VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Carlisle School
300 Carlisle Road
Axton, VA 24054
(276) 632-7288

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Oct. 10, 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 10/10/2023. There were 22 children, ages 3 years-5 years, 3 staff providing direct care and supervision and numerous 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, and emergencies. The children were observed during rest time. A total of 5 children?s records, 4 staff records, and 1 medication were reviewed during the inspection. The inspector arrived at 12:58 pm and departed at 3:00 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 #:	8VAC20-770-60-B
Description:	Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation. Evidence: The record for Staff 4 did not contain a sworn statement or affirmation. Staff 4 was working the day of the inspection.
Plan of Correction:	The sworn statement was completed during the inspection.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain a copy of the child?s physical examination before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 3 had a documented start date of 08/22/2023; there was not a physical examination available for review for Child 3 during the inspection.
Plan of Correction:	The physical was requested during the inspection.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 3 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 (there was only one designated person listed). 2. The record for Child 5 did not contain the following information: name and phone number of child?s physician; the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses provided); and written agreements between the parent and the center as required by the standards.
Plan of Correction:	Will have the parent complete the form today.
Standard #:	8VAC20-780-245-J-3
Description:	Based on record review, the center failed to ensure that any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who meets the requirements to administer medication. Evidence: Child 1 is prescribed an emergency medication and is in the care of Staff 1 only during afternoon transport. Staff 1 does not meet the requirement to administer medication.
Plan of Correction:	Staff 1 is scheduled to take the medication administration training class on 11/14/2023.