Inspection · 2025-08-04
Licensing Inspector
Trisha Brown
(757) 404-2601
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated and completed on 8/4/2025, as a part of licensure period. The on-site inspection began at 9:10am and ended at 1:00pm. The inspector reviewed compliance in the areas listed above. There were 31 children present and 3 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/29/25. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this
section. 3 out of 5 staff records reviewed do not have current TB screening on file.
1 ? The most recent TB screening on file for Staff #1 is dated 1/11/2023
2 - The most recent TB screening on file for Staff #2 is dated 3/16/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. 2 out of 5 staff records reviewed documented less than the required 16 annual training hours for the 20203 and 2024 licensure years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Where playground equipment is provided, resilient surfacing shall comply with
minimum safety standards. The resilient surfacing on the small playground has gravel rocks mixed in with the rubber mulch. Additionally, the rubber mulch measures less than 6 inches where a minimum 6 inch depth is required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-355-B-4
The staff-to-children ratio for children 3 years old up to school age eligible is 1 staff for every 10 children. However, there were 12 children ages 3 to 5 years old in care with one staff member at 8:43am until approximately 9:10am.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-F
When centers choose to provide meals or snacks they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The meal served to children in care today did not follow USDA requirements for portions served of each food group.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet for the 3 to 5 year old classroom showed 3 children present for care. However, there were 7 children in care at approximately 11:30am the preschool.
Plan of Correction: Not available online. Contact Inspector for more information.