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Foundations Learning Academy at Midlothian
3700 Midlothian Turnpike
Richmond, VA 23224
(804) 231-2149

Current Inspector: LaTasha Smith (804) 588-2362

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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Comments:
An unannounced monitoring inspection was conducted on Thursday, November 2, 2023 from approximately 9:20am until 12:30pm. There were 54 children present, ranging in ages from 16 months to 5 years, with 10 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.

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 preventive measure(s).

If you have any questions about this inspection, please contact the licensing inspector at (804) 588-2362.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: (Repeat violation) Based on a review of staff records and interview, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment.
Evidence:
1. The record of staff #2, hired August 14, 2023, contained documentation of a central registry finding dated October 11, 2023.
2. The director acknowledged that the central registry was not completed within 30 days of employment.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: (Repeat violation) Based on a review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for two (2) staff at the time of employment and prior to coming into contact with children.
Evidence:
1. The record of staff #2 (date of employment: 8/14/2023) contained a TB screening dated 8/26/2023.
2. The record of staff #4 (date of employment: 4/17/2023) contained a TB screening dated 8/10/2023.
2. Administration acknowledged that the TB screening was obtained late for both staff #2 and staff #4.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-B
Description: Based on record review, the center failed to ensure staff completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
1. The record of Staff #3 (DOH 07/12/2023) did not have documentation of orientation.
2. The director stated that orientation for staff #3 has been completed but had not been documented.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the center did not ensure that equipment of the center, inside and outside, was maintained in a safe and operable condition.
Evidence:
1. In classroom #1, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-H
Description: Based on a review of medications, prescription medication was not kept in the original container.
Evidence: Child #1 has one prescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-P
Description: Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.
Evidence: Child #2 had a medication on site and the parent's authorization for the medication expired on 9/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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