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Creative Gardens Ashburn Village

Inspection · 2021-11-29

Date
2021-11-29
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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

22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A renewal inspection was initiated and concluded on 11/29/2021. The supervisor was contacted by telephone and a virtual inspection was conducted. There were 47 children present, ranging in ages from infants old to 5 years old, with 11 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 10 staff records were reviewed.

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 contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations

3
Standard 22VAC40-191-60-B
Based on review of 10 staff records, the center did not have a completed sworn disclosure statement prior to date of hire.
Evidence:
1. Staff #6 (Date of hire 8/17/2021) had a sworn disclosure statement signed 8/24/2021.
2. Staff #9 (Date of hire 10/29/2021) had a sworn disclosure statement signed 11/01/2021.
Plan of Correction: Will be signed no later that day 1 of employment. Will implement new orientation procedures to check all forms prior to beginning orientation.
Standard 22VAC40-191-60-C-2
Based on review of 10 staff records, the center did not have a central registry finding within 30 days of employment.
Evidence:
1. Staff #8 (Date of hire 9/21/2021) had the central registry results dated 11/19/2021.
Plan of Correction: Will call/email Central Registry within 10, 20, and 25 days of sending. Will document a copy of the Central Registry Form.
Standard 63.2(17)-1720.1-B-4
Based on record review, the center did not obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years prior to the 1st day of employment.
Evidence:
1. Staff #6 (Date of hire 8/17/2021) lived in another state (NY) in the last 5 years and had the results of a sex offender registry check from NY dated 8/19/2021.
2. Staff #8 (Date of hire 9/21/2021) lived in another state (NC) and (OH) in the last 5 years and had the results of a sex offender registry check from NC on 10/12/2021 and OH on 10/07/2021.
Plan of Correction: Management team will complete the Central Registry Check/Sex Offender Check from out of State prior to staff members first day. This will be noted on the hiring checklist for all management. Please see attached checklist for hiring documents.
View original record on Virginia Department of Social Services