Green Hedges School
415 Windover Avenue
Vienna, VA 22180
Current Inspector: Eureka Nance (703) 638-5968
Inspection Date: Nov. 25, 2019
Complaint Related: No
- Areas Reviewed:
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
- Technical Assistance:
During the inspection, the licensing representative discussed the following:
Discussion with the Business Manager about program changes
An unannounced monitoring inspection was conducted today approximately 11:00 am - 1:30 pm. There were 15 children supervised by 3 direct care staff. The physical plant, 3 staff records, 5 children?s records, children's nutrition, supplies, evacuation drills, injury reports, emergency supplies, and policies were inspected. The playground and surfacing was inspected. The children were observed napping. There were age appropriate materials for all children. Staff-to-child ratios were in compliance.
Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please call or send an email.
Eureka Nance, Licensing Inspector
Standard #: 22VAC40-185-160-A Description: Based on staff records review, 1 out 3 records, the center did not ensure each staff member submit documentation of a negative tuberculosis screening. Documentation of the screening was not submitted 21 days after employment was not completed within 12 months prior to or 21 days after employing.
Staff #1 (D.O.H. 9/19/2019) did not have documentation in record of a TB test completed with within 21 days after employment.
Plan of Correction: Staff #1 completed her TB test. We are expecting to get her documentation by 1/10/20.
Standard #: 22VAC40-185-70-A Description: Based on staff records review, 2 out 3 staff, the center did not obtain address and telephone number of a person to be notified in an emergency which shall be kept at the center. The center did not ensure documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.
1. Staff #1's record did not have name, address, and telephone number of a person to be notified in an emergency
2. Staff #3's record did not have name, address and telephone number of a person to be notified in an emergency. Staff #3 did not have documentation in records two or more reference were checked before employment.
Plan of Correction: We now have emergency contact information on file for both staff #1 and staff #3.
Reference checks will reordered in staff #3's folder of calls made in April 2018.
Standard #: 22VAC40-185-240-A Description: Based on staff records review 1 out 3 records, the center did not ensure staff received training in recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse by the end of their first day of assuming job responsibilities. The center did not ensure staff received training on the center's playground safety procedures unless the staff member will have no responsibility for playground activities or equipment.
Evidence: Staff #1 (D.O.H. 9/19/2019) did not have documentation in record training for child abuse and neglect and playground safety procedures.
Plan of Correction: All faculty and staff undergo training in both areas, as indicated on page 1 of the training checklist.
Page 1 of staff orientation training checklist indicates training in both area (and many others)for staff #1
Standard #: 22VAC40-185-270-A Description: Based on observation, it was determined that not all areas of the center inside and outside were maintained in safe condition.
Evidence: In the boy's and girl's bathroom, the Pre-K classroom utilize, there were exposed screws with more than approximately three thread lengths at the base of toilets.
Plan of Correction: Caps installed on toilet bases 12/3/19.
Standard #: 63.2(17)-1720.1-B-3 Description: Based on record review, center did not obtain the results of a out of state central registry for employees.
Evidence: 1. Staff # 2's record (hired in August 2015) indicated that staff has resided outside of Virginia within the last 5 years. An request for an out of state central registry was not sent out for Staff # 1.
2. Staff # 2's record (hired on 5-01-2018) indicated that she has resided outside of Virginia within the last 5 years.
Plan of Correction: Staff #2 -school has documentation on file from North Carolina and South Carolina.
Staff #3-school has documentation of requested filed with state of Florida on 11/9/18.
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.