VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Our Kids Can - Churchland
5778 Churchland Boulevard
Portsmouth, VA 23703
(757) 606-1059

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Nov. 21, 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/renewal/complaint inspection was conducted on 11/21/2023. The inspector arrived at 11:20 AM and departed at 1:27 PM .There were 18 children present, ranging in ages from infant to two years, with 6 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 #:	22.1-289-036-B-4
Description:	Based upon review of staff records, the facility has not obtained results of a search of the child abuse and neglect registry or equivalent from any state in which an applicant has lived within the past five years. Evidence: According to the sworn disclosure statement and employment history on the application, staff 3 has lived in New York and Florida within the past five years. Results of a child abuse and neglect registry from New York and Florida were not obtained.
Plan of Correction:	The facility responded with the following: Submitted background search again via mail request and online
Standard #:	8VAC20-770-60-C-2
Description:	Based upon review of staff records, the facility has not obtained a child abuse and neglect central registry finding within 30 days of employment of staff. Evidence: The record provided for staff 4, employed since 10/2/2023, did not include the results of a child abuse and neglect central registry search.
Plan of Correction:	The facility responded with the following: Submitted background search again via mail request and online
Standard #:	8VAC20-780-160-B
Description:	Based upon review of staff records, the facility did not ensure that each staff member has submitted documentation of a negative tuberculosis screening that is signed by a physician, physician's designee or an official of a local health department. Evidence: The tuberculosis screening in the record provided for staff 4 was not signed by a physician, a physician's designee or an official from the health department. The form did not have a signature.
Plan of Correction:	The facility responded with the following: The screening and all others are signed by a physician and filed promptly
Standard #:	8VAC20-780-70
Description:	Based upon review of staff records, the facility has not ensured that the record for each staff person contains all required documentation. Evidence: 1. The two telephone reference checks in the record provided for staff 1 were not dated. One of the two references did not include the results of the reference check. 2. The emergency contact information in the record provided for staff 3 did not include the street address of the emergency contact person.
Plan of Correction:	The facility responded with the following: Ensure records are not only completed but also placed into the staff file promptly
Standard #:	8VAC20-780-80-A
Description:	Based upon review of records and staff interview, the facility has not ensured that for each group of children, a written record of daily attendance is maintains that documents the arrival and departure of each child in care as it occurs. Evidence: Upon arrival of the inspector at 11:20 AM< there were eight children in care in the toddler classroom. The attendance sheet provided by staff indicated that only seven children had arrived. Child 6 had not been checked on the attendance sheet as having arrived into care.
Plan of Correction:	The facility responded with the following: Attendance is completed daily and promptly upon children entering and departing for the day.
Standard #:	8VAC20-780-280-B
Description:	Based upon observation, the facility has not ensured that all potentially hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: Upon arrival of the inspector at 11:20 AM, there was a large staff purse on a low shelf in the toddler classroom.
Plan of Correction:	The facility responded with the following: All purses and personal items are locked away promptly. It didn't contain and substances.