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The Gardner School of Manassas

Inspection · 2025-02-10

Date
2025-02-10
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 and completed on 02/10/2025. The on-site inspection began at 3:00 p.m. and ended at 6:00 p.m. The inspector reviewed compliance in the areas listed above. There were 91 children present and 13 staff. The inspector reviewed eight children?s records and six staff records.

This inspection included:
? document review
? tour of the facility
? interviews
? 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 03/11/2025. A POC submitted after this date will not appear on the public website.

Violations

14
Standard 22.1-289.035-A
The center is required to have employees undergo a central registry background check and criminal history check every five years.

The most recent central registry check for staff #3 was overdue by two years and four months. The most recent determination letter based on fingerprinting for staff #3 was overdue by one year and seven months.
Plan of Correction: I will obtain a new central registry check for the staff, I will check all staff files and make sure I have up to date central registry check for all staff.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #1, employed for more than 16 months, did not have documentation of requesting a central registry check or a sex offender registry check from the state the staff resided within the last five years.
Plan of Correction: I will obtain the central registry check from the previous school the employee worked at and I will obtain a sex offender registry for CO.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #3, who had been attending for five months, did not have documentation of an immunization record on file.
Plan of Correction: I obtained an immunization record from parents.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There was no physical examination in the record of child #2, who had been enrolled for five months.
Plan of Correction: Obtained a physical copy of examination for child #2.
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.

Staff #1 had no documentation of a TB screening on file and has been employed for 16 months.
Plan of Correction: I will obtain a negative TB test prior to the staff's first day of employment.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

The updated screening for Staff #3 was due 23 months ago.
Plan of Correction: Obtained a new TB screening on 2/24/25.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

Staff #2, who was working with children for the last six years, has not yet completed this course. Staff #3, who was working with children for the last ten years, has not yet completed this course.
Plan of Correction: All employees will have the proper VDOE training and certification.
Standard 8VAC20-780-240-B
Staff are required to 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 #2, who has been actively working at the center for six years, did not have documentation of completed orientation training on file. Staff #3, who has been actively working at the center for ten years, did not have documentation of completed orientation training on file.
Plan of Correction: The employees will all have a completed orientation training on file and had signed off of the completion.
Standard 8VAC20-780-550-D
The center is required to practice monthly evacuation drills.

The most recent evacuation drill was conducted 12/20/2024.
Plan of Correction: The school will make sure fire drills are done monthly and recorded.
Standard 8VAC20-780-550-F
The center is required to practice lockdown procedures annually.

The most recent lockdown drill was conducted 10/11/2023.
Plan of Correction: The school did a practice lockdown on 2/25/25.
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, enrolled for five months, was missing one of the two required emergency contacts. The record for Child #4, enrolled for two years, was missing documentation of viewing proof of the child's identity and age.
Plan of Correction: Obtained missing emergency contact for child #1 and proof of child's identity and age for child #4.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Child #4, who has been enrolled for two years, has a diagnosed food allergy and did not have a written care plan in their file. Child #5, who has been enrolled for six months, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: All children with a food allergy will have a written care plan in their file. I will ensure that a written care plan is in the child's file for all children with allergies.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #1, who has been actively working at the center for the past 16 months, did not have any completed reference verifications on file. Staff #4, who has been actively working at the center for the past five months, did not have any completed reference verifications on file. Staff #5, who has been actively working at the center for the past three months, did not have any completed reference verifications on file. Staff #6, who has been actively working at the center for the past two months, did not have any completed reference verifications on file.
Plan of Correction: I will make sure that all staff members have at least 2 references checks and documented prior to employment.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

At approximately 3:10 p.m. on 2/10/2025, there were seven children present in the infant room, but only six were marked present on the attendance record. There were 17 children present in the three year old room, but only 16 were marked present on the attendance record.
Plan of Correction: All teachers will make sure that they are documenting and marking in and out every child at arrival and departure.
View original record on Virginia Department of Social Services