VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Community Improvement Council, Inc.
540 Holbrook Street
Danville, VA 24541
(434) 793-5710

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Sept. 27, 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 monitoring inspection was conducted on 09/27/2023. There were 135 children, ages 3 years-4 years, 18 staff providing direct care and supervision, and various support staff present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, physical plant, staffing and supervision, programs, emergencies and nutrition. The children were observed in the following activities: participating in a special art project, free choice play in centers, participating in learning activities, during lunch, and preparing for rest time. A total of 10 children?s records, 10 staff records, and 1 medication were reviewed during the inspection. The inspector arrived for the inspection at 9:45 am and departed at 12:45 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.

Violations:

Standard #:	8VAC20-780-160-C
Description:	Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The most recent tuberculosis screening in the record for Staff 4 was dated 09/08/2021; there was not a follow-up tuberculosis screening for 2023 available for review. 2. The most recent tuberculosis screening in the record for Staff 6 was dated 08/14/2021; there was not a follow-up tuberculosis screening for 2023 available for review.
Plan of Correction:	Will get them done by Monday.
Standard #:	8VAC20-780-80-A
Description:	Based on record review and staff interviews, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written record of daily attendance in Class 3 did not document the departure of each child as it occurred on 09/26/2023. Staff 7 confirmed that the departure of each child had not been documented on that date.
Plan of Correction:	Reviewed with staff during the inspection. Will document the arrival and departure as it occurs.