VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lightbridge Academy of Manassas
9855 Liberia Avenue
Manassas, VA 20110
(703) 986-3696

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: Jan. 4, 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. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An announced initial inspection was conducted with the regional manager and director on January 4, 2024 beginning at 8:35am and ending at 11:22am. Six staff records were reviewed. There were no children in care during the inspection. The classrooms were observed and measured for capacity. The center is well-equipped with age and stage appropriate furnishings, equipment, and materials. The cribs met Consumer Product Safety Commission (CPSC) federal safety standards for cribs. The center's policies and procedures, emergency preparedness plan, and playground safety procedures were reviewed. A qualified director with current certification in first aid, CPR, and Medication Administration Training (MAT) is in place. The first aid kit, flashlight, and weather-band radio were observed. The temporary certificate of occupancy was reviewed. The fire inspection was dated 12/15/2023. Not all of the standards were able to be accessed during the initial inspection. If there are any questions regarding this inspection, contact Shawanda Henderson at 540-216-1434 or S.Henderson@dss.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of documentation and an interview with the regional director and facility director, it was determined that not all agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check completed. Evidence: The records for agent #1 and agent #2 did not have an OBI fingerprinting determination letters.
Plan of Correction:	The staff members were sent an email on 1/4/2024 to make an appointment for their OBI fingerprint appointment search. Finding letters will arrive when findings are complete. Moving forward, school mgmt. and personnel will ensure that all employees will have appropriate OBI fingerprinting-based criminal history record check completed.
Standard #:	8VAC20-770-40-C-1-a
Description:	Based on review of documentation and an interview with the regional director and facility director, it was determined that not all agents had a central registry search completed. Evidence: The records for agent #1 and agent #2 did not have a central registry finding letters.
Plan of Correction:	The staff were sent an email on 1/4/24 to complete their CRS search. Finding letters will arrive when findings are complete. Moving forward, school mgmt. and personnel will ensure that all employees will have appropriate background checks done per licensing guidelines.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of documentation and an interview with the regional director and facility director, it was determined that not all staff had a documentation of a central registry finding search. Evidence: The records for staff #1 did not have an a central registry finding letter.
Plan of Correction:	Staff #1?s Central registry finding search was in director?s email on 1/4/24. The letter was placed in Staff #1?s file. Moving forward, school mgmt. will ensure that all employees will have appropriate background checks done per licensing guidelines and placed in staff file immediately upon completion.
Standard #:	8VAC20-780-250-A
Description:	Based on a review of documentation, the facility did not have approval from the local health department. Evidence: The facility did not have documentation of a health inspection or approval from the local health department.
Plan of Correction:	The Health Dept. contacted our facility on 1/9/24. The representative from VA Dept. of Health stated that his team has not reviewed our plans yet. He said that they are still working on Oct and Nov?23 plans and there are only a couple people working on plans with the dept. Once they get to our plans, we will be assigned someone who will them set up a pre-open inspection. Moving forward, all health inspections with be calendared 6mos + 2wks in advance to ensure compliance.
Standard #:	8VAC20-780-540-C
Description:	Based on a review of the first aid kits, the facility did not ensure that the first aid kits contained all of the required items. Evidence: The facility did not have two triangular bandages in the first aid kits.
Plan of Correction:	Triangular bandages were purchased on 1/5/24. Moving forward, admin will complete first aid safety inventory to ensure compliance.