VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Apostles Preshool and Childcare
304 Newberry Drive
Chesapeake, VA 23322
(757) 410-1797

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Nov. 2, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was conducted on 11/02/2023. The inspector arrived at 12:00 PM and departed at 2:45 PM. There were 44 children present, ranging in ages from infants to 5 years, with 11 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 and 5 staff 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 and discussed with the program director during the exit interview

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based upon review of staff records, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening prior to coming into contact with the children and that was obtained within the last 30 days prior to employment. Evidence: 1. The record provided for staff 1 did not include the results of a tuberculosis screening. Staff 1 was on duty in the facility during the inspection. 2. The tuberculosis screening for staff 3, hired on 7/17/2023 was dated 3/20/2023.
Plan of Correction:	The provider responded with the following: Health paperwork that was printed was not clear from staff testing results it showed immunizations but did not include negative TB test results which has been updated since the inspection and placed in staff records. Staff that was tested before hire date was Re-tested and has documentation updated in their records.
Standard #:	8VAC20-780-70
Description:	Based upon review of staff records, the facility has not ensured that each staff record includes all required documentation. Evidence: 1. The record provided for staff 1, identified as a program director, did not include documentation to demonstrate that staff 1 possesses the experience required by the position of program director. 2. The record provided for staff 4, identified as a program leader, did not include documentation to demonstrate the required experience required by the position of program leader. 3. The record provided for staff 1 did not include references as to character, reputation and competency prior to employ. 4. The records for staff 4 and staff 6 include documentation of only one reference as to character, reputation and competency.
Plan of Correction:	The provider responded with the following: President of the board over our facility updated the program leaders file with proper paperwork indicating the programs leader experience as well as provided letters of recommendation. Staff files was updated with reference forms stating staff years of experience.
Standard #:	8VAC20-780-510-E
Description:	Based upon review of medication, the facility's procedures for administering medication include the duration of parent's authorization for medication, provided that it shall expire or be renewed after ten work days. Evidence: There was over the counter ibuprofen stored for child 7 that the parent authorized on September 7, 2023. There was no physician authorization. The medication was not returned to the parent after ten working days and the authorization had not been renewed.
Plan of Correction:	The provider responded with the following: The medication was not administered to the child but was on site in case the child needed it after returning from being out sick. Steps to remediation was taken by reviewing MAT policies with staff especially staff that are MAT certified. Moving forward storing medication that doesn't need a physician yet is parent authorized shouldn't be stored longer than 10 days even if not being used and all staff is aware.
Standard #:	8VAC20-780-510-N
Description:	Based upon review of records, the facility has not ensured that a record is kept of medication administration that includes the staff member administering the medication. Evidence: A medication record indicated that diphenhydramine was administered to child 6 on 8/9/2023. The record did not include the name of the staff member who administered the medication.
Plan of Correction:	The provider responded with the following: In response to this violation our center has reviewed and updated our records of who gave the medication. reviewed with staff that properly filling out medication logs entirely is very important to ensure that all records will state who administered medication and only MAT certified staff can administer medication and must log each date, time, and person's name.