VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children's Harbor - Chesapeake
2400 Strawberry Lane
Chesapeake, VA 23324
(757) 543-4221

Current Inspector: Arlene Agustin (804) 629-7519

Inspection Date: Sept. 20, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Technical Assistance given and licensing standards were reviewed regarding physical plant and children's records.

Comments:

An unannounced monitoring inspection was conducted on September 20, 2023, from 9:15am to approximately 11:35am. There were 29 children and 6 staff members present. The Inspector reviewed five children?s records and five staff records. The Inspector observed the interaction of staff and children throughout the inspection. Children were observed during group activity, free play, handwashing, and diapering. First aid kits and emergency preparedness documents and supplies were observed. Medications were observed. The transportation vehicle for children before and after school was observed. Information regard children?s allergies and children?s injuries were also discussed during the inspection. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program. The violations were discussed at the exit interview with the center director and assistant director.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, it was determined that the center did not ensure that they obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #2 (date of hire 07/10/2023) reported on their Sworn Statement Disclosure dated 07/10/2023, that they lived in another state outside of Virginia in the past five years. In addition, their resume states they worked in another state outside of Virginia from 2021 to 2023. There were no out of state background check results completed for Staff #2. 2. Staff #3 (date of hire 03/06/2023) reported on their Sworn Statement Disclosure date 02/23/2023, that they lived in another state outside of Virginia in the past five years and there were no out of state background check results completed for Staff #3. 3. Staff #1 confirmed that there were no out of state background check completed for Staff #2 and Staff #3.
Plan of Correction:	The center responded with the following: The out of state background checks for Staff # 2 and Staff #3 will be completed and sent to the licensing office within 10 business days.
Standard #:	8VAC20-780-550-G
Description:	Based on observation and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. The fire drill log observed at the facility for the past year did not have the method used for notification of the drill, the number of staff and children participating, any special conditions simulated, the time it took to complete the drill, the problems encountered, and the weather conditions during the fire drill. 2. Staff #1 confirmed that only the date, time, and type of drill was listed on the emergency evacuation drill log.
Plan of Correction:	The center responded with the following: The center was able to obtain the latest model form copy of the fire drill log from the DOE website. Moving forward, the center will ensure to use the model form and have all required documentation regarding the emergency evacuation drills.
Standard #:	8VAC20-780-550-P
Description:	Based on record review and interview, it was determined that the center did not ensure that they maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Evidence: 1. Four of Five injury reports reviewed were missing entries and were not complete. a. The injury report dated 8 02/2023, was missing information regarding the time the parent was notified of the child?s injury. b. The injury report dated 8/17/2023, was missing information regarding any future action to prevent recurrence of the injury. c. The injury report dated 9/11/2023, was missing the date and time of when the parents were notified of the injury. d. The injury report dated 9/19/2023, was missing information regarding staff treatment for the child. 2. Staff #1 confirmed that the four injury reports reviewed were missing information as required by licensing standards.
Plan of Correction:	The center responded with the following: The center has a scheduled staff meeting today and will review the standards for writing an injury report. These four injury reports will be used as examples during the meeting to show parts of the document that are missing.