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The Light Academy Inc.
479 Cunningham Road
Palmyra, VA 22963
(434) 842-2222

VDSS Contact: Michelle W. Argenbright (540) 848-4123

Inspection Date: July 2, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was conducted on 7/2/19 at The Light Academy Inc. from 10:45 am until 12:45 pm to review the religious exempt requirements. At the time of the inspection five children were present with one staff and a volunteer. The sample size consisted of five children's records and three staff's records. Children and staff were observed during an art activity, free play, clean-up, outdoor water play, bathroom break, hand washing, transitions and behavioral management. Violations were found during this inspection and are documented on the violation notice. If you have any questions contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on record review and interview, the center failed to ensure all staff completed a sworn disclosure statement prior to the first day of employment and a central registry record check within 30 days of employment.

Evidence:

1. The records of the three employees were reviewed. None of the three employees had a sworn statement or central registry record search. Staff 1 and staff 2 started 8/18. Staff 3 started 5/19.
2. The director stated she was unaware these documents were required.

Plan of Correction: Staff 1 is not working during the summer and staff 3 is a volunteer/substitute. Both staff members will be required to complete a sworn statement and documentation for the central registry will be mailed within five days.

Standard #: 63.2(17)-1716-A
Description: Based on interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and post a statement in a visible location to advise the center is exempt from licensure.

Evidence:

1. All information provided to parents is on the parent portal. The director reviewed the parent portal with the licensing inspector and stated there is no information regarding the center being exempt from licensure.
2. The director stated they do not have a notice posted advising parents and guardians the center is exempt from licensure.

Plan of Correction: The parent portal will be updated to include a statement advising parents the center is exempt from licensure. A statement will be posted outside of the front office advising parents and guardians that the center is exempt from licensure.

Standard #: 63.2(17)-1716-A-3
Description: Based on observation and interview, the center failed to provide supervisory personnel according to the required ratios of staff to children with each grouping of children having at least one adult staff member regularly present. Evidence: 1. At the time of the inspection three children age four, one child age six and one child age eight was present with one adult. The ratios for children ages three to five are one staff to 10 children and the ratios for children ages five years to nine years is one staff to 20 children. 2. The director was unclear on this new requirement that went into effect 7/1/19.

Plan of Correction: The center will hire an additional teacher and adjust schedules to meet this new requirement.

Standard #: 63.2(17)-1716-A-6
Description: Based on interview, the center failed to provide a written disclosure to parents and guardians of the children in the center advising information regarding the physical facilities, enrollment capacity, health requirements for staff, and public liability insurance. Evidence: All information provided to parents is on the parent portal. The director reviewed the parent portal with the licensing inspector and stated there is no information regarding the physical facilities, enrollment capacity, health requirements for staff, and public liability insurance.

Plan of Correction: The parent portal will be updated to include a statement advising parents of the missing information.

Standard #: 63.2(17)-1716-B-3
Description: Based on record review and interview, the center failed to establish and implement procedures to ensure that a daily simple health screening and exclusion of sick children was completed by a person trained to perform such screenings. Evidence: The director stated they have a policy regarding exclusion of sick children but no staff are trained to perform the daily health screenings.

Plan of Correction: At least one staff will be present to conduct the daily health screening that has received the training in the future.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review and interview, the center failed to ensure staff hired after 1/22/18 had a fingerprint-based criminal history check determination letter prior to the first day of employment. Evidence: 1. The records of the three staff were reviewed. Two staff did not have fingerprint results prior to the first day of employment. Staff 1's start date was in 8/18 and the fingerprint results are dated 6/7/19. Staff 2's start date was in 8/18 and the fingerprint results are dated 3/18/19. 2. The director verified the dates.

Plan of Correction: In the future no staff will be hired prior to receiving the fingerprint results.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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