Inspection · 2025-01-15
(703) 309-3963
Areas Reviewed
8 VAC 20-780 Administration
8 VAC 20-780 Staff Qualifications and Training
8 VAC 20-780 Physical Plant
8 VAC 20-780 Staffing and Supervision
8 VAC 20-780 Programs
8 VAC 20-780 Special Care Provisions and Emergencies
8 VAC 20-780 Special Services
8 VAC 20-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
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 monitoring inspection was initiated and completed on 01/15/2025. The on-site inspection began at 10 am and ended at 2 pm. The inspector reviewed compliance in the areas listed above. CDC: There were (78) children present and (17) staff. The inspector reviewed (5) children?s records and (5) new staff records on-site on 01/15/2025.
This inspection included: document review (files, policies and procedures, emergency drill logs, medication administration logs, authorization forms); 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.
Violations
6The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
The program did not have evidence of submitting test results to VDH.
Child #5, who had been attending for two months, did not have documentation of an immunization record on file.
There was no physical examination in the record of Child #5, who had been enrolled for two months.
Staff #13 is currently working and has a TB screening that was dated 30 days after their first day of employment.
The record for Child #5, enrolled for two months, was missing the following required components: Documentation of viewing proof of the child's identity and age.