Inspection · 2025-03-19
(703) 479-4675
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 (8VAC20-770)
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 March 19, 2025, as a part of the licensure period. The on-site inspection began at 11:00 a.m. and ended at 2:00 p.m. The inspector reviewed compliance in the areas listed above. There were 73 children present and 23 staff. The inspector reviewed 7 children?s records and 7 staff records on-site. This inspection included document review, tour of the facility, 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.
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 March 26, 2025. A POC submitted after this date will not appear on the public website.
Violations
5The completed national criminal background check results for Staff #1, were obtained 9 days after their first day of employment.
-Meet with HR to strengthen onboarding procedures, ensuring no employee starts without a completed background check.
Pre-Employment Checklist implement a mandatory checklist requiring HR verification of background checks before assigning a start date.
The supplemental page for the most recent inspection was posted on a bulletin board by the center?s front doors that contained confidential information.
Medication #4 was onsite, but there was no medication authorization form on file. Medication #5 was onsite, but there was no medication authorization on file. The medications had not been administered.
Medication #1 was onsite, but the medication authorization had expired over 3 years ago. Medication #2 was onsite, but the medication authorization had expired over 1 year and 7 months ago. Medication #3 was onsite, but the medication authorization had expired 4 days ago. The medications had not been administered. The authorizations had not been renewed and the medications were not returned or disposed of as required.
-Send Medication Consent Forms to all families with medication on-site, requiring completion by both parents and the physician.
Tracking & Alerts: Enter expiration dates for medications and authorizations into our 1Core system for electronic tracking.
-Implement automatic 14-day alerts before expiration to ensure timely renewal or removal.
Ongoing Compliance: Conduct monthly medication audits to verify authorization status.
-Require families to pick up expired medications within 14 days or submit authorization forms.
The records for 7 out of 7 children, all enrolled for over six months, were missing the documentation of viewing proof of the child's identity and age.
-We have verified all student identities and copied birth certificates but did not record the viewing date on the student forms. Moving forward, we will ensure the date of verification, and the name of the reviewer are documented on the form and complete that section for our current students.