Culpeper Human Services - Kid Central A. G. Richardson
18370 Simms Drive
Culpeper, VA 22701
Current Inspector: Barbara Workman (540) 430-9257
Inspection Date: Jan. 11, 2018
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)
- Technical Assistance:
We discussed the requirements for children's records, staff records, staffing, and sight/sound supervision. The risk assessments for violations were provided. We talked about the importance of consistent procedures for accounting for all children's whereabouts during and after transitions from one activity area to another.
An unannounced renewal inspection was conducted from 1:00 PM to 2:25 PM at the agency office for a staff record review, and from 2:50 PM to 6:30 PM at the school site. Today, there were forty children, ages five through twelve years, with four to five staff. I viewed program activities, daily routines, staffing, supervision, interactions with children, equipment, posted information, snack/nutrition, agency inspection reports, insurance, emergency planning, emergency supplies and drill records, five staff records, staff qualifications, staff training, five records for children, indoor and outdoor areas. The children were provided homework assistance. Also, they enjoyed active play outdoors and in the gym. Table activities and games have been regularly available. Staff were observed providing frequent interactions with the children. Issuance of the renewed license will be recommended. Let me know if you need any assistance. 540/430-9259
Standard #: 22VAC40-185-130-A Description: Based on a review of five records for children, and interviews with administrative staff, there was not an immunization record in the file of child 5 which was required before initial attendance. Evidence: Child 5 began attending the program on August 9, 2017. Administrative staff present at the school could not locate the information with the children's records and an administrator in the Culpeper office indicated that she did not know why it wasn't with the enrollment records that have been typically sent to the school site. Plan of Correction: An administrator immediately went to the school office and obtained a copy of the immunization report for the record of child 5. In the future, the site team leader/director will review all records of new children to determine that all required information was obtained prior to initial attendance.
Standard #: 22VAC40-185-140-A Description: Based on a review of five records for children, and interviews with administrative staff, a physical examination record was not in the file for child 5 and was due within the first month of attendance. Evidence: Child 5 began attending the program on August 9, 2017. Administrative staff present at the school could not locate the information with the children's records and an administrator in the Culpeper office indicated that she did not know why it wasn't with the enrollment records that have been typically sent to the school site. Plan of Correction: An administrator immediately went to the school office and obtained a copy of a physical examination report for the record of child 5. The team leader will review the report. In the future, the site team leader/director will review all records of new children to determine that all required information was at the time of initial attendance.
Standard #: 22VAC40-185-70-A Description: Based on a review of five staff records, and an interview with administrative staff, there was not a copy of the highest level of education for staff member 5 to demonstrate qualifications were met for the position held as a program leader. Evidence: There was information listed regarding college education in a resume/application in the staff record. However, there was not a copy of the college degree or transcripts. Plan of Correction: An administrator will request and obtain a copy of the college degree or transcripts from staff member 5 and make sure the information is maintained in the record. Administrative staff will make sure documentation of education credentials are kept in staff records to demonstrate that qualification requirements are in compliance.
Standard #: 22VAC40-185-90--A Description: Based on a review of five records for children, and interviews with administrative staff, there were written agreements between the parent and center which were not in the record of child 5 at the school site. Evidence: Child 5 started on August 9, 2017. There were only copies of the completed Emergency and Identification form and the Child Information Form located in the file and binder maintained at the center. The team leader/director attempted to access the online registration form for child 5 to see if the written agreements were signed by the parent and could not open the information. The following written agreements were not available: the center will notify the child's parent when the child becomes ill and the parent will arrange for pick-up as soon as possible; and the parent will notify the center within twenty-four hours/the next business day if their child or immediate family member has a reportable communicable disease except for life threatening diseases which must be reported immediately. Plan of Correction: The site team leader/director had the parent complete a registration form and sign the written agreements with the center during pick up. The team leader/director will review the records of children at the time of enrollment and make sure they include all required information.
Standard #: 22VAC40-185-340-D Description: Based on a review of staff positions and qualifications in five staff records, an interview with administrative staff and observation of the program, the center failed to ensure that in each grouping of children that a program leader has supervised no more than two aides/assistants. Evidence: After a record review, administrative staff confirmed that since November 20, 2017, there have been times during the afternoon that only one qualified program leader was present to supervise three assistants. After the homework teacher leaves each day (between 4:00 PM and 4:30 PM) until approximately 5:30 PM when the third assistant leaves, the program leader/team leader has supervised three assistants during program activities and routines. Plan of Correction: An administrator from the agency office will be present until staff changes are made. A former team leader was transferred to this school site and one of the assistant teachers was moved to another program beginning January 16, 2018. The administrative staff who hire and place program leaders and assistants at the school sites will make sure program leaders never supervise more than two assistants.
Standard #: 22VAC40-185-340-G Description: Based on observation of the activities and routines, and interviews with staff, the center failed to ensure sight or sound supervision of a twelve year old child who was briefly in the cafeteria alone. Evidence: After observing some of the transition of the group to the gym as the hand washing and bathroom use routine was ending, the inspector came from the staff lounge room into the cafeteria and saw an older child sitting at the other end of the cafeteria, near the main school entrance doorway, leaning his head into his hands at a table. When asked who he was with, he pointed toward the bathroom entrance and gym. The inspector went to the gym and asked staff why a child was alone in the cafeteria. A staff person indicated that he was with an assistant that the inspector then found at the bathroom area. When asked about the child in the cafeteria, the assistant attempted to open the cafeteria door and it was locked. The assistant indicated that he had been supervising the boy's bathroom. A visiting administrator went with the licensing inspector back to the cafeteria and spoke with the child who rejoined the group. Plan of Correction: A visiting administrative staff person went to the child in the cafeteria and had him rejoin the group in the gym. During future transitions the staff will make sure all children are signed in on the master attendance sheet upon arrival and each group leader will document the children in their group on a list and share the group head count total with the other staff members. This list will be maintained by the group leader throughout the afternoon as children go home. During transitions from activity to the next, the group leader will line the children up and do head counts twice before children are allowed to leave the line before and after the transition. If there is a missing child, head counts will be repeated and determine who is missing, conduct an immediate search, and follow the written procedure for a lost or missing child. This corrective action plan will be shared with all staff in writing at the next Kid Central staff meeting along with the Team Leader and unit staff meetings. Another Team Leader has been added to this school site to provide an additional line of support for the existing Team Leader. The Quality Control Coordinator will conduct spot checks at all of our locations to assure this procedure is followed at all times.
A compliance history is in no way a rating for a facility.