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Green Hedges School

Inspection · 2024-12-02

Date
2024-12-02
Complaint Related
No
Licensing Inspector
Christina Bakonyi
(571) 596-3655
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

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
8VAC20-820 Hearings procedures
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
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.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on December 2, 2024 and completed on December 2, 2024, as a part of the current licensure period. The on-site inspection began at 9:10am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 68 children present and 10 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included: document review, postings review, tour of the facility and playgrounds, 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.

Violations

11
Standard 22.1-289.035-A
Systemic Deficiency
Repeat Violation

The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #1 was overdue by 11 months and staff #5 was overdue by two years and three months. Staff #1 had a criminal background check that was overdue by 12 months. Staff #5 had a criminal background check that was overdue by two years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement for each staff member every five years from the first day of employment.

The sworn statement for Staff #4 was overdue by twelve months. The sworn statement for Staff #5 was overdue by 24 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Systemic Deficiency
Repeat Violation

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children.

Staff #2 had no TB documentation and has been employed for four months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
Systemic Deficiency
Repeat Violation

A tuberculosis (TB) screening is required every two years from the last screening.

Staff #1 updated screening was overdue by two years and has not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

There were cords hanging from electrical outlets in classroom 3 that could pose a hazard as they are in reach of the children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials will be kept in a locked place using a safe locking method that prevents access by children.

Containers of disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in classroom 1, out of reach of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-290-A-3
In areas used by preschool age or younger children, electrical outlets will have protective covers.

There was an uncovered outlet in the main hallway used by the preschool-aged children that was accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their protection.

A Nespresso coffee maker was observed plugged in, on the counter within reach of the children in the classroom.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-F
Children under 10 years of age will always be within actual sight and sound supervision of staff.

Three children aged 3-4 years old from classrooms 1 and 2 were observed entering the classrooms from the hallway and bathroom without supervision. A fourth child was observed being let out of the classroom, by the staff, and then the classroom door was closed, leaving the child alone in the hallway.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-420-E-3
Up-to-date information is required to be requested from the parent for each child's record at least annually.

The information in the records of Child A and B annual update is overdue by four months.
The information in the records of Child C and D annual update is overdue by two years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center must maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for Child A, B, and D all enrolled for over a year, were missing the following required components: The names, addresses, and phone numbers, of two designated people, if parents can not be reached in an emergency.

The record for Child D and E had no documentation of work phone and place of employment for both parents.
Plan of Correction: Not available online. Contact Inspector for more information.