VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Our Little School LLC
800 Sunset Lane
Suite A
Culpeper, VA 22701
(540) 321-4732

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Jan. 26, 2023

Complaint Related: No

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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on-site January 26, 2023. The director was available during the inspection. There were 4 children present, ranging in ages from 3 years to 5 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 2 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-70-A
Description:	Based on a review of records and interview on January 26, 2023, the center failed to ensure that each staff record contains all required documentation. Evidence: The record of staff #3 did not contain documentation of a date of separation from employment. Staff #2 confirmed that staff #3 hasn't worked in over a year.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of children?s records and interview on January 26, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #2, enrolled 12/22/22, did not contain documentation of a physical exam. Staff #2 confirmed the physical exam was not in the file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children?s records on January 26, 2023, the provider failed to ensure that each child's record contained the required information. Evidence: The record of child #1 did not contain documentation of the name, address, and phone number of a second designated person to contact in an emergency if a parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of staff records and interview on January 26, 2023, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: 1. The record of staff #1, hired 11/9/21, contained documentation of 7 hours of annual training from 11/9/21 to 11/9/22. Staff #2 acknowledged annual training was not complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-L
Description:	Based on a review of staff records and interview on January 26, 2023, the center failed to ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Upon arrival of the inspection staff #1 was the only staff working at the center with four children in care. 2. The record of staff #1 did not contain documentation of instruction in performing the daily health observation of children. 3. Staff #2 confirmed that staff #2 did not complete daily health observation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-C
Description:	Based on bservation and interview on January 26, 2023, the center failed to ensure that during the stated hours of operation, there always shall be on the premises and on field trips when one or more children are present one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age. Evidence: 1. Upon arrival of the inspection, staff #1 was observed as the only staff at the center with four children in care. 2. Staff #1 stated she was an assistant. The record of staff #1 did not contain documentation of program leader qualifications. 3. Staff #2 confirmed that staff #1 was not qualified as a program leader and was left alone at the center with children in care for approximately 25 minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.