Inspection · 2025-04-02
Licensing Inspector
Anita Drewry
(757) 404-5261
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.
8VAC20-770 BACKGROUND CHECKS
8VAC20-820 THE LICENSE.
22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE
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 April 2, 2025. The on-site inspection began at 3:45 pm and ended at 6:15 pm. The inspector reviewed compliance in the areas listed above. There were 38 children present and 4 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements. 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 business days from today, which will be the close of business on April 15, 2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
Center shall post the most recent results of inspection findings at a conspicuous place on the premises. The most recent inspection findings dated December 2024 were not posted.
Plan of Correction: Most recent inspection has been posted on 4/9/25.
Standard 22.1-289.035-B-3
(Repeat violation) The center must request a search of the central registry prior to the employee's first day of employment. Staff #4, who has been employed for nine months, did not have a central registry search requested. Staff #5, who has been employed for three months, did not have a centra registry search requested.
Plan of Correction: The CRS for staff #4 and staff #5 have been submitted on 4/2/25. A spreadsheet has been made to confirm results have been received and are placed in staff file before the first day of employment. The CRS for staff #4 and #5 have been submitted on 4/2/25. CRS was resubmitted on 4/11/25 due to an error. Waiting for the state of Virginia to provide final results.
Standard 22.1-289.035-B-4
(Repeat violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than 8 months, did not have documentation of requesting a central registry search from a one state.
Plan of Correction: An out of state central registry search was mailed on 4/3/25. CRS is pending waiting for results from the state.
Standard 8VAC20-780-240-B
(Repeat violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for Staff #1, who has been employed for nine months, did not have documentation of completing the VDOE orientation course.
Plan of Correction: Staff member has been given until 4/14/25 to complete VDOE training. Staff member will not return onto the floor until the training is complete.
Standard 8VAC20-780-40-M
(Repeat violation) The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. There was not a list in the youth center room which is where all children in care were present.
Plan of Correction: An updated and dated allergy list has been placed in the center on 4/3/25.