Pittsylvania Co Community Action- Center for Community Learning

The center is required to have every applicant and agent for licensure undergo a background check every five years.

“The most recent criminal record check for agent/applicant 2 was overdue by one month.”

Rule 22.1-289.036-A.

Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child 4 documented the first date of attendance as 08/23/2023. The immunization record contained the statement ?doesn’t vaccinate.?”

Rule 8VAC20-780-130-A.

Based on observation and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: At approximately 9:05 am on 04/15/2024, there was no daily attendance for the group of 18 children in care. Staff 2 confirmed the attendance had not been done and that the children began to arrive at approximately 7:15am. The daily attendance record did not document the arrival of each child as it occurred.”

Rule 8VAC20-780-80-A.

Based on observation and interviews, the center failed to ensure before leaving on a field trip, a schedule of the trip’s events and locations shall be posted and visible at the center.

“Evidence: The inspector observed the children and staff returning to the center from a field trip. The schedule of the trip’s events and location was not posted. Staff 1 confirmed they did not post the required information.”

Rule 8VAC20-780-580-I.

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 4 indicated the first date of attendance as 08/15/2022. The immunization record was obtained 8/16/2022.”

Rule 8VAC20-780-130-A.

8VAC20-780-245-A

“Based on record review, the center failed to ensure staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Documentation of training hours for staff 2 was requested and not received.”

Rule 8VAC20-780-245-A.

8VAC20-780-550-H

“Based on interview with staff, the center failed to maintain a record of the dates of practice drills for one year. Evidence: Staff 2 confirmed no document of practice drills was available for review.”

Rule 8VAC20-780-550-H.

22.1-289.035-A

Rule 22.1-289.035-A.

22.1-289.035-B-2

“Based on the record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The hire date for Staff 2 was 08/09/2021. The employment eligibility letter was dated 08/13/2021.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The hire date for Staff 2 was 08/09/2021. The sworn statement was dated 08/10/2021.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The hire date for Staff 2 was 08/09/2021. The findings from a search of the central registry were dated 10/06/2021.”

Rule 8VAC20-770-60-C-2.

Based on record review and discussion with the staff, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter.

“Evidence: The record for Staff 1 contained the findings from a search of the central registry dated 09/26/2016; the 2021 repeat search of the central registry was not available for review during the 03/16/2022 inspection.”

Rule 22.1-289.035-A.

Based on record review and discussion with the staff, the center failed to ensure that there shall be at least two staff members who hold a current certification in CPR and first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute or National Safety Council to include an in-person competency demonstration.

“Evidence: Staff 1 was the only staff member present that met the requirement of the standard. The certification obtained by Staff 2 was not from one of the allowed organizations and did not include an in-person competency demonstration.”

Rule 8VAC20-780-530-C.