VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Learning Experience
4683 Pouncey Tract Road
Glen allen, VA 23059
(804) 360-4226

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: Jan. 24, 2024

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 20 Access to minor's records 22.1 Early Childhood Care and Education 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

n/a

Comments:

An unannounced monitoring inspection was conducted on Wednesday, January 24, 2024 to determine the program?s compliance with licensing standards. The inspector was on site from 10:45am to approximately 2:00pm. The census for today's inspection consisted of 99 children in the direct care of 19 staff. Upon the inspector's arrival, the children were engaged in various activities. The children were observed during transitions, during free-play, and teacher-led activities. The center is equipped with age appropriate materials and equipment for the children?s use. Staff were engaged with the children and offering guidance when needed. The areas where children receive care were inspected and found to be in compliance. The center had the following posted: license, daily schedule, emergency numbers, evacuation maps, menu and various parent information. The center's first aid kit and non-emergency supplies were inspected and found complete. During the inspection, there were nine children's records and nine staff records reviewed. The center administers medications when needed and medications and authorizations 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.

Violations:

Standard #:	8VAC20-770-60-B
Description:	(Repeat Violation) Based on a review of nine staff records and interviews, the center did not ensure one staff had a completed sworn statement or affirmation prior to employment. Evidence: The sworn statement in the record of Staff #4, employed on 09/25/23, was dated 09/26/23. During interview, a member of management confirmed the sworn statement was dated after employment but was unsure if it was completed after employment.
Plan of Correction:	Per the Center: In the future, management will ensure the correct date is noted on the sworn disclosure. The completion of a sworn disclosure will be at the time of employment.
Standard #:	8VAC20-770-60-C-2
Description:	(Repeat Violation) Based on a review of nine staff records and interviews, the center did not ensure one staff had a central registry finding within 30 days of employment. Evidence: The central registry finding in the record of Staff #5, employed on 04/11/22, was dated 08/02/23. During interview, a member of management confirmed the results of the central registry finding for Staff #5 were not received within 30 days of employment. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.
Plan of Correction:	Per the Center: The central registry search is now requested at the time of employment and management monitors the portal to ensure results are received within 30 days of employment. When not received, the center will follow up with the Office of Background Investigation and document their effort to obtain the results.
Standard #:	8VAC20-780-160-A
Description:	(Repeat Violation) Based on a review of nine staff records and interview, the center did not ensure three staff members had documentation of a negative tuberculosis (TB) screening within the required time frames. Evidence: 1) The record of Staff #1, employed on 09/12/23, did not contain documentation of a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. 2) The TB screening in the record of Staff #4, employed on 09/25/23, was dated 06/29/23. 3) The TB screening in the record of Staff #6, employed on 06/19/23, was dated 05/19/22. The documentation shall have been completed within the last 30 calendar days of the date of employment. During interview, management confirmed the documentation was not received within the required time frame.
Plan of Correction:	Per the Center: In the future, the TB screening results will be requested as a part of the hiring process. Management will ensure the results are not dated more than 30 days prior to employment.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of nine children?s records and interview, the center did not ensure that one child with a diagnosed food allergy had a written care plan, 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: The record of Child #4 indicated the child has a diagnosed food allergy, but the center did not have a written allergy care plan for the child. During interview, a member of management confirmed the child?s record indicated a food allergy, but a written allergy care plan had not been obtained for the child.
Plan of Correction:	Per the Center: A written allergy care plan or an updated note from the child?s physician was requested to determine if the child still has the allergy noted.
Standard #:	8VAC20-780-240-A
Description:	(Repeat Violation) Based on a review of nine staff records and interview, the center did not ensure five staff completed the Virginia Department of Education-sponsored (VDOE) orientation course within 90 calendar days of employment. Evidence: The following staff records did not contain documentation that the staff completed the VDOE-sponsored orientation course - Staff #1 (DOE: 09/12/23); Staff #3 (DOE: 04/26/23); Staff #4 (DOE: 09/25/23); and Staff #5 (DOE: 04/11/22). During interview, a member of management reported the center did not have documentation that the staff completed the VDOE-sponsored orientation course. The certificate of completion of the VDOE-sponsored orientation course in record of Staff #6 (DOE: 06/19/23) was dated 11/28/23, exceeding 90 calendar days of employment.
Plan of Correction:	Per the Center: In the future, the center will allow new staff 60 days to complete the training and provide the certificate. Staff that do not have it completed now will have until 2/10/24 to complete it.
Standard #:	8VAC20-780-550-P
Description:	(Repeat Violation) Based on a review of documentation, the center did not ensure that written injury records contained the required information. Evidence: Two written injury records were reviewed. The following documentation was missing - Injury record #1 did not contain documentation of the date and time when parents were notified; any future action to prevent reoccurrence of the injury; and documentation on how parent was notified. The injury was documented as occurring on 01/17/24, but the written record was completed on 01/18/24. Injury record #2 did not contain documentation of any future action to prevent reoccurrence of the injury. The center should maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time of injury; name of injured child; type and circumstance of the injury; staff present and treatment; date and time when parents were notified; any future action to prevent reoccurrence of the injury; staff and parent signatures or two staff signatures; and documentation on how parent was notified.
Plan of Correction:	Per the Center: Staff will be retrained during the next staff meeting. Management will make sure staff complete the most up-to-date form which contains all the required elements.