Inspection · 2025-02-25
(540) 309-2397
Areas Reviewed
8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Training
8VAC20-780 Physical Plant
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
20 Access to minor?s record
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
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 03/07/2025. The on-site inspection began at 9:00 a.m. and ended at 11:45 a.m. Two inspectors reviewed compliance in the areas listed above. There were 17 children present and 4 staff. The inspectors reviewed 5 children?s records and 7 staff records on-site and addition documents electronically on 03/07/2025. 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, which will be the close of business on 03/13/2025. A POC submitted after this date will not appear on the public website.
Violations
16The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
The sworn statement for Staff 2 was dated two weeks after their first day of employment. There was no sworn statement available for Staff 4, employed over three months. The sworn statement for Staff 5, employed over three months, was not signed.
Statement in employee files.
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff 6, employed for one month, did not have a completed national criminal background check.
Waiting on CSR return
Contacted CSR 2/26/25
The center must request a search of the central registry prior to the employee's first day of employment.
The record for Staff 7, employed over three months, had no documentation a search of the central registry was requested.
Waiting on CSR return.
Contacted CSR 2/26/2025.
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff 7, employed over three months, did not have documentation of an out-of-state criminal history record check, a sex offender registry check, or a search of the child abuse and neglect registry.
Waiting on CSR.
Contacted CSR on 02/26/2025.
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
There were no immunization records for Child 4 and Child 5, who had been enrolled for three weeks.
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.
Staff 1, Staff 4, Staff 5, and Staff 6 had no documentation of a negative TB screening.
The TB screening for Staff 2 was obtained one year prior to employment. The TB screening for Staff 3 was obtained one year and five months prior to employment.
Acceptable forms of documentation of tuberculosis screening are a clearance statement signed by a physician, the physician designee or official of the local health department.
The TB screening for Staff 7 was not signed by a physician, physician's designee, or an official of the local health department.
Staff 2, Staff 4, Staff 5, Staff 6, and Staff 7 did not have the VDOE sponsored online orientation course. All staff have been employed for over 90 days.
Staff 4, employed over three months, and Staff 7, employed over three months, had no documentation of orientation training.
Approval from the health department was overdue by 2 months.
A spray bottle labeled ?Bleach/water? was unlocked hanging on a wall vent in Bathroom 1.
Staff 2, identified as the program leader of a group of children, did not meet program leader qualifications.
On 02/25/2025, Staff 1 was the only staff member supervising the on-going mixed age group of 13 children aged 2 years to 4 years. The required staff to child ratio for this group of children would be 1:8. Two staff were required for this group.
In restroom 1, three diaper ointments were stored in open bins beneath the changing table and were accessible to children. Children were observed using this restroom.
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
The records for Child 1, Child 2, Child 3, Child 4 and Child 5, enrolled from 3 weeks to over five months, were each missing several of the required components.
Staff records shall be kept for each staff person that contain all of the required information.
The records for all 7 staff were each missing several of the required components.