Inspection · 2025-10-14
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
VAC20-780 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 on October 14, 2025 and completed on October 28, 2025. The on-site inspection began at 4:00 pm and ended at 5:06 pm. The inspector reviewed compliance in the areas listed above. There were forty-five children present and five staff. The inspector reviewed five children?s records and five staff records electronically completing on October 28, 2025. 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 (5) business days from today, which will be the close of business on November 5, 2025. A POC submitted after this date will not appear on the public website.
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 #2, who had been employed for six months, did not have proof of submitting the central registry search prior to beginning employment or documentation of the results letter.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2 TB was dated a year prior to date of employment and has been employed for six months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-A
(Repeat violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, who is working with children, has not yet completed the course which is overdue by three months. Staff #4, who is working with children, has not yet completed the course which is overdue by over a year. Staff #5, who is working with children, has not yet completed the course which is overdue by a month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
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. The list must be dated and kept confidential. The list in the cafeteria was not dated.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-C
There shall be at least two staff members present on the premises that are cardiopulmonary resuscitation (CPR) certified to include an in-person competency demonstration. There were no staff present that have completed a CPR certification that included the in-person competency portion.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-540-E
There shall be a working, battery-operated flashlight in the building. There was not a working battery-operated flashlight available.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
(Repeat violation) Each center shall maintain a record for each staff that contains all of the required information. The record for Staff #1, who has been working at the center for over a month, was missing documentation of staff qualifications for the position. The record for Staff #2, who has been working at the center for six months, was missing documentation of staff qualifications for the position. The record for Staff #5, who has been employed for four months, was missing documentation of qualifications for the position.
Plan of Correction: Not available online. Contact Inspector for more information.