VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Open Door Learning Center
601 Catoctin Circle NE
Leesburg, VA 20176
(703) 777-6010

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Dec. 4, 2024

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. 8VAC20-820 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.

Technical Assistance:

Effective January 1, 2025, VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. Find technical assistance and resources on our ChildCareVA What?s New page.

Comments:

An unannounced, on-site renewal inspection was initiated on and completed on December 4, 2024. The on-site inspection began at 9:00am and ended at 11:45am. The inspector reviewed compliance in the areas listed above. There were 10 children present and 5 staff. The inspector reviewed 5 children?s records, 5 staff records and 6 Board of Directors records on-site. 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.

Violations:

Standard #:	22.1-289.035-B-2
Description:	REPEAT VIOLATION Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who has been employed for 18 months, did not have a completed national criminal background check. Staff #3, who has been employed for one month, did not have a completed national criminal background check. Staff #4, who has been employed for 8 months, did not have a completed national criminal background check.
Plan of Correction:	Staff was notified to redo the criminal background checks.
Standard #:	22.1-289.035-B-4
Description:	REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Board Officer #6, who has been a Board Officer for over one year, did not have documentation of requesting a central registry check from one state and no documentation of a search of the national sex offender registry. Staff #1, who has been employed for over 18 months, did not have documentation of requesting a central registry check, a request for a criminal history search and a national sex offender registry search.
Plan of Correction:	Staff #6 Maryland CPS submitted. National sex offender registry has been updated. Staff #1 W.V central registry completed. National sex offender registry has been completed.
Standard #:	22.1-289.036-A
Description:	The center is required to have Board Officers undergo a background check every five years. The most recent sworn statement of affirmation for board officer #5 was overdue by a year and three months, and for board officer #6 it was overdue by a year and 7 months. The most recent Virginia central registry search for board officer #5 was over due by one year and three months.
Plan of Correction:	Staff #5 and #6 sworn statement completed.
Standard #:	22.1-289.036-B-2
Description:	REPEAT VIOLATION Providers must obtain a completed national criminal background check prior to the Board Officers first day . Board Officers # 1,2,3,4, and 6 been Board Officers for over one year and did not have a completed national criminal background check.
Plan of Correction:	The Board was notified to redo the criminal background checks. Urgent
Standard #:	22.1-289.036-B-3
Description:	The center must request a search of the central registry prior to the Board Officers first day. Board Officer # #4 who has been a Board Officer for over one year did not have a central registry search requested.
Plan of Correction:	Staff #4 search was updated and submitted
Standard #:	8VAC20-780-160-C
Description:	At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Staff #1 updated screen was due 3 months ago. The updated screening have not yet been completed.
Plan of Correction:	Completed
Standard #:	8VAC20-780-60-A
Description:	Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1,and 2 , enrolled for four months, was missing the address for two people to contact in case of an emergency. The record for Child #3, enrolled for 11 months, was missing the name, address and phone number of two people to contact in case of an emergency.
Plan of Correction:	Updated and completed
Standard #:	8VAC20-780-70
Description:	REPEAT VIOLATION Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for the past 2 years, did not have any completed reference verifications on file. Staff #2, who has been actively working at the center for the past 18 months, did not have any completed reference verifications on file. Staff #3, who has been actively working at the center for one month, had only one completed reference verification on file.
Plan of Correction:	All have been updated with 2 references
Standard #:	8VAC20-780-220
Description:	Aides shall be at least 16 years of age. Staff #2, 3 and 4 did not have documentation to show they were are least 16 years of age.
Plan of Correction:	Completed and placed in file.
Standard #:	8VAC20-780-420-B
Description:	The Center shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of child #4 had not been updated in over 24 months which is overdue by 12 months.
Plan of Correction:	Updated and completed
Standard #:	8VAC20-780-500-B
Description:	A nonabsorbent surface for diapering or changing shall be used. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. The diapering surfaces had a material absorbent cloth covering the nonabsorbent surface. The diapering surfaces were not being cleaned with soap and water and sanitized after each use.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-780-550-A
Description:	The center shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter-in-place, and lockdown. The plan should include all the required components. The emergency preparedness plan did not include procedures to reunite children with a parent or authorized person designated by the parent to pick up. The emergency preparedness plan did not include continuity of operations to ensure that essential functions are maintained during an emergency;
Plan of Correction:	Updated and placed in continued operations.
Standard #:	8VAC20-780-560-M
Description:	No child shall be allowed to drink or eat while walking around. A child was walking around drinking a bottle in the toddler room.
Plan of Correction:	Licensing reviewed with staff.