Inspection · 2025-05-06
Licensing Inspector
Nanette Roberts
(757) 404-2322
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 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
A monitoring inspection was initiated on 1/24/25 and completed on 5/6/2025 with a local agency in response to a self-report received by the licensing office on 1/11/2025 relating to a child being left alone on a bus. The inspector reviewed 1 child record and 2 staff records on-site and electronically. This inspection included document reviews, 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. Though not a part of the original self report, violations that were not reported were found related to medication and 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 5/16/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-1
The center is required to obtain a complete sworn statement prior to the employee's first day of employment. On 1/10/2025 the record for staff #2, who had been employed for more than 10 years, did not have a completed sworn statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. On 1/10/25 staff #2, who had been employed for more than 10 years, did not have a completed national criminal background check in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 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 #1 employed for 12 weeks did not have documentation of requesting a criminal history check or a sex offender registry check from a state identified on the sworn statement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. On the date of the incident, 1/10/25 staff #2, who had been employed for more than 10 years, did not have a central registry search results in the record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-A
When staff are supervising children, they shall always ensure their care and protection. On 1/10/25 staff #1 and staff #2 left child #1, an eight year old, alone on a locked bus for 1 ? hours in 30-degree weather. When found, the child was crying, cold and scared. The child reported that it was dark, and the child?s fingers hurt from banging on the windows to get someone?s attention. When transporting children, the facility allowed staff #1 and staff #2, both of whom did not have completed background checks on 1/10/2025, to be the only staff in the vehicle with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-F
Children under 10 years of age shall always be within actual sight and sound supervision of staff. Child #1, an 8 year old, was left unsupervised and alone on a bus for 1 ? hours.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. According to management, staff did not follow the facility?s supervision procedures regarding face to name checks and a bus sweeps.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-L
Repeat Violation
Medication shall be kept in a locked place using a safe locking method that prevents access by children. On 1/30/25 medication was stored in an unlocked box in the office. Children were observed going into the office to retrieve personal items. The box was on the floor, the lid was open, and the medication was accessible to children
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-580-K
Staff shall verify that all children have been removed from the vehicle at the conclusion of any trip. On 1/10/25 9 children were transported to the facility. Staff #1 and staff #2 exited the vehicle and did not verify that all children were removed from the vehicle.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1, enrolled for five months, was missing the following required components: the name, address and phone number of a second emergency contact if a parent cannot be reached.
Plan of Correction: Not available online. Contact Inspector for more information.