VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Monticello Area Community Action Agency - Crozet
1407 Crozet Avenue
Crozet, VA 22932
(434) 823-4800

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Oct. 24, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site October 24, 2023 and concluded remotely November 9, 2023 . The director was available during the inspection. There were 14 children present with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records, 3 staff records, and 4 officers of the board records were reviewed. 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. Your plan of correction should 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.

Violations:

Standard #:	22.1-289-036-B-4
Description:	Based on a review of officer records and interview, the center failed to obtain results of an out-of-state sex offender check and an out-of-state child abuse and neglect check or equivalent registry from any state in which an officer of the board has resided in the preceding five years. Evidence: 1. The record of officer #4, who took office in September 2021, did not contain documentation of an out-of-state central registry check or equivalent registry. 2. The record of officer #4, who took office September 2021, contained documentation of an out-of-state sex offender check dated 11/04/22. 3.Officer #4 indicated on her sworn disclosure statement having lived in another state in the previous five years. 4. Staff #3 confirmed the central registry check was not complete.
Plan of Correction:	Agency's People Operations to obtain results of out-of-state offender check and out-of-state child abuse and neglect or equivalent registry from any state in which an officer of the board has resided in the preceding five years. Agency's People Operations to ensure timely out-of-state central registry check. Agency's People Operations to ensure timely out-of-state sex offender check.
Standard #:	22.1-289.035-A
Description:	Based on a review of staff records and interview, the center failed to obtain results of a fingerprint check every five years. Evidence: 1. The record of staff #1 did not contain documentation of a repeat fingerprint. Documentation of the most recent fingerprints is dated 03/28/18. 2. The record of staff #3 did not contain documentation of a repeat fingerprint. Documentation of the most recent fingerprints is dated 04/11/18. 3. Staff #3 confirmed the repeat fingerprint checks were not completed.
Plan of Correction:	Agency's People Operations to obtain results of a fingerprint check every five years.
Standard #:	22.1-289.036-A
Description:	Based on a review of records and interview, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: 1. The record of officer #1 did not contain documentation of a repeat fingerprint, sworn disclosure and a repeat central registry result. Documentation of the most recent fingerprint results is dated 09/06/18. Documentation of the most recent sworn disclosure is dated 08/17/18. Documentation of the most recent central registry is dated 09/10/18. 2. The record of officer #3 did not contain documentation of a repeat fingerprint. Documentation of the most recent fingerprint results is dated 08/13/18. 3. Staff #3 confirmed the repeat background checks were not completed.
Plan of Correction:	Agency's People Operations to ensure every applicant for licensure will undergo a background check and every five years thereafter.
Standard #:	22.1-289.036-B-2
Description:	Based on a review of records, the center failed to obtain a fingerprint based national criminal record check within 30 days of appointment of a board officer. Evidence: 1. The record of officer #2, who took office February 2022, contained documentation of fingerprint results dated 09/16/22. 2. The record of officer #4, who took office September 2021, contained documentation of fingerprint results dated 09/23/22.
Plan of Correction:	Agency's People Operations to ensure fingerprint based national criminal record check within 30 days of appointment of a board officer.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on a review of records, the center failed to obtain a sworn statement for each new officer and a central registry check from each officer of the board before the end of the 30 days after the change of officer. Evidence: 1. The record of officer #2, who took office February 2022, contained a sworn statement dated 09/02/22 and a central registry dated 12/21/22. 2. The record of officer #3, who took office October 2016, did not contain documentation of a central registry check. 3. The record of officer #4, who took office September 2021, contained documentation of a sworn statement dated 09/16/22 and a central registry dated 12/21/22.
Plan of Correction:	Not available online. Contact Inspector for more information.