Virginia Commonwealth University Health System Authority - NS
800 West Graham Road
Richmond, VA 23222
(804) 828-1017
Current Inspector: Jennifer Moore (540) 430-0384
Inspection Date: Dec. 3, 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
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
- Comments:
-
An unannounced, on-site monitoring inspection was initiated on 12/03/2024 and completed on 12/12/2024. The on-site inspection began at 10:00am and ended at 12:45pm. The inspector reviewed compliance in the areas listed above. There were 55 children present and 12 staff. The inspector reviewed six children?s records and six staff records electronically on 12/05/2024 and on 12/13/2024. This inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 12/23/2024. A POC submitted after this date will not appear on the public website.
- Violations:
-
Standard #: 22.1-289.035-A Description: The center is required to have employees undergo a background check every five years. The record for Staff #3 contained a completed national criminal background registry check that was overdue by a one year and four months. The completed central registry finding and sworn statement were overdue by a two years and five months. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Staff records shall be kept for each staff person with all of the required information. The record for Staff #3 did not contain documentation to demonstrate that the individual possesses the education and training. Staff #3 has worked at the center for over 14 years. The record for Staff #4 did not contain documentation to demonstrate that the individual possesses the education and training. Staff #4 has worked at the center for over 1 year 10 months. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-280-B Description: Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Three classrooms had unlocked cleaning chemicals in unlocked cabinets. The cleaning chemicals were labeled ?Caution: Keep out of the reach of children?. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-500-B Description: Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A staff member in the Infant room lifted the top of the trashcan with their hand to dispose of a diaper. 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.
