Inspection · 2025-02-19
(540) 270-0057
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site focused inspection was initiated and completed on 2/19/2025, as a part of the provisional licensure period. The on-site inspection began at 9:05am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 39 children present and 8 staff. The inspector reviewed 6 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 2/26/2025. A POC submitted after this date will not appear on the public website.
Violations
7The center must request a search of the central registry prior to the employee's first day of employment.
Staff #6 was employed for over two months before the center requested a central registry search.
-Moving forward, no staff member will begin their first day of employment without submitting all employment documentation and completing any necessary state training requirements. I will ensure this by meeting with all new hires prior to their first day to verify or reverify documentation.
-Staff #6 file has been updated with a current and valid central registry search result.
Documentation of a negative Tuberculosis (TB) screening must be submitted at the time of employment.
Staff #3, employed for over 2 and a half weeks, does not have documentation of a negative TB screening on file.
-In compliance with licensing regulations, a new processing system by requiring all new hires to submit a central registry search request as part of the new hire process, along with fingerprint, TB requests etc. Moving forward, no staff member will begin their first day of employment without submitting all employment documentation and completing any necessary state training requirements. I will ensure this by meeting with all new hires prior to their first day to verify all required documentation are completed and current.
The monthly evacuation drill was not conducted for the month of December 2024.
-Establish a monthly drill schedule using company tools and resources.
-Set calendar reminders each month for drills to ensure completion.
-Conduct regular reviews of fire drills documentation to ensure compliance and identify any areas for improvement.
-Familiarizing teachers and staff with evacuation procedures.
The center shall ensure protective belts are fastened securely when infants are placed in high chairs.
Two infants were seated in high chairs eating breakfast and they did not have their protective belts fastened.
The center shall ensure staff records contain all required information.
Staff #3's record, employed for over two and a half weeks, did not contain documentation of having completed required orientation training
-Staff #3 record have been obtained and updated in their staff file.
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.
There were 7 children present in the Infant room but only 6 children signed in on the attendance record.
-Moving forward, management will check Face to Name sheets daily for accuracy and completion. Management will observe and supervise one transition for each classroom weekly.
Child #1, Child #4, and Child #5's records did not contain signed authorization for emergency medical care. Child #5's record was missing the signed agreement that the parents agree to notify the center if anyone in the household is diagnosed with a communicable disease.
-Child #1, Child #4, Child #5: This matter has been corrected by the director. All requested documents have been obtained and filed into the child's file.