Henrico Education Foundation - Trevvett

22VAC40-185-70-A · Based on a review of three staff records and interviews, the center did not ensure that two staff records contained all the required information.

Evidence: 1) The tuberculosis (TB) screening results in the record for Staff #3, hired on 09/23/2021, were dated 11/10/2021. 2) During interview, a member of management acknowledged the TB results for Staff #3 were not obtained within 21 of beginning employment. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record. 3) The record for Staff #2, hired on 09/30/21, did not contain TB screening results. 4) During interview, a member of management reported Staff #2 does not have a TB screening to date.

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8VAC20-780-550-B · Based on observation and documentation review, it was determined that the center did not ensure that the emergency preparedness plan was reviewed annually.

Evidence: 1. The emergency plan had a review date of January 2023. 2. An emergency plan with new program director and program information was not available at the time of inspection.

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8VAC20-780-550-P · Based on a review of the facility's injury reports, all required information was not documented.

Evidence: Two injury reports did not have staff and parent signatures or two staff signatures.

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8VAC20-770-60-C-2 · Based on a review of three staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment.

Evidence: 1) The central registry finding in the record for Staff #1, hired on 10/12/21, was dated 11/30/21. 2) During interview, a member of management confirmed the central registry finding for Staff #1 was not received within 30 days of employment. The center did not follow up with the Office of Background Investigation (OBI) to inquire about the results until 11/24/21.

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