VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Crossroads United Methodist Church
43454 Crossroads Drive
Hope Preschool
Ashburn, VA 20147
(703) 729-4673 (126)

VDSS Contact: Charles Perkins (703) 309-3963

Inspection Date: Sept. 13, 2023

Complaint Related: No

Areas Reviewed:

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide 32.1 Report by person other than physician 54.1 Must be MAT Certified 63.2 Child abuse and neglect 8 VAC 20-770 Background Checks

Technical Assistance:

Discussion on cleaning supplies and best practices. Discussion of expiration dates in regards to documentation and background checks.

Comments:

An in-person, annual code compliance inspection was initiated and concluded by a representative from the VDOE, Office of Child Care Health and Safety (Fairfax) on 09/13/2023, between the hours of 9:30 am through 1 pm. There were 124 preschool children present, 3 years to 5 years, with 24 staff supervising, across a total of 12 classrooms. The inspector reviewed compliance in the following areas: posting of the written disclosure statement, qualifications, physical plant, capacity, food services, health reports, ratio and staffing, supervision, handwashing, daily health screenings, staff trainings, and background checks. The Inspector reviewed (12) staff records and the immunization documentation of (12) children in care to ensure that it was complete and in compliance. Information gathered during the inspection determined that there were (3) areas of non-compliance with applicable code sections, and these violations were documented on the violation notice issued to the facility. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22.1-289.031-A-6
Description:	Based on review, 4 of 12 staff files indicated that the health requirements for staff (having a current Health Form on file at the center) were not met. Evidence - 1. On the date of inspection (09/13/2023), the following staff did not have a Health Form available for review: Staff #2, Staff #10, Staff #11, and Staff #12. 2. This was confirmed on the date of inspection by Admin. Staff.
Plan of Correction:	Staff will complete.
Standard #:	22.1-289.031-B-4
Description:	Based on review, 1 of 12 children immunization page indicated that the facility did not ensure that all children in the center were in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence - 1. On the date of inspection (09/13/2023), immunization documentation for Child #4 was not signed nor stamped by the child's doctor or health official. 2. The area where a signature was to be placed was left blank.
Plan of Correction:	Parent was contacted and once documentation is obtained, it will be placed on file.
Standard #:	22.1-289.035-A
Description:	Based on review, 3 of 12 staff files indicated that the Sworn Statement or Affirmation for Child Day Programs (SDS) form was not renewed within the past 5 years. Evidence - 1. On the date of inspection (09/13/2023), the following staff had SDS forms that were older than 5 years: Staff #4 (dated - 05/17/2018), Staff #8 (dated - 05/15/2018), and Staff #12 (08/07/2018). 2. This was confirmed on the date of inspection by Admin. Staff.
Plan of Correction:	Staff will complete updated SDS forms.