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Current Inspector:

Inspection Date: March 12, 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.
8VAC20-770 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 the requirements regarding staff records: 8VAC20-780-70.

Comments:
An unannounced, on-site renewal and focused inspection was initiated on 03/12/2025 and completed on 03/12/2025, as a part of the probation licensure period. The Department issued a Special Order on January 22, 2025 to place the licensee on probation for a period of three months and require the licensee to contact parents, guardians, or other responsible persons regarding health and safety violations as a results of high-risk violations. The on-site inspection began at 10:38am and ended at 1:37pm. The inspector reviewed compliance in the areas listed above. There were ninety-nine children present and sixteen staff. The inspector reviewed ten children?s records and six staff records on-site. This inspection included document review, observations and a tour of the facility.

Information gathered during the renewal inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Information gathered during the focused inspection determined no violations with applicable standards or law. No violations were issued.

Violations:
Standard #: 22.1-289.011-F
Description: The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

The findings from the most recent inspection, dated 1/28/2025, were not posted in a conspicuous place on the premises.

Plan of Correction: Replaced it with the most recent inspection dated 1/28/2025.

Standard #: 22.1-289.035-B-1
Description: The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for the following staff, who are currently working, are dated after their first day of employment. Staff #2 and Staff #3's were dated two days after employment. Staff #4's was dated three days after employment.

Plan of Correction: Will obtain a sworn statement prior to the employee's first day of employment going forward.

Standard #: 8VAC20-780-140-A
Description: Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There were no physical examinations in the record of child #2 (enrolled for 1 year and 11 months) and child #3 (enrolled for 44 days).

Plan of Correction: Will obtain the missing physicals from the parents and obtain it within 30 days of enrollment going forward.

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 #2 was completed nine days after hire.

Plan of Correction: We will obtain a TB screening at the time of employment going forward.

Standard #: 8VAC20-780-270-A
Description: REPEAT VIOLATION:
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

The Toddler A and Toddler B classrooms had low window ledges with chipped and peeling paint and exposed wood, which were accessible to children.

Plan of Correction: Will place a work order to get it fixed.

Disclaimer:

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.

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