Inspection · 2025-09-22
(804) 629-8167
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 9-22-25. The on-site inspection began at 7:30am and ended at 8:20am. The inspector reviewed compliance in the areas listed above. There were 24 children present and 2 staff. The inspector reviewed 5 children?s records and 2 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 9-29-25. A POC submitted after this date will not appear on the public website.
Violations
4The file for Staff #1 did not contain documentation of a negative tuberculosis (TB) test or screening signed by a physician, the physician?s designee, or a health department official. The TB test or screening was due 5 weeks ago.
completed within the required time frame
but the document was not signed. The staff
member has been removed from direct
service until a signed copy is provided.
The file for Staff #1 did not contain documentation of the completion of an orientation on job responsibilities; prevention of sudden infant death syndrome and use of safe sleep practices; and prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children as required.
standard orientation process. In this case
the check boxes were not marked, though
the trainined was provided as part of the
standard HR orientation slide deck that HR
uses to orient every staff member hired.
In the future all boxes will be appropriately
marked.
The file for Staff #1 did not contain documentation of a completed First Aid and CPR orientation within 30 days of employment. The orientation was due 9 days ago.
ensure that all items required are listed. HR
does cover this during the standard
orientation process but there was no item
listed on the form to indicate it had been
completed.
During inspection, a child was discovered alone in the office area where there were no staff members able to see or hear the child. Staff were unaware that the child was missing from the group.
additional training on sight and sound
supervision. HR will be involved as well to
determine if additional action is required.