Inspection · 2023-06-28
(804) 840-8260
Areas Reviewed
X 8VAC20-780 Administration.
X 8VAC20-780 Staff Qualifications and Training.
X 8VAC20-780 Physical Plant.
X 8VAC20-780 Staffing and Supervision.
X 8VAC20-780 Programs.
X 8VAC20-780 Special Care Provisions and Emergencies
X 8VAC20-780 Special Services.
X 8VAC20-820 THE LICENSE.
X 8VAC20-820 THE LICENSING PROCESS.
X 8VAC20-820 HEARINGS PROCEDURES.
X 8VAC20-770 Background Checks
X 22.1 Early Childhood Care and Education
X 63.2 Child Abuse & Neglect
Inspector Notes
A renewal inspection was conducted on June 28, 2023 from approximately 10:00 am to 3:50 pm.
There were a total of 135 children present, ranging in ages from 5 months to 12 years, with 21 staff supervising.
A total of 10 child records and 11 staff records were reviewed. Background checks for the 2 applicants/agents were reviewed.
The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, special care and emergencies, and special services.
During the inspection, children were observed participating in outdoor play that included utilizing playground equipment, participating in teacher-directed and self-directed activities, arriving from a field trip, having lunch and preparing for rest time. Staff were observed having positive interactions with the children. The center is equipped with toys and supplies and items were available to the children.
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.
Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable.
Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.
If you have any questions about this inspection, please contact NeShara Gaston, Licensing Inspector at 540-280-0742 or e-mail neshara.gaston@doe.virginia.gov.
Violations
9Evidence:
1.The record for Staff #7 (date of hire: 3/6/23) documented a sworn disclosure statement, indicating having resided outside of the state of Virginia within the preceding five years.
2.There was not an out of state child abuse and neglect search documented in the record for Staff #7 and no additional information was provided.
3. During an interview, with the center director, it was acknowledged that the record did not document the search results for Staff #7.
Evidence:
1. The most recent sworn disclosure statement documented for applicant/agent (A) A#1, is dated 1/1/2017.
2. The most recent sworn disclosure statement documented for applicant/agent (A) A#2, was dated 1/26/2017.
3. During an interview, the center director acknowledged the sworn disclosure statements for the applicants/agents were not completed every 5 years.
Evidence:
1. Staff #4?s date of hire was 6/19/2023. The sworn disclosure statement was signed on 6/21/2023.
Evidence:
1. Staff #1 (date of employment 5/25/2022) did not have a completed search of the central registry documented in the record.
2. No additional information was provided and the director acknowledged the central registry search was not completed.
3. Staff #6 (date of employment 4/3/2023) did not have a completed search of the central registry documented in the record.
4. The center director forwarded emails from the Office of Background Investigations (OBI) on 6/29/2023. One email is dated 6/2/23 and documents, that portability was not available and Staff #6 was not found.
5. An additional email, dated 6/6/2023 from OBI, documents an error on the request submitted and advised the center, that a request must be resubmitted.
6. The center did not provide any additional information regarding the request for the central registry search.
Evidence:
At the time of review, there was no physical examination in the record of Child #6. Child #6 had a documented first date of attendance of 11/29/21.
Evidence:
1. The record for staff #11 (date of hire: 1/23/23) documented a tuberculosis screening dated 4/13/2023.
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.
Evidence:
1. One bathroom located in the Pre-K room had 2 chipped paint areas on the wall.
2. The center director observed and acknowledged the chipped paint areas.
Evidence:
1.The foot-operated diaper trash can in infant room #100 was observed as not operable with the foot-operated step. The lid required manual lifting.
2. A teacher in the room was observed lifting the lid with her hand to dispose of a diaper.
refrigerated, dated and labeled with the child's name.
Evidence:
The refrigerators in the infant rooms contained infant bottles with no dates.