VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Empowering Future Leaders Academy LLC
1525 Powerplant Parkway
Hampton, VA 23669
(757) 912-8897

Current Inspector: Michele Patchett (757) 439-6816

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. 8VAC20-770 BACKGROUND CHECKS 8VAC20-820 THE LICENSE. 22.1 BACKGROUND CHECKS CODE; CARBON MONOX

Technical Assistance:

Reviewed requirements for dating menu and food brought from home. sight and sound supervison, registration information (program currently attending) , out of state background check process and CPR and First aid requirements.

Comments:

A unannounced non- mandated focus monitoring inspection was initiated on November 21, 2023 from 11:15 am - 1:23 pm. There were 6 children with 3 staff present. 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 five children records and two staff records were reviewed. The children were observed eating lunch and transitioning to nap time. 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.

Violations:

Standard #:	8VAC20-770-60-B
Description:	Based on record review and staff interview, the licensee did not ensure a person completes a sworn statement or affirmation before employed. Evidence: Staff #2 did not have a sworn statement or affirmation documentation when record was reviewed on November 21, 2023. Staff #2 was working on the day of the inspection.
Plan of Correction:	Licensee has created a checklist to ensure that sworn statements or affirmation or any forms would be completed and placed in employees file folder at time of completion and employed.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and staff interview, the licensee did not ensure each staff member shall submit documentation of negative tuberculosis screening prior to employment. Evidence: During the inspection there was not documentation of TB test results for staff #1.
Plan of Correction:	In the future a checklist will be created to ensure all documents are completed and in all employees file folders before employment.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and staff interview, the licensee did not ensure a written care plan for each child with a diagnosed food allergy to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #5 physical examination documents a physician documented a allergy. There was not an allergy action plan document at the center during the inspection.
Plan of Correction:	In the future an enrollment checklist will be available to ensure that all documents required are completed and in each child's file folder on the first day of enrollment.
Standard #:	8VAC20-780-70
Description:	Based on record review and staff interview, the licensee did not obtain all required documentation. Evidence: Staff #1 and Staff #2 did not have documentation that orientation was completed for the jpb position.
Plan of Correction:	Orientation was completed at the time of the inspection. However only one part of the form was in the employees folder. Licensee has printed all forms completely for employees to complete.
Standard #:	8VAC20-780-90--A
Description:	Based on record review and staff interview the licensee did not ensure written agreement between the parent and the center be in each child's record by the first day of the child's attendance. Evidence: One of three agreements are missing in children records. Confirmed by staff #3. The agreement missing in the children record is : A statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
Plan of Correction:	Licensee has added a line in the agreement contract to make clear and show that the parents will report with in 24 hours or the next buisness day after his child or any member of the household has developed any reportable communicable diseases.
Standard #:	8VAC20-780-245-L
Description:	Based on record review and staff interview, the licensee did not ensure there would always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: Staff #3 confirmed there was not staff with daily health observation training.
Plan of Correction:	At least two or more staff members are scheduled to obtain the training required to perform the daily health observation of children.
Standard #:	8VAC20-820-120-A-6
Description:	Based on review of children's records and interviews with staff, The facility was not in compliance with the age range on the license. Evidence: During the inspection on November 21, 2023 Child #1 was present. Child #1 is 2 years and three months. Confirmed by staff. The license age range was for 2 years and 6 months- 8 years - 11 months.
Plan of Correction:	Staff has contacted parents to end enrollment until child #1 is 2 years and 6 months or older. Child #1 is 2 years and 5 months or older. Child #1i swelcome to re-enroll January 2024. In the future staff members will follow state compliance with age range on the license.