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Green Hedges School

Inspection · 2025-09-11

Date
2025-09-11
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 monitoring inspection was initiated on September 11, 2025, and completed on September 11, 2025, as a part of the current licensure period. The on-site inspection began at 9:40am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 54 children present and 9 staff. The inspector reviewed 5 child files and 5 staff files 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.
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 September 23, 2025. A POC submitted after this date will not appear on the public website.

Violations

13
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Staff 1, who is currently working, was not available for review.
The sworn statement for Staff 3, who is currently working, was signed 40 days after date of hire.
Plan of Correction: Building system to track required materials on appropriate timeline. We have received sworn statement from Staff 1.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff 1, who is currently working, had a criminal background result on file that was dated 26 days after date of hire.
Staff 2, had a criminal background result on file that was dated more than 6 months prior to date of hire.
Staff 3, had a criminal background check on file dated 46 days after date of hire.
Plan of Correction: Building system to track required materials on appropriate timelines. Will conduct two criminal background checks if date of hire is more than 90 days in advance of hire date.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Staff 1, who had been employed for 26 days, did not have documentation of a central registry search requested.
Plan of Correction: Central Registry Check requested as part of recent background check. Building hard-copy checklists to track required materials.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff 1 had no documentation and had been employed for 45 days. Staff 3 TB was dated 7 months prior to date of employment and has been employed for over a year.
Plan of Correction: Building system to track required materials on appropriate timeline. Have documentation of negative TB screening for Staff 1 and 3.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

Staff 1 had been working over 1 month with no documentation of orientation on file.
Staff 2 had been working over 11 months with no signed/dated documentation of orientation on file.
Staff 3 had been working over 1 year with no documentation of orientation on file.
Plan of Correction: System referenced above will track orientation training. Documentation that orientation training for Staff 1, 2, 3.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Staff 4 and 5, had only 10 hours of training documentation on file for the past year.
Plan of Correction: System referenced before will track annual training.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment, are maintained in a clean and safe condition.

Cots and child materials were being kept in the bathroom (next to the toilet) in one classroom.
Plan of Correction: Building separate closet for storage of cots and other materials.
Standard 8VAC20-780-280-B
Hazardous substances marked "Keep out of reach of children" shall be kept in a locked place using a safe locking method that prevents access by children.

Hand sanitizer was observed on the classroom counter accessible to the children.
Plan of Correction: Such substances will be stored in a compliant manner.
Standard 8VAC20-780-340-F
Children under 10 years of age always shall be within actual sight and sound supervision of staff.

Two preschool-aged children were observed walking down the hallway to class, without staff supervision, approximately 50 feet from the classroom.
Plan of Correction: Assign third teacher to Montessori room without direct access to bathroom.
Standard 8VAC20-780-420-E-3
Staff shall request at least annually parent confirmation that the
required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually.

Child 3's file did not have documentation of an annual update, which is overdue by one month.
Plan of Correction: Resharing revised communication and health form with families.
Standard 8VAC20-780-520-C
The center will ensure that if diaper ointment or cream is used that they shall be inaccessible to children.

There was a container of diaper cream on an open shelf under the changing table in the bathroom that was accessible to children in care.
Plan of Correction: Such substances will be stored in a compliant manner.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for Child 4, was missing the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached, names of persons authorized to pick up the child, and date of enrollment at center.
Plan of Correction: Add an address field and any other relevant fields to annual communication and health form. Reshare with families to update.
Standard 8VAC20-780-70
The following staff records shall be kept for each staff person: employee application, emergency contact, proof of education, 2 references.

Staff 1, who is currently working, had no documentation of an application, emergency contact, proof of education, or references.
Plan of Correction: Building system to track required materials on appropriate timeline. Also filling out Staff 2's file.
View original record on Virginia Department of Social Services