VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Inspire (John Wayland)
801 N. Main Street
Bridgewater, VA 22812
(540) 269-3150

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Dec. 2, 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 Background Checks Code, Carbon Monoxide 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, the 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. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced, on-site monitoring inspection was initiated on December 2, 2024 and completed on December 2, 2024. The on-site inspection began at 3:15 p.m. and ended at 4:20 p.m. The inspector reviewed compliance in the areas listed above. There were 41 children present and four staff. The inspector reviewed five children?s records on-site and four staff records electronically on December 4, 2024 and completed on December 9, 2024. This inspection included a tour of the facility, observations, interviews, and record review. 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-4
Description:	The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4 was employed four months before the center requested central registry check and sex offender check from one state.
Plan of Correction:	The administration will ensure all background checks are processed prior to employment.
Standard #:	8VAC20-780-160-A
Description:	Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #4 was completed five month after hire.
Plan of Correction:	In the future all new staff will not start employment until the TB screening results are received.
Standard #:	8VAC20-780-40-E
Description:	The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Per the center's parent handbook under Allergies and Emergency Medications, the center's policy for parent authorization for medication is: ....you will need to fill out a medication authorization form.... The center does not have a parent permission form to administer an emergency medication for Child #2.
Plan of Correction:	The center followed up on this because they had checked off as turned in and even recorded a date for it on the master checklist for all sites. The form was found and put with the medication.
Standard #:	8VAC20-780-40-M
Description:	The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. The list of children's allergies, sensitivities, and dietary restrictions contained the name of a child that has not attended the center since October.
Plan of Correction:	A new list is updated and printed each time a new student enrolls, but we did not think to update when a student unenrolled. It has now been updated.
Standard #:	8VAC20-780-70
Description:	Staff records shall be kept at the center for each staff person shall contain the name, address, and telephone number of a person to be notified in an emergency & information about any health problems that may interfere with fulfilling the job responsibilities. Out of the four staff at the center the day of the inspection, the center only had staff records for one staff member.
Plan of Correction:	The emergency contact list for staff is currently being created.
Standard #:	8VAC20-780-240-A
Description:	REPEAT VIOLATION The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3 worked for five months before the Virginia Department of Education-sponsored orientation course was completed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-P
Description:	The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that contains the date and time the parents were notified. One injury report did not contain the date and time the parents were notified.
Plan of Correction:	The injury report was corrected during the inspection. Staff will be retrained to ensure the injury report is completed.