Inspection · 2025-06-26
(703) 397-3827
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 06/26/2025, as part of the licensure period.
The on-site inspection began at 10:00 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above.
There were 53 children present and 11 staff. The inspector reviewed 5 staff records on-site.
This inspection included document review and tour of the facility.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
13The Inspection notice from 08/06/2024 was not posted in a conspicuous place.
Employees must obtain a completed national criminal background check prior to the employee's first day of employment.
The record for Staff #5 (employed for two years) did not contain a fingerprint test result.
The program did not have evidence of submitting test results to VDH.
At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.
The tuberculosis screening in the records for Staff #5 and Staff #6 were overdue by three weeks each.
The records for Staff #1, Staff #4, Staff #5 and Staff #6 did not have documentation of having completed orientation in the following areas: *Prevention of sudden infant death syndrome, and
*Prevention of shaken baby syndrome and abusive head trauma.
There is no documentation in the records for Staff #1 (employed for one year), Staff #4 (employed for three years), Staff #5 (employed for three years), and Staff #6 (employed for three years) of having received the required documentation.
The first aid kit available for review did not contain the following required components: tweezers, tape, and first aid instruction manual.
A battery-operated radio was not available on the date of inspection.
The emergency preparedness plan reviewed did not contain procedural components for plan review and update. The most recent update documented was dated 06/11/2012.
A second shelter-in-place drill was not conducted for the year 2024.
Required emergency numbers were not posted in a visible place.
On the date of inspection, eleven out of nineteen lunchboxes were either not labeled, not dated or both.
The record for Staff #2, did not contain verification of age requirement, and date of employment.
The records for Staff #1 and Staff #2 did not contain documentation that two or more references were checked before employment.