for programmatic experience and training.
Standard #:	8VAC20-780-510-G
Description:	Based on medication review, the center failed to ensure that medication shall be labeled with the child?s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Medication 5 did not have a label that indicated the dosage amount and the time or times that the medication should be given.
Plan of Correction:	Will request the parent to get a prescription label.