VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Boar's Head Inn
200 Wellington Drive
Charlottesville, VA 22903
(434) 972-6072

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: Aug. 20, 2025

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Staffing and Supervision. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 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:

8VAC20-780-245-M 8VAC20-780-70

Comments:

An announced, monitoring inspection was initiated on August 20, 2025 and completed on August 20, 2025 to review staff records. The on-site inspection began at 11:00 a.m. and ended at 12:50 p.m. The inspector reviewed compliance in the areas listed above. The inspector reviewed five staff records on-site. This inspection included record review and interviews. 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 (5) business days from today, which will be the close of business on September 2, 2025. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.035-B-1
Description:	SYSTEMIC DEFICIENCY The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The center does not have a sworn statement for Staff #5, who has been working for 21 months.
Plan of Correction:	See intensive plan of correction.
Standard #:	22.1-289.035-B-2
Description:	SYSTEMIC DEFICIENCY Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4, who had been employed for two months and was working with children the day of the inspection, did not have a completed national criminal background check.
Plan of Correction:	See intensive plan of correction.
Standard #:	22.1-289.035-B-3
Description:	SYSTEMIC DEFICIENCY The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who had been employed for two months, did not have a central registry search requested.
Plan of Correction:	See intensive plan of correction.
Standard #:	8VAC20-780-160-C
Description:	SYSTEMIC DEFICIENCY At least every two years from the date of the first initial screening or testing, or more frequently as recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Staff #5's TB screening was over due three months.
Plan of Correction:	See intensive plan of correction.
Standard #:	8VAC20-780-245-A
Description:	SYSTEMIC DEFICIENCY Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was no documentation that staff #1 or staff #5 completed annual training for the last annual period for each staff.
Plan of Correction:	See intensive plan of correction.
Standard #:	8VAC20-780-340-D
Description:	In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Such a program leader shall supervise no more than two aides. During the August 5, 2025 inspection, three staff members were present. None of the staff meet lead teacher qualifications.
Plan of Correction:	All employment and educational background for staff will be reviewed and documented in the file to show who qualifies for lead teacher. The daily schedule will be created to ensure at least one staff member is present that meets lead teacher qualifications.