The Peter Paul Development Center
1708 North 22nd Street
Richmond, VA 23223
(804) 780-1195
Current Inspector: Susan Ellington-Sconiers (804) 588-2368
Inspection Date: March 19, 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 03/19/2024 from approximately 1:55 p.m. to 6:10 p.m. There were 65 school age children present and 7 staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Six child (6) records, eleven (11) staff records, and five (5) board officer records 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.ellington-sconiers@doe.virginia.gov.
- Violations:
-
Standard #: 22.1-289.035-A Description: Based on record review, the provider failed to ensure that staff underwent criminal
background checks every 5 years.
Evidence:
The record for S2, contained national criminal background checks dated 11/05/2018 and
03/07/2024.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-C-2 Description: (Repeat violation)
Based on staff record review, the provider failed to have central registry findings within 30 days of employment.
Evidence:
The record for S1, employed 09/20/2023 did not contain findings of a central registry search within 30 days of employment. The results were dated 12/11/2023.
The record for S5, employed 09/11/2023 did not contain findings of a central registry search within 30 days of employment. The results were dated 12/14/2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-150-B Description: Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician?s designee, or an official of a local health department.
Evidence:
The immunizations for C1 and C3 were not signed by the licensed physician, the physician?s designee, or an official of a local health department.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: (Repeat violation)
Based on staff record review, the provider failed to ensure that four of ??? eleven 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 S3, employed 01/10/2024 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 2/20/2024.
The record for S6, employed 06/20/2023 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 01/19/2023.
The record for S9, employed 02/05/2024 did not document a tuberculosis (TB) screening.
The record for S11, employed 11/06/2023 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 01/22/2024.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:
S12 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: (Repeat violation)
Based on staff record review, the provider failed to ensure that 1 of 11 records contained
required information.
Evidence:
Record for S5, employed 09/11/2023 did not contain employment references.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-A Description: (Repeat violation)
Based on record review, the provider failed to ensure that staff shall complete the Virginia
Department of Education-sponsored orientation course within 90 days of employment.
Evidence:
The record for S1, employed 09/20/2023 did not contained a certificate of completion of the
Virginia Preservice Training.
The record for S5, employed 09/11/2023 did not contained a certificate of completion of the
Virginia Preservice Training.
The record for S11, employed 11/06/2023 did not contained a certificate of completion of the
Virginia Preservice Training.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-E Description: Based on staff record review, the provider failed to ensure that staff within 30 days of the first day of employment complete orientation training in first aid and cardiopulmonary resuscitation (CPR).
Evidence:
Orientation form used by the center for S1, S3, S4, S5, S9, S10, and S11 did not document the orientation training in first aid and CPR.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-245-L Description: Based on interview, the provider failed to have 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:
S12 acknowledged during the inspection that no one currently had instruction in performing
the daily health observation of children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-270-A Description: Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition.
Evidence:
The outdoor arbor in the playground was observed to have broken pieces with exposed nails.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-F Description: Based on review of emergency drill documentation and interview, the provider failed to ensure that lockdown procedures shall be practiced at least annually.
Evidence:
S12 acknowledged that lockdown procedures were not practiced in 2023.Plan of Correction: Not available online. Contact Inspector for more information.
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.
