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First Discovery Academy
5355 Lila Lane
Virginia beach, VA 23464
(757) 424-0040

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Feb. 14, 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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
The following was discussed with center management during the inspection: 8 VAC 20-780-60 (children's records), 8 VAC 20-780-70 (staff records) and 8 VAC 20-780-530 (first aid/CPR training).

Comments:
An unannounced monitoring inspection was initiated and completed on 2/14/24 from 11:30am until 2:50pm. At the time of the inspection, there were 79 children in care with 14 staff present. A sample of 8 children's records and 12 staff records were reviewed. Children were observed participating in learning activities and free play, eating lunch and resting quietly during nap time. Lunch service and handwashing and restroom procedures were also observed. First aid and emergency supplies, the emergency preparedness plan, documentation of emergency practice drills, transportation, medication, children's injury reports and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations were documented on the violation notice issued to the program and discussed with the center director during the exit interview.

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on record review and interview, the center did not ensure that a copy of the results of a criminal history record information check and a search of the child abuse and neglect registry is obtained from any state in which the individual has resided in the preceding five years.

Evidence:
1. Staff 1 (date of hire: 8/28/23) indicated on her sworn statement or affirmation that she has resided outside of the state of Virginia within the past five years. The record for staff 1 does not contain the results of the out-of-state criminal history record information check or the results of the out-of-state search of the child abuse and neglect registry.
2. The center director confirmed that the record for staff 1 is lacking documentation of the results of the required out-of-state background checks.

Plan of Correction: The center responded with the following: The out-of-state background checks for staff 1 will be requested as soon as possible. Once received, the results will be placed in staff 1's record and forwarded to the licensing inspector. Going forward, center management will ensure all background checks are completed within the required timeframes.

Standard #: 8VAC20-780-160-A
Description: Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and completed within the last 30 calendar days of the date of employment.

Evidence:
1. The record for staff 2 (date of hire: 10/30/23) contains documentation of a negative tuberculosis screening dated 6/8/23, which is more than 30 days prior to the date of employment.
2. The center director confirmed that the tuberculosis screening for staff 2 was not completed within the timeframe required by licensing standards.

Plan of Correction: The center responded with the following: Staff 2 will be sent to obtain a new TB screening. Going forward, center management will review new hire TB screenings to ensure they have been completed no more than 30 days before hire date.

Standard #: 8VAC20-780-550-P
Description: Based on a review of children's injury reports, the center did not ensure that written records of children's serious and minor injuries contain all the required information.

Evidence:
1. Six out of ten children's injury reports did not contain the time when parents were notified of the injury and five out of ten children's injury reports did not contain the date when parents were notified of the injury.
2. The center director confirmed the injury reports did not contain all the required information.

Plan of Correction: The center responded with the following: Center management will review all injury reports to ensure all required information is filled out and staff will be retrained on proper procedures of injury report documentation.

Standard #: 8VAC20-780-580-B
Description: Repeat Violation
Based on observation and interview, the center did not ensure that any vehicle used by the center for transportation of children met all safety standards set by the Department of Motor vehicles.

Evidence:
1. One of the center's two passenger vans used to transport children has an inspection sticker that expired in December 2023.
2. The center director confirmed that the van used by the center to transport children has an expired inspection sticker.

Plan of Correction: The center responded with the following: The center van will be dropped off today for inspection.

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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