VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Creative Gardens Ashburn Village
20909 Ashburn Village Blvd
Ashburn, VA 20147
(703) 336-2563

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Jan. 28, 2025

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 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:

Discussed cords/tripping hazards. Discussed the progress on the playground repairs/removal.

Comments:

An unannounced, on-site renewal inspection was initiated and completed on 1/28/2025. The on-site inspection began at 9:17am and ended at 12:17pm. The inspector reviewed compliance in the areas listed above. There were 57 children present and 12 staff. The inspector reviewed five children?s records and five staff records and rechecked three staff records and four children's records on-site on 1/28/2025. This inspection included document review, tour of the facility,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. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on 2/04/2025. A POC submitted after this date will not appear on the public website.

Violations:

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 prior to employment. The center did not have documentation of requesting a child abuse and neglect registry from four states or a criminal history check for one state for Staff #5, who has been employed for over two weeks and was working with children at the time of the inspection. The Center did not have documentation of requesting a criminal history check for one state for Staff #3, who has been employed for over three months and was working with children at the time on the inspection. It was received on 1/28/2025.
Plan of Correction:	Received all Child Abuse & Neglect Forms and Criminal History Forms for employee #5 and submitted to Inspector on 1/31/25. Background check for employee #3 was received on 1/28/25.
Standard #:	8VAC20-780-160-A
Description:	Repeat Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 TB was dated approximately two months after being hired and has been employed over two months.
Plan of Correction:	For all future hires, we will not allow new employee to start until TB results are submitted to Admin.
Standard #:	8VAC20-780-240-B
Description:	Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #2 employed 2 months did not complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Plan of Correction:	Added CPR requirements for all employees to the Staff Onboarding Form. New hires will be informed orally and in writing.
Standard #:	8VAC20-780-240-E
Description:	Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Staff #2 employed for one year and two month did not have documentation of completing orientation training in first aid and cardiopulmonary resuscitation (CPR). Staff #4 employed for over two months did not have documentation of completing orientation training in first aid and cardiopulmonary resuscitation (CPR).
Plan of Correction:	Added CPR requirements on Staff Boarding Orientation Form
Standard #:	8VAC20-780-245-A
Description:	Repeat Violation Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #1 obtained 13 1/2 hours of the 16 required hours from 5/31/2023-5/31/2024. Staff #2 obtained 7 1/2 hours of the 16 required hours from 11/27/2023-11/27/2024. Staff #7 obtained 9 hours of the 16 required hours from 9/21/2023-9/20/2024.
Plan of Correction:	Notified all staff members that they will not be eligible for yearly raises unless all Annual Professional Development requirements are completed.The three staff members in violation are required to complete training by 2/14/25.
Standard #:	8VAC20-780-280-B
Description:	Repeat Violation Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of sanitizer was inside a upper unlocked cabinet in an unoccupied school age classroom.
Plan of Correction:	Spray bottle was locked up in cabinet once inspection was completed. Employee received a disciplinary write up.
Standard #:	8VAC20-780-420-E-3
Description:	Repeat Violation Staff 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 #6 had not been updated in over four years which is overdue by over three years. The information in the record of child #7 had not been updated in over one year and 11 months which is overdue by 11 months. The information in the record of child #9 had not been updated in over one year and 11 months which is overdue by 11 months.
Plan of Correction:	Will notify parents that annual records of children must be update by January 1st each year or risk having their child removed from the center until records have been updated and turned in.
Standard #:	8VAC20-780-540-E
Description:	The following nonmedical emergency supplies are required at the center: one working battery-operated flashlight on each floor of each building that is used by children; and One working, battery-operated radio in each building used by children and any camp location without a building. The center did not have a working battery operated radio during the inspection.
Plan of Correction:	Purchased new radio from Amazon on 1/28/25