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The Gardner School of Manassas

Inspection · 2024-09-30

Date
2024-09-30
Complaint Related
No
Licensing Inspector
Sharon Allen
(540) 272-2941
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. 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 on 9/30/2024 and completed on 9/30/2024. The on-site inspection began at 2:00pm and ended at 5:00pm. The inspector reviewed compliance in the areas listed above. There were 83 children present and 12 staff. The inspector reviewed 8 children?s records and 6 staff records on site on 9/30/2024. This inspection included document review, a tour of the facility, observations and interviews. 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 10/30/2024. A POC submitted after this date will not appear on the public website.

Violations

15
Standard 22.1-289.035-A
(Repeat Violation) The center is required to have employees undergo a background check every five years.
The most recent sworn statement for staff #5 was overdue by a year and four months.
Plan of Correction: Obtained an updated sworn statement from staff member and moving forward we will make sure all sworn statements are up to date.
Standard 22.1-289.035-B-4
(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff #2, employed for more than 1 year, did not have documentation of requesting an out of state central registry check and staff #6, employed for 3 months, did not have documentation of requesting an out of state central registry check or criminal history check.
Plan of Correction: Accessed VDOE database to find the website to access background checks and submitted to appropriate place
Standard 8VAC20-780-160-A
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.
Staff #2 has no screening documentation and has been employed for one year. Staff #3 has a screening completed five months after hire.
Plan of Correction: Have staff scheduled TB screen at CVS minute clinic or will obtain a copy of the TB results.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.
The updated screening for Staff #4 was due one month ago.
Plan of Correction: Have staff scheduled TB screen at CVS minute clinic.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
Two cans of disinfectant with warning labels, ?Keep out of reach of children,? were in an unlocked cabinet in the Exploration (two?s) classroom.
Plan of Correction: Ensure all cleaning materials are (in) locked cabinets not accessible to children.
Standard 8VAC20-780-340-A
(Repeat Violation) The center shall always ensure the care, protection, and guidance of all children.
In the Fascination B classroom, an infant was observed sleeping in a crib with a stuffed animal resting against their face. Soft objects increase the risk of SIDS and suffocation.
Plan of Correction: Reviewed safe sleep practices with the infant staff and removed the
stuffed animal lovey from the crib. We will continue to have safe sleep practice trainings to ensure proper understanding of safe sleep practice protocols.
Standard 8VAC20-780-350-B-1
The required ratio for children ages birth to 16 months is one staff per four children.
Staff #6 was observed supervising eight children in the Discovery B classroom (youngest child 15 months old) during naptime.
Plan of Correction: Will ensure the proper ratio is followed for the youngest child in the room.
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The lists in the Imagination A classroom, Exploration B classroom, Acceleration A classroom and the Acceleration B classroom were dated nine months ago and not current, per staff.
Plan of Correction: Will update allergy list monthly or if we have new enrollments.
Standard 8VAC20-780-440-L
Pillows shall not be used by children under two years of age.
Child #5 and child #6, who are under two years of age, were observed napping with pillows.
Plan of Correction: Removed all pillows from nap area.
Standard 8VAC20-780-500-A
(Repeat Violation) Children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff shall wash hands with soap and running water before and after a diaper change. Staff #3 changed a child?s diaper in the Discover A (toddler) room and did not wash the child's hands with soap and water afterwards. Staff #3 did not wash their own hands before or after changing a child?s diaper.
Plan of Correction: Retrained staff on proper handwashing procedure for both
children and staff. We will also have a training on reviewing proper
handwashing protocols with all staff
Standard 8VAC20-780-500-B
(Repeat Violation) The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.
Staff #3 cleaned the diaper changing surface but did not sanitize the surface.
Plan of Correction: Retrained staff on proper handwashing procedures for both children and staff.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.
Staff #1, staff #4, and staff #5 were observed alone with a group of children and are not certified in CPR or first aid. Staff #6 was observed alone with a group of children with CPR and first aid certification that expired seven months ago.
Plan of Correction: Scheduled first aide/CPR training to renew certification.
Standard 8VAC20-780-550-D
(Repeat Violation) The center shall implement a monthly practice evacuation drill.
There was no documented evacuation drill in August, 2024.
Plan of Correction: Scheduled evacuation drill.
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 #1 was missing the date of enrollment. The records for Child #3, enrolled for four months, and child #5, enrolled for seven months, were missing proof of birth, and the name, address, and phone number for two emergency contacts. The record for child #6, enrolled for seven months, was missing proof of birth, contact information for parents, and the name, address, and phone number for two emergency contacts
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
(Repeat Violation) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
Staff #2, who has been actively working at the center for the past year, staff # 3, who has been actively working at the center for over 14 months, and staff #6, who has been actively working at the center for over 15 months did not have two completed reference verifications on file.
Plan of Correction: Will call and document references.
View original record on Virginia Department of Social Services