Inspection · 2024-08-14
(804) 297-4469
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
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 8/14/24 and completed on 8/14/24. The on-site inspection began at 1:30 P.M. and ended at 5:40 P.M. The inspector reviewed compliance in the areas listed above. There were 69 children present and 11 staff. The inspector reviewed seven children?s records and five staff records on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs), 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/30 /24. A POC submitted after this date will not appear on the public website.
Violations
4Evidence: The most recent tuberculosis screening for Staff #1 in the record was dated 7/22/22. In an interview on 8/14/24, the Program Director acknowledged that the TB screening for Staff #2 was overdue.
Evidence: The resilient surfacing on the playground was observed to be cracked and torn away in multiple places posing a tripping hazard for the children. In an interview on 8/14/24, the Program Director acknowledged that the resilient surfacing needed repair and stated that the repair had already been scheduled.
Evidence: Following nap time, 23 children ages three to five years were observed on the playground with two staff (Staff #2 and Staff #6). Staff # 2 reported 10 children in her group. Staff #6 reported 13 children in her group. The staff-to-children ratio for children ages three to five years is one staff to ten children.
Evidence: Staff #1?s record did not contain documentation of 16 hours of annual training between 7/2023 and 7/2024. Staff #2?s record did not contain documentation of 16 hours of annual training between 3/2023 and 3/2024. In an interview on 8/14/24, the Program Director acknowledged that documentation of 16 hours of annual training was not contained in the records of Staff #1 or Staff #2.