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Orange County Government - Office on Youth (Lightfoot)
11360 Zachary Taylor Highway
Unionville, VA 22567
(540) 854-6184

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: June 3, 2024

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
8VAC20-780-150B
8VAC20-780-420E3
8VAC20-780-550G
8VAC20-780-560F

Comments:
An unannounced monitoring inspection was conducted on-site June 3, 2024 from 12:43pm until 1:21pm. The director was available during the inspection. There were 15 children present, ranging in ages from 4 years to 10 years, with 2 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 5 child records were reviewed. Staff records were reviewed in a separate non-mandated inspection.

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.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 22.1-289.011-F
Description: Based on observation, the center failed to ensure the findings of the most recent inspection were posted in the facility.
Evidence: The findings of the most recent inspection conducted May 13, 2024, were not posted in the facility on the date of the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Repeat Violation
Based on a review of on-site staff information and interview, the center failed to ensure that
each staff record contains all required information to be kept at the center.
Evidence: The on-site information for staff #2 did not contain documentation of any health problems that may interfere with fulfilling the job responsibilities.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-D
Description: Based on a review of records, the center failed to implement a monthly practice evacuation drill.
Evidence: There was no documentation of a fire drill being practiced in May 2024.

Plan of Correction: Not available online. Contact Inspector for more information.

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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