Inspection · 2025-04-16
(804) 629-3923
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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 renewal inspection was initiated on April 16, 2025 and completed on April 16, 2025. The on-site inspection began at 9:25 a.m. and ended at 12:30 p.m. The inspector reviewed compliance in the areas listed above. There were 31 children present and six staff. The inspector reviewed five children?s records and five staff records on-site. This inspection included document review, tour of the facility, interviews and observation.
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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on April 30, 2025. A POC submitted after this date will not appear on the public website.
Violations
14Board Officer #1, #2, #3 and #4, who were appointed for more than 30 days, did not have a sworn statement on file.
Board Officer #1, #2, #3 and #4, who were appointed for more than 30 days, did not have a criminal history background check on file.
Board Officer #1, #2, #3, #4 and #5, who were appointed for more than 30 days, did not have evidence of a central registry background check on file.
Staff #4, who has been actively working at the center for the past seven months, did not have any completed reference verifications on file.
Child #1, who had been attending for more than 30 days, did not have documentation of an immunization record on file. Child #4, who had been attending for more than 30 days, did not have documentation of an immunization record on file.
Child #1, who had been enrolled for more than 30 days, did not have a physical examination on file.
Child #3, who had been enrolled for more than 30 days, did not have a physical examination on file.
Child #5, who had been enrolled for more than 30 days, did not have a physical examination on file.
Staff #3, employed for four months, did not have documentation of a TB screening on file and Staff #4, employed for seven months, did not have documentation of a TB screening on file.
Staff #2?s updated screening was due seven months ago and Staff #5?s updated screening was due six months ago. The updated screenings have not yet been completed.
Staff #3, employed for four months, had not completed orientation.
Staff #1 had completed 13 of the 16 hours of training for 2023-2024.
Staff #2 had not completed 16 hours of training for 2023-2024.
On all three outdoor play areas, there was several pieces of trash, including broken plastic cups, bottles with liquid inside, and two nails on the sidewalk where children play and ride trikes. On the front playground, there was a piece of lattice which had fallen and exposed an area where broken toys were being stored. On the side play area, there were several chairs with rust. The wall by the stairs in Classroom #3 had chipped and peeling paint. The railing on the stairs had chipped paint. The paint on various shelves in Classroom #1 was chipped and peeling.
Chairs and broken toys thrown away.
Entire building is being painted.
The green and blue slide did not have the required six inches of mulch for resilient surfacing within the required six foot fall zone.
Classroom #1 had one diaper cream that expired four months ago and another that had expired more than one year ago.
Child #1?s record was missing the address of one emergency contact. Child #4?s record was missing the first day of attendance and the address of one emergency contact. Child #5?s record was missing the first day of attendance.