Inspection · 2025-08-06
(540) 216-1434
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 records
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 announced, initial inspection was completed on August 6, 2025. The inspection began at 10:00 AM and ended at 12:55 PM. The inspector reviewed compliance in the areas listed above. There were no children present and three staff. The inspector reviewed no children?s records and three staff records. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, medication administration logs, authorization forms), tour of the facility, interviews, observations, and measurements.
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 8/14/2025. A POC submitted after this date will not appear on the public website.
Violations
6Classroom #1 and 2 had deceased insects on the floor and window sill. There was visible dust, debris, and webs on the cribs and floor. Classroom #3, #4, #5 #6, and #7 had visible debris and dust on the countertops and floors. The classrooms had supplies but they were not organized and set up to be operational.
8/11: Professional Cleaning Crew has:
Vacuum, sweep, wipe down all window sills, corners, ceilings, and baseboards.
Dispose of insects immediately.
Wipe down entire crib surfaces with approved disinfectant.
Wash and disinfect all toys and materials - use labeled bins for 'clean' and 'needs cleaning'.
Spray with child-safe disinfectant and wipe clean.
Mop floors in classrooms and hallways
Clean toys and learning materials
Clean shelves, tables, and chairs
8/12: Dr. Yousafzai has conducted a full walk through to inspect the professional cleaning crew?s completed tasks.
8/14: Directors will plan, set up and organize furniture and learning materials for Classrooms 1-4
8/15: Directors will plan, set up and organize furniture and learning materials for Classroom 5-7
Preventive Maintenance Plan:
Operations begin: Directors will supply Classrooms 1-7 with a cleaning/sanitation checklist and log. This log will be used daily by staff to ensure all areas are maintained and compliant. At the week?s end Directors will collect, evaluate, and store logs in the office.
The center did not have a written procedure for injury prevention.
The center did not have a written procedure for prevention of shaken baby syndrome or abusive head trauma.
When Staff Begins: During the 7 Day orientation training, the Staff will participate and show adequate knowledge for preventing SBS/AHT, coping with crying babies, SIDS/Safe sleep. The Staff will receive annual training in this specific area and update the acknowledgement form in their file.
Directors will constantly monitor the infant room staff to ensure 8VAC20-780-40 (K) is followed.
When Families Enroll: The Directors will provide DSS brochures or handouts on SBS/AHT prevention.
During Staff meetings: The FLC team will take time to discuss best practices and stressors based on the enrolled babies at the time of the meeting. This type of dialogue provides the entire team with a constant opportunity to share out with anyone working with the infants.
9/14: The Directors will provide a correlating poster to be displayed for Staff in Classrooms 1-2.
Preventive Ongoing Plan:
During every new staff orientation session include SBS/AHT prevention policy training within 7 days of hire.
Provide refresher training annually as part of the 16-hour health and safety requirement.
Maintain a Training Log signed by staff to document completion.
Keep Incident Logs for any crying-related stress incidents and review quarterly.
Update policy and training materials annually or as regulations change.
Create an emotional gauge type checklist that allows Staff to identify stressors with each other.
The center did not have written procedures for playground safety.
The center did not have written policies regarding transportation; medication or medical procedures that will be given; application of sunscreen, diaper ointment or cream; and insect repellent; reporting suspected child abuse; communicating an emergency situation with parents; and termination policies.
In classroom #2 the diapering surface had cracks in it, making it absorbent.
8/13: Dr. Yousafzai has replaced the old diapering pad and purchased and installed a new, seamless, nonabsorbent diapering pad.
Preventive Ongoing Actions:
Staff will inspect the diapering area weekly for signs of wear, cracks, or damage.
Dr. Yousafzai will replace the surface immediately if damage is found.
Directors will train staff to clean and disinfect after each use.