VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Canterbury Community Nursery School
601 North Parham Road
Richmond, VA 23229
(804) 741-4118

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Feb. 28, 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 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 renewal inspection was conducted on 02/28/2023 from approximately 9:35 a.m. ? 4:15 p.m. There were 135 children present ranging from sixteen months to five years old and eighteen staff supervising. Ten child records, ten staff records, and four Board Officers backgrounds were reviewed. The information gathered during the inspection determined violations with applicable standards or law. Please sign and complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions related to this inspection, please contact Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellingtonsconiers@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for S10, employed 08/30/2023 did not have results of a national criminal background check prior to the first day of employment. The record did not contain results of a criminal record check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on board officer (BO) record review, the provider failed to obtain the results of the out-of-state child abuse and neglect search from any state in which the individual has lived in the preceding five years. Evidence: BO3 and BO4 documented having lived out-of-state in the last five years. The records did not contain the results of the out-of-state child abuse and neglect search.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the provider failed to ensure an employee not be employed until the center has the person?s completed sworn statement. Evidence: The record for S10, employed 08/30/2023 did not contain a sworn statement.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on staff record review, the provider failed to obtain a central registry findings within 30 days of employment. Evidence: The record S10, employed 08/30/2023 did not contain findings of a central registry search.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on staff record review, the provider failed to ensure that three of ten staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S6, employed 10/12/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 5/16/2023. The record for S8, employed 02/07/2024 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 12/27/2023. The record for S10, employed 08/30/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 9/25/2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-J
Description:	Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: The director reported the review of the injury prevention procedures has not been completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on record review, the provider did not keep the required documentation for a staff member. Evidence: The record for S10, employed 08/30/2023 did not document: background checks; orientation and training required by 8VAC20-780-240-C and 8VAC20-780-240-D; and information about any health problems that may interfere with fulfilling the job responsibilities.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-G
Description:	Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained the required information. Evidence: The emergency drill documentation reviewed for January ? December 2023 did not document: the method used for notification of the drill; the number of staff participating; the number of children participating; any special conditions simulated; and problems encountered, if any.
Plan of Correction:	Not available online. Contact Inspector for more information.