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The Village at LeafSpring School at Charter Colony

Inspection · 2025-03-29

Date
2025-03-29
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
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

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

This inspection was amended on 04/09/2025 to add a violation for out of state background checks.
An unannounced, on-site monitoring inspection was initiated on 3/19/25 and completed on 3/28/25. The on-site inspection began at 4:45 pm and ended at 6:30 pm. The inspector reviewed compliance in the areas listed above. There were 28 children present and 6 staff. The inspector reviewed 5 children?s records and 6 staff records on-site and electronically. This inspection included document review, tour of the facility, interviews, 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 business days from today, which will be the close of business on 4/16/25. A POC submitted after this date will not appear on the public website.

Violations

2
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 11 months, did not have documentation of requesting background checks from a state that they resided in the preceding five years. Staff #1 was working with children at the time of the inspection.
Plan of Correction: Upon review, it was determined that Staff #1 did not complete the sworn disclosure form accurately during the hiring process, and therefore the school was unaware that the staff member had resided in another state within the previous five years. As a result, the required out-of-state background check was not requested at the time of hire. As soon as this information came to the school?s attention, the appropriate out-of-state background check was immediately requested. The Child Abuse Check and Central Registry were completed on 3/31/25, and came back the same day, with no issue, and the Criminal Check was sent via mail the same day. Staff #1 was also asked to re-sign her Sworn Disclosure to reflect the correct information. Moving forward, we have reinforced our onboarding procedures to ensure sworn dis-closures are thoroughly reviewed for accuracy and cross-checked during the hiring process to prevent this issue from recurring.
Standard 8VAC20-780-70
The center is required to keep staff records that contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

The record for staff #1, employed for over 11 months and identified as a program lead, did not contain documentation that they possess the education required by the job position.
Plan of Correction: Staff #1 provided the required educational documentation (transcripts) the day following the inspection, on 3/29/2025. This matter has since been resolved. To prevent similar issues in the future, the school has reinforced its onboarding procedures to ensure that all required documentation is collected and verified before an employee begins working in a lead role. Additionally, a thorough audit of all staff files was completed on 3/29/2025 to confirm compliance with documentation requirements moving forward.
View original record on Virginia Department of Social Services