Inspire, LLC

8VAC20-790-600-D-2

“Within 90 days of employment all staff who work directly with children must obtain current certification in first aid appropriate to the ages of children in care. Staff #5 has been employed for six months and does not have first aid certification.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-40-M

“REPEAT VIOLATION 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. Staff #4 stated child #5 has a food sensitivity. Child #5’s sensitivity was not listed.”

Rule 8VAC20-780-40-M.

8VAC20-780-420-E-3

“Parents shall be provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs and provided at least semiannual scheduled opportunities for parents to provide feedback on their children and the center’s program. Staff #6 advised the center has not been following this standard.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-530-A-2

“At least one staff is required to be in each class with a current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #5 has been employed for six months and does not have first aid certification.”

Rule 8VAC20-780-530-A-2.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. Evacuation drills were not documented for September 2024 and December 2024. Staff #6 was unable to verify evacuation drills were completed for those months.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-G

“REPEAT VIOLATION Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. There was no documentation of a lockdown drill being conducted in 2024. Staff #6 stated one was completed in December 2024 but was not documented.”

Rule 8VAC20-780-550-G.

The center is required to obtain background checks from any state or U.S. territory in which the individual has resided in the preceding five years.

“Staff #1, employed for more than three weeks, did not have documentation of requesting a central registry check, sex offender registry check from one territory”

Rule 22.1-289.035-B-4.

Based on a review of staff records, the center failed to ensure that the National Fingerprint background check was completed and on file prior to the first date of employment.

“Evidence: 1. Staff #4’s date of employment was 10/18/2023. There was not a completed national fingerprint background check in the staff record. 2. Staff #4 was observed working with a group of children on 05/30/2024.”

Rule 22.1-289.035-B-2. From a complaint.

Based on a review of staff records, the center failed to ensure that all out of state background checks in which the individual has resided in the preceding five years were completed.

“Evidence: 1.Staff #1’s date of hire was 05/23/2023. There was not a completed out-of-state sex offender registry check or an interstate child abuse neglect registry from the state in which Staff #1 resided. 2. Staff #1 was observed working with a group of children on 05/29/2024.”

Rule 22.1-289.035-B-4. From a complaint.

Based on a review of staff records, the center failed to obtain a central registry finding within 30 days of employment.

“Evidence: 1. Staff #1 date of employment was 05/23/2023. The central registry finding in the record was dated 04/25/2024. 2. Administration verified the date on the central registry finding, and the date of employment for Staff #1.”

Rule 8VAC20-770-60-C-2. From a complaint.

Based on a review of the health inspection, the center failed to ensure that annual approval from the health department was completed.

“Evidence: The most current health inspection on file was dated 02/14/2023.”

Rule 8VAC20-780-260-B. From a complaint.

COMPLAINT RELATED Based on observation, the center failed to maintain the areas of the center in a clean and safe condition.

“Evidence: 1. In the Pre-K #1 classroom the walls had smudge marks of dirt and handprints on the wall, and there was peeling paint that was accessible to the children. 2. In the Pre-K/School Age classroom the walls had smudge marks of dirt on the wall.”

Rule 8VAC20-780-270-A. From a complaint.

COMPLAINT RELATED Based on interviews, the center failed to notify parents within 24 hours when children at the center have been exposed to a communicable disease.

“Evidence: 1. Staff stated that a communicable disease started May 6, 2024 till approximately May 21, 2024. 2. Parents of children in the School Age program were not notified of the communicable disease until May 22, 2024 when an email communication was sent out to all families. 3. The Pre-K and School Age children use shared areas of the center in one of the class rooms, and in the indoor gym space located in the facility.”

Rule 8VAC20-780-490-C. From a complaint.

Based on a review of evacuation drills, the center failed to ensure all required information was documented.

“Evidence: 1. The evacuation drill completed in March 2024 did not include the date. 2. Administration verified that the documentation did not include the date for March 2024.”

Rule 8VAC20-780-550-G. From a complaint.

Based on review of staff records and training documentation, the center failed to ensure that the annual health and safety update was completed annually.

“Evidence: Staff #1,#2,#3, and #4 did not have documentation of the Annual Health and Safety Update training being completed in 2023.”

Rule 8VAC20-790-600-F.

Based on observation and interview, the center failed to ensure that the findings of the most recent inspection were posted.

“Evidence: 1. The findings of the most recent inspection, (09/07/2023), that were emailed to administration on (09/18/2023) were not posted. 2. Administration verified that the findings of the most recent inspection were not posted.”

Rule 22.1-289.011-F.

Based on a review of staff records, the center failed to ensure that a sworn statement or affirmation was completed prior to the date of employment.

“Evidence: 1. Staff #3’s date of employment was 08/23/2023. The sworn disclosure statement in the record was dated 02/06/2024. 2. Administration verified the date of employment and the date on the sworn disclosure statement.”

Rule 8VAC20-770-60-B.

Based on review of staff records, the center failed to ensure that the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: 1. Staff #5’s date of employment was 08/23/2023. The orientation documentation was dated 02/08/2024. The training was required to be completed by 11/23/2023. 2. Administration verified the date of employment and the date on the orientation documentation.”

Rule 8VAC20-780-240-A.

Based on observation and interview, the center failed to ensure that current written list of all children’s allergies, sensitives, and dietary restrictions shall be dated.

“Evidence: 1. In both of the classrooms upstairs there was an allergy list posted in the classroom closets. The allergy listing was not dated. 2. Administration verified that the allergy list was not dated, and had received technical assistance regarding the standard at the last inspection.”

Rule 8VAC20-780-40-M.

Based on observation, the center failed to ensure that all personal articles shall be labeled with the child’s name.

“Evidence: 1. In Classroom #1 there were four water bottles that were not labeled with the children’s name. 2. In Classroom #2 there five water bottles on the tables in the classroom that were not labeled with the children’s names.”

Rule 8VAC20-780-430-I.

Based on review of staff records, the center failed to ensure that departments health and safety training course was completed annually.

“Evidence: 1. Staff # 3’s file did not contain an updated health and safety course on file. The updated training was required by 08/16/2023. 2. Administration verified that the annual training had not been completed.”

Rule 8VAC20-790-600-F.

Based on review of staff records, the center failed to ensure that the tuberculosis screening documentation had been completed within the last 30 calendars of days of the date of employment.

“Evidence: 1. Staff #1 was rehired on 08/14/2023. The tuberculosis screening documentation on file was dated 08/22/2022. 2. Administration verified the rehire date, and that a new tuberculosis screening had not been completed.”

Rule 8VAC20-780-160-A.

Based on review of medications, the center failed to ensure that medications were labeled with the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: 1. Child #1 had a prescription emergency medication, (Epi-Pen), on site at the center. The Epi-Pen was in a Ziplock bag. The medication was not labeled with the name of the medication, the dosage amount, or the time or times to be given. 2. Staff #2 verified that the medication was in a Ziplock bag and was not labeled with all the required information.”

Rule 8VAC20-780-510-G.

Based on a review of emergency drills, the center failed to ensure that a lockdown procedures shall be practiced at least annually.

“Evidence: 1. There was not a Lockdown drill documented for the school year September 2022-August 2023. 2. Administration verified that a lockdown drill had not been completed for the previous school year.”

Rule 8VAC20-780-550-F.

Based on observation, the center failed to ensure that when food is brought from home that the food containers shall be clearly dated and labeled in a way that identifies the owner.

“Evidence: In the cubbies located in the hallway there were four lunch boxes with no date, and two lunch boxes not labeled with the child’s name.”

Rule 8VAC20-780-560-G.

Based on a review of children records, the center failed to ensure that all required information was in the children’s records.

“Evidence: 1. Child #1’s record was missing the following: the place of employment and work phone numbers for both parents, the name home address, and home phone number of each parent who has custody, and the full address and phone numbers for the two designated people to call in an emergency if a parent cannot be located. 2. Child #3’s record was missing the name, home address, and home phone number of each parent who has custody.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to ensure that all required information was in staff records.

“Evidence: 1. Staff #2’s date of hire was 08/23/2023. Her file was missing verification of age requirement, and documentation that orientation had been completed. 2. Administration verified that Staff #2 had orientation, but there was no documentation in the record, and that the file was missing any documentation of verification of age.”

Rule 8VAC20-780-70.

Based on interview and review of children records, the center failed to obtain immunizations before the first day of attendance.

“Evidence: 1. Child #1’s immunizations were dated 11/10/2022. First day of attendance for Child #1 was 11/09/2022. 2. Child #3’s immunizations were dated 02/07/2023. First day of attendance for Child #3 was 01/12/2023. 3. Child #5’s immunizations were dated 02/07/2023. First day of attendance for Child #5 was 01/30/2023. 4. Staff #1 verified the dates of enrollment and the dates on the immunization records.”

Rule 8VAC20-780-130-A.

Based on interview and review of staff records, the center failed to ensure that the Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: 1. Staff #2’s orientation training was dated 02/08/2023. Date of hire for Staff #2 was 09/26/2022. 2. Staff #3’s orientation training was dated 02/18/2023. Date of hire for Staff #3 was 09/26/2022. 3. Staff #1 verified the date of hire for Staff #2 and #3 and the dates on the orientation certificates.”

Rule 8VAC20-780-240-A.

Based on observation, the center failed to ensure that children washed their hands as required.

“Evidence: 1. In the Pre-K Classroom after the children finished snack they did not wash their hands with soap and water or a disposable wipe. The children left the snack table and went to the rug area and got a book to look at. 2. Staff # 4 verified that the children did not wash their hands with soap and water or a disposable wipe after snack.”

Rule 8VAC20-780-500-A.

Based on review of staff records, the center failed to ensure that fingerprints were on file prior to the first day of employment.

“Evidence: 1. Staff #1’s date of employment was 09/26/2022. The fingerprints on file were dated 09/30/2022. 2. Administration verified the date of employment and the date on the fingerprints.”

Rule 22.1-289.035-B-2.

Based on a review of the health inspection, the center failed to ensure that an annual health inspection was completed.

“Evidence: 1. The health inspection currently on file was dated 10/12/2021. A new inspection was required by 10/12/2022. 2. Administration verified that they did not realize the inspection had expired, and a new inspection had not been requested.”

Rule 8VAC20-780-260-B.

Based on review of medication, the center failed to ensure that medication authorization shall be available to staff during the entire time it is effective.

“Evidence: 1. Child #3 had a prescription emergency medication, an Epi-Pen, at the center. There was no medication authorization form available to the staff. The medication had not been administered. 2. Administration verified that there was not a medication authorization on file. Administration thought the allergy plan served as the authorization.”

Rule 8VAC20-780-510-F.

Based on review of injury reports, the center failed to ensure that all information was recorded on the injury report.

“Evidence: 1. On five injury reports reviewed, dated between 10/05/2022 and 10/24/2022, the time the parents were notified was not completed on the reports or stated “at pick-up”. 2. Administration verified that the reports were missing the time the parents were notified.”

Rule 8VAC20-780-550-P.