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Green Hedges School
415 Windover Avenue
Vienna, VA 22180
(703) 938-8323

Current Inspector: Christina Bakonyi (571) 596-3655

Inspection Date: Oct. 12, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A renewal inspection was initiated on September 23, 2021 and concluded on October 13, 2021. The director/provider was contacted by telephone and a virtual inspection was conducted. There were 16 children present with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 2 staff records were reviewed.

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

If you have any questions regarding this inspection, please call or email.
Eureka Nance, Licensing Inspector
703-638-5968
eureka.nance@doe.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on staff records review, the center did not obtain documentation each staff member submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing.
Evidence:
1. Staff #1 did not written documentation of tuberculosis screening available for review in the record during the inspection.
2, Staff #2 did not written documentation of tuberculosis screening available for review in the record during the inspection.

Plan of Correction: 10/19/21-submitted to Health Smart-the provider waiting for information

Standard #: 22VAC40-185-70-A
Description: Based on staff records, the center did not obtain documentation of required hat two or more references as to character and reputation as well as competency were checked before employment.
1. Staff #1 (date of employment 8/15/2021) did not have available for review during the inspection two or more references as to character and reputation as well as competency were checked before employment.
2. Staff #2 (date of employment 8/15/2021) did not have available for review during the inspection two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: Staff #1
10/19/21-Licensing reviewed document
Staff #2
10/19/21-Licensing reviewed document

Standard #: 22VAC40-185-240-A
Description: Based on staff records, the center did not complete documentation of staff receiving training by the end of their first day of assuming job responsibilities.
Evidence:
1. Staff #1 did not have written documentation of receiving training by the end of the their first day of assuming job responsibilities available in the record for review during the inspection.

Plan of Correction: Staff #1
10/19/21-Licensing reviewed document

Standard #: 22VAC40-191-60-B
Description: Based on staff records review, the center did not obtain written documentation that employee has completed sworn statement or affirmation.
Evidence: Staff #1 (date of employment 8/15/2021) did not have written documentation of completion of sworn statement or affirmation.

Plan of Correction: 10/19/21-Licensing reviewed document
(Staff #1)

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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