Tri-County Community Action Agency, Inc. - Boydton

8VAC20-780-260-A · The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official.

The fire inspection report was over 2 months past due.

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8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening.

Staff #2 updated screening was overdue by over two weeks.

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8VAC20-780-140-A · **Repeat Violation**

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The physical examination in the record for child #1 was completed over five months after the child?s first date of attendance. The physical examination in the record for child #3 was completed 2 months after the child?s first date of attendance.

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8VAC20-780-70 · Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #1, who has been employed for over 3 years, did not have any completed reference verifications on file.

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22.1-289.035-B-3 · The center must obtain the results of a central registry search for an employee, within 30 days of employment.

The record for staff #3 contained a central registry background check dated 40 days after their date of employment.

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8VAC20-780-60-A · Based on a review of five child records and interview, the center did not ensure that a complete record was kept for one child that contained the required information.

Evidence: 1. The record of child #4 was missing an emergency contact address. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that one of the two required emergency contacts did not have an address listed.

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8VAC20-780-270-A · Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence: 1. Rust was observed on the air vents in the two bathrooms used by the children. The vents were located in a low area accessible to the children when using the bathrooms. 2. Torn fabric was observed on the top of a climbing structure on the playground. Several small pieces of the fabric were also observed on the ground. 3. Administration acknowledged that the areas required maintenance.

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8VAC20-770-60-C-2 · Based on a review of three (3) staff records and interview, the center did not ensure that one (1) record contained a central registry finding within 30 days of employment as required.

Evidence: 1. The record of staff #3 (date of employment: 10/18/2021) contained a central registry finding dated 12/14/2021. 2. Administration acknowledged that they did not have the finding within 30 days.

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22.1-289.058 · Based on observation and interview, the center did not ensure to equip their building that was built before 2015 and serves preschool children with a carbon monoxide detector.

Evidence: 1. A carbon monoxide detector was not observed during the virtual inspection. 2. Administration acknowledged that a carbon monoxide detector had not been installed.

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63.2(17)-1720.1-A · Based on record review and interview, the center did not ensure to obtain the results of a repeat Central Registry background check every five years as required for one staff.

Evidence: 1. The record of staff #2 (DOH:08/28/2013) contained documentation of an expired central registry dated 05/17/2016. 2. Administration acknowledged that the background check was expired and they had sent a new request on 09/01/2021.

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