Inspire (John Wayland)

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 days. Staff #2 completed the course two months late. Staff #3, employed for eight months, did not have documentation of completing the course.”

Rule 8VAC20-780-240-A.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain Name, home address, and home phone number of each parent who has custody. The record for child #1 did not contain information regarding the child’s father.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4 was employed four months before the center requested central registry check and sex offender check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“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 #4 was completed five month after hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“REPEAT VIOLATION The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3 worked for five months before the Virginia Department of Education-sponsored orientation course was completed.”

Rule 8VAC20-780-240-A.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

8VAC20-780-40-M

“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. This list shall be dated and kept confidential in each room or area where children are present. The list of children’s allergies, sensitivities, and dietary restrictions contained the name of a child that has not attended the center since October.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence that contains the date and time the parents were notified. One injury report did not contain the date and time the parents were notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Staff records shall be kept at the center for each staff person shall contain the name, address, and telephone number of a person to be notified in an emergency & information about any health problems that may interfere with fulfilling the job responsibilities. Out of the four staff at the center the day of the inspection, the center only had staff records for one staff member.”

Rule 8VAC20-780-70.

Based on observation the center failed to post the most current inspection results in a conspicuous place on the licensed premises.

“Evidence: The inspection results dated 8/18/2023 was posted. The most current inspection conducted was dated 10/11/2023.”

Rule 22.1-289.011-F.

Based on record review, the center failed to obtain documentation of a physical examination and immunization record that was signed by a physician, his/her designee, or an official of a local health department.

“Evidence: The record for child 3, start date 8/23/23, did not contain documentation of a physical examination and immunization record that was signed by a physician, his/her designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

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

“Evidence: 1. Staff 2’s, start date 8/23/23, record did not contain documentation of completing the Virginia Department of Education-sponsored orientation course. 2. The director stated staff 2 said she completed the course but does not know how to get the certificate.”

Rule 8VAC20-780-240-A.

Based on observation and interview, the center failed to post the most recent license and inspection notice in a conspicuous place to be seen by the public.

“Evidence: 1. The facility was observed inside and outside. An inspection and license was not posted. 2. The director stated she forgot to put the inspection and license out that day.”

Rule 22.1-289.011-F.

Based on record review and interview, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child first day of attending the center.

“Evidence: 1. The record for child 2 documents the first day of attendance as 8/23/23. The record did not contain documentation of immunizations. 2. The director verified the center does not have immunizations for child 2.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to obtain documentation of a physical examination by or under the direction of a physician before the child first day of attending the center.

“Evidence: 1. The record for child 2 documents the first day of attendance as 8/23/23. The record did not contain documentation of a physical. 2. The director verified the center does not have a physical for child 2.”

Rule 8VAC20-780-140-A.

Based on interview, the center failed to ensure any child for whom emergency medications have been prescribed shall always be in the care of a staff member that is MAT certified.

“Evidence: 1. One child in care has an Auvi-Q at the center. 2. The owner advised there is not a staff member at this time with MAT certification.”

Rule 8VAC20-780-245-J-3.

Based on interview, the center failed to implement a monthly practice evacuation drills.

“Evidence: The center opened on 8/23/23. The director stated a practice evacuation drills not conducted until 10/11/23..”

Rule 8VAC20-780-550-D.

Based on record review and interview, the center failed to keep all the required documents in each child’s record.

Rule 8VAC20-780-60-A.