An unannounced monitoring inspection was conducted on-site October 12, 2022. The director was available during the inspection. There were 19 children present, ranging in ages from 20 months to 5 years, with 4 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 5 child records and 3 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.
Please 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 from today. Please specify how the deficient practice will be or has been corrected. 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 preventative measures. Please do not use staff names; list staff by positions only.
Based on observation, interview and a review of staff records on October 12, 2022, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: Staff #1 was observed working alone with children. Staff #1 confirmed the first day of employment as 10/12/22. The record of staff #1 did not contain documentation of sworn statement. Staff #4 confirmed the sworn statement was not completed.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-770-60-C-2
Description:
Based on a review of staff records and interview on October 12, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired 4/25/22, contained documentation of a central registry finding dated 7/5/22. 2. The record of staff #3, hired 8/29/22, contained documentation of a central registry finding dated 10/8/22.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-770-70-A
Description:
Based on a review of staff records and interview on October 12, 2022, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position, and orientation and did not ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 10/12/22, did not contain documentation of references. Staff #4 confirmed that the references were not completed. 2. The record of staff #2, hired 4/25/22, did not contain documentation of program leader qualifications and did not contain documentation of orientation. Staff #4 stated she was unsure where the orientation documentation was. 3. The record of staff #3, hired 8/29/22, did not contain documentation of two references.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-130-A
Description:
Based on a review of children's records on October 12, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #3, enrolled 2/23/22, contained documentation of immunizations dated 6/15/22.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-140-A
Description:
Based on a review of children?s records on October 12, 2022, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #3, enrolled 2/23/22, contained documentation of a physical dated 6/15/22.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-240-D
Description:
Based on observation and interview on October 12, 2022, the center failed to provide the required information in writing prior to working alone with children. Evidence: 1. Staff #1 was observed working alone with children. 2. Staff #1 confirmed the first day of employment was 10/12/22. 3. Staff #4 confirmed that staff #1 had not been provided the required information in writing.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-450-A
Description:
Based on observation and interview on October 12, 2022, the center failed to have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges on the cots during the designated rest period. Evidence: In the toddler classroom there were two cots occupied by children that did not have bottom covers. Staff #2 stated the parents don't bring them. Staff #4 confirmed there were no bottom covers.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-530-A-1
Description:
Based on observation, a review of staff records and interview on October 12, 2022, the center failed to have one staff member in each classroom with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in CPR. Staff #4 confirmed that staff #3 has not completed CPR training.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-530-A-2
Description:
Based on observation, a review of staff records and interview on October 12, 2022, the center failed to have one staff member in each classroom with current certification in first aid. Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in first aid. Staff #4 confirmed that staff #3 has not completed first aid training.
Plan of Correction:
Not available online. Contact Inspector for more information.
Standard #:
8VAC20-780-550-D
Description:
Based on a review of records and interview on October 12, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of a fire drill being practiced in September 2022. 2. Staff #4 verified a fire drill was not conducted in September.
Plan of Correction:
Not available online. Contact Inspector for more information.
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
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