Inspection · 2025-07-21
(571) 596-3662
Areas Reviewed
8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Training
8VAC20-780 Physical Plant
8VAC20-780 Staffing and Supervision
8VAC20-780 Programs
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above. 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.
The Department requested that the provider complete an Intensive Plan of Correction (IPOC) as result of the last inspection related to record keeping and background checks.
Inspector Notes
An unannounced monitoring inspection was initiated on 7/21/2025 and completed on 9/8/2025 with the local DSS agency in response to a self-report received by the licensing inspector on 7/21/2025 relating to supervision and the care and protection of children. The on-site inspection began at 11:05am and ended at 2:40pm. The inspector reviewed 1 child record and 3 staff records on-site. The inspection included document review, interviews, observations, and a tour of the facility.
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. Though not part of the original self-report, violations that were not reported were found related to record keeping and background checks and 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 September 16, 2025. A POC submitted after this date will not appear on the public website.
Violations
8The center is required to obtain a completed sworn disclosure statement prior to the employee's first day of employment.
On the date of the inspection, the record for Staff #2, employed for more than 30 days, and Staff #3, employed for almost 30 days, did not contain a sworn disclosure statement.
The center must request a search of the central registry (CPS) prior to the employees first day of employment.
At the time of the inspection, the record for Staff #1 and #2, employed for more than 30 days, did not contain documentation of a request or results of a central registry search. The record for Staff #3, employed for less than 30 days, did not contain documentation that a request had been submitted.
The center is required to obtain a completed national criminal background check prior to the employees first day of employment.
At the time of the inspection, the record for Staff #1, #2, and #3 did not contain results of a criminal background check. Staff #1 and #2 had been working for more than 30 days. Staff #3 had been working for less than 30 days.
Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician.
The record for Staff #2 did not contain documentation of a TB screening.
The record for Staff #3 contained a TB questionnaire that was dated 5 months prior to hire and not signed by a physician.
Staff shall complete orientation training prior to the staff member working alone with chidlren and no later than 7 days of the date of assuming job responsibilities.
The record for Staff #1, #2, and #3 did not contain documentation of orientation.
The record for Staff #1 and #3 did not contain documentation of child abuse and neglect training.
On 7/18/2025, a 5 year old child that was attending summer camp was left unattended on the community playground for approximately 10-15 minutes. Center staff were unaware the child was left behind, resulting in an unknown father returning the child to a custodial worker.
Multiple staff interviews revealed Child #1, age 5 years, was not within actual sight and sound supervision for approximately 10-15 minutes.. Child #1 was left outside on the playground while the rest of the group went inside.
Staff #1, #2, and #3 failed to follow the centers Name-to-Face procedures on 7/18/2025 when returning from the playground which resulted in a 5 year old child being left outside and unattended for approximately 10-15 minutes.