VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Williamsburg-James City County Community Action Agency, Inc-Jame
8901 Pocahontas Trail
Williamsburg, VA 23185
(757) 887-1768

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Feb. 21, 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. 8VAC20-820 The License. 8VAC20-820 The Licensing Process. 8VAC20-820 Hearing Procedures. 8VAC20-770 Background Checks 20 Access to minors records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was started in the center on February 21, 2024 from 1:25 PM until 2:30 PM and concluded on February 28, 2024. At the time of entrance, 20 children were in care with 2 staff members. The sample size consisted of 5 children?s records and 4 staff records. Children were observed during their rest period, reading books and working with manipulative activities. 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 contact the Licensing Inspector, Christine Mahan (757) 404-0568 with any questions.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child #2, (first date of attendance 9-20-2023) did not include documentation of required immunization.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: The following records did not include physicals 1.Child #2, first date of attendance 9-5-2023 2.Child #3 first at of attendance 9-20-2023 3.Child #4 first date of attendance 9-20-2023
Plan of Correction:	1. Health Coordinator copied the physicals from comprehensive file dated 11/2/2022 of child #2 and filled in the child #2 classroom file on 03/05/2024. 2. Health Coordinator and Family Services Specialist have requested Physicals from a parent of child # 3 multiple times since September 2023. Physicals were turned into the Health Coordinator on 03/01/2024. The Health Coordinator faxed the physicals to the teacher. Physicals were printed and filed into child # 3 classroom file 03/01/2024. 3. Health Coordinator copied the Physicals of child # 4 (dated 7/28/2023) from Comprehensive file and filled in the child #4 classroom file on 03/05/2024.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children. Evidence: Staff #4 began working on 8-16-2023 and TB screening was dated 9-2-2023. Staff #4 did not have a negative TB screening prior to employment.
Plan of Correction:	Employment letters have been written with a contingency statement regarding all screenings and background checks. The agency did ensure that the reviewed employee had a clear TB screening before being in a classroom with students. However, after receiving clarification from the Licensing Inspector, all future potential employees will have the TB screening before signing their employment letter.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children. Evidence: Staff #4 began working on 8-16-2023 and TB screening was dated 9-2-2023. Staff #4 did not have a negative TB screening prior to employment.
Plan of Correction:	Child #2 required immunization record (dated 3/9/2023) was copied and placed in child file on 03/05/2024.
Standard #:	8VAC20-780-160-C
Description:	Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: The record for Staff #1 did not include updated TB screening as the most recent screening was dated 12-3-2021.
Plan of Correction:	The expired tuberculosis screening was corrected on 02-23-2024. An updated TB screening was sent to the Licensing Inspector on 02-23-2024.