VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Horizons Hampton Roads @ Portsmouth Regional School
2301 Oregon Avenue
Portsmouth, VA 23701
(757) 412-0249

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: June 28, 2023 and July 5, 2023

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

Technical Assistance:

transporting children on public school buses to include potential need for emergency medications was discussed with the program administrator. Also discussed was the required documentation of follow-up to central registry searches if they are not processed within 30 days of employ.

Comments:

A staff record review was conducted on 6/28/2023, followed by a monitoring inspection on site on 7/5/2023. There were 102 school aged children in care with 14 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 8 child records and 14 staff records were reviewed. 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 and discussed with the administrator for staff record violations and the program director for site violations during the exit interview.

Violations:

Standard #:	8VAC20-780-160-A-1
Description:	Based upon review of staff records, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening at the time of employment and before coming into contact with the children.. Evidence: The record provided for staff 5, 12, 13 and 14 who were hired and began working effective 6/26/2023, did not include documentation of a negative tuberculosis screening.
Plan of Correction:	The facility responded with the following: We strive to meet all licensing standards, and will focus on these important requirements being met within the proper timeframes. All staff missing TB tests or assessments have been completed.
Standard #:	8VAC20-780-60-A-8
Description:	Based upon review of children's records, the facility has not ensured that there is a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record provided for child 1 indicated a diagnosed food allergy, however the record did not include a written care plan.
Plan of Correction:	The facility responded with the following: The need for a written care plan has been reviewed w/Site Team and the Education Director has worked w/ the Site Director to ensure these have been completed.
Standard #:	8VAC20-780-70
Description:	Based upon review of staff records, the facility ahs not ensured that each staff record includes all required documentation. Evidence: 1. Records provided for staff 4, 6, 7, 8, 11, 12 did not include documentation that at least two references as to character and reputation as well as competency were checked before employment or volunteering. 2. The records provided for staff 2, 5, 6, 7, 8, 11, and 14 did not include the addresses of the emergency contact person listed.
Plan of Correction:	The facility responded with the following: 1. Admin. team has been reminded that references must be checked and recorded in staff files as a first point of hire; and Ex. Director will ask for copies to ensure these are recorded. Two references have been obtained for staff #4, 6, 8, 11, 12, and 14; and are waiting on 1 additional references for #7.
Standard #:	8VAC20-780-510-F
Description:	Based upon review of medication stored for administration by staff to children in care, the facility has not ensured that a written parent medication authorization is available to staff during the entire time the medication is to be administered. Evidence: There was an epi-pen stored for emergency administration to child 1. There was not written parent authorization for the medication to be administered in an emergency.
Plan of Correction:	The facility responded with the following: This requirement has been reviewed with Site Team and teachers, and we have ensured that the written authorization remains with the medication and is available for teacher's use at all times they are with students.
Standard #:	8VAC20-780-550-P
Description:	Based upon review of written records of children's injuries, the facility has not ensured that the injury record includes all required information. Evidence: An injury record dated 6/30/2023 for child 2, did not include the date, time and how the parent was notified of the injury. In addition, the same record did not include any future action taken to avoid injury recurrence.
Plan of Correction:	The facility responded with the following: This requirement has been reviewed with all Site staff, and the Educ. Director and/or Exec. Director are checking reports when visiting throughout the week. Site Director is double checking daily.