Inspection · 2024-12-19
(804) 625-2304
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
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 focused inspection was initiated on December 19, 2024 and completed on December 19, 2024. The Department issued a Notice of Intent to Deny Renewal of License on December 10, 2024, as a result of high-risk violations. The on-site inspection began at 4:40 PM and ended at 5:55 PM. The inspector reviewed compliance in the areas listed above. There were 14 children present and two staff. The inspector reviewed five children?s records and program director qualifications. 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 (5) business days from today.
Violations
3Immunizations and physical examinations are required to be signed by a physician, his designee, or an official of the local health department and must be obtained before the child can attend.
The record for child #3 contained immunizations that were not signed by a physician, his designee, or an official of the local health department.
The record for child #1 contained a physical examination that was not signed by a physician, his designee, or an official of the local health department.
Program directors shall be at least 21 years of age and shall meet one of the program director qualification requirements.
Evidence:
The record of staff #1, identified as the center?s program director, contained documentation of completing 22 semester hours of the required 48 hours of college credit from a college or university. Staff #1 stated she did not have the required 48 semester hours of college credit.
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 did not have two of the two designated people to call in an emergency if a parent cannot be reached.