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The Learning Experience

Inspection · 2025-02-25

Date
2025-02-25
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
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

8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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

An unannounced, on-site monitoring inspection was initiated on 02/25/2025 and completed on 02/25/2025. The on-site inspection began at 9:32am and ended at 12:52pm. The inspector reviewed compliance in the areas listed above. There were 62 children present and 13 staff. The inspector reviewed seven children?s records and seven 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 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 03/14/2025. A POC submitted after this date will not appear on the public website.

Violations

11
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service.

Staff #4 did not have central registry search results during the inspection and has been employed for over eight months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Child #1, under the age of two and enrolled for over nine months, did not contain additional immunizations due within six months of enrollment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

Staff #1 updated screening was due two weeks ago and Staff #6 updated screening was due four months ago. The updated screenings have not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: Water supply; Sewage disposal system; and Food service, if applicable.

The center had a health inspection that expired over 30 days ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

A bottle of disinfectant wipes with a warning label, ?Keep out of reach of children,? was unlocked in the 2-3 year-old classroom, and within reach of children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.

In classroom #4, a staff was changing a child?s diaper and did not wash the child?s hands with soap and water.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
Repeat Violation
Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

In classroom #2, classroom #3, classroom #4 and classroom #5, the trash can lids were broken and were not able to be operated by foot or in a way that hands nor soiled diapers touched the exterior surface of the trash can.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-E
The centers procedures for administering medication shall include methods to prevent use of outdated medication.

The center did not have procedures that prevent use of outdated medication. The medication for child #10 had expired over three months ago. The medication for child #11 has expired over two months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

Medication for Child #10 was on site, but the medication authorization had expired over three months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The record for child #2, enrolled for one year, did not contain proof of identity documentation and did not contain the date of viewing. The record for child #5, enrolled for four months, did not contain proof of identity documentation and did not contain the date of viewing. The record for child #7, enrolled for three months, did not contain proof of identity documentation and did not contain the date of viewing.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall be kept for each staff person with all required information.

The record for staff #2 did not have documentation of completed 16 hours of annual training between April 2023-April 2024. The record for staff #6 did not have documentation of completed 16 hours of annual training between October 2023-October 2024. The record for staff #4 did not contain documentation of VDOE-sponsored orientation course. The record for staff #4 did not contain documentation of completion of orientation training.
Plan of Correction: Not available online. Contact Inspector for more information.