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 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 (8VAC20-770)
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 5/6/2025. The on-site inspection began at 9:45am and ended at 12:00pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 20 children present and 4 staff. The inspector reviewed 5 children?s records and 6 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 5/16/25. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #1 was overdue by a 13 months.
Plan of Correction: The central registry search was submitted immediately following the inspection and the results have been received.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for staff #2 was due one week ago.
Plan of Correction: The staff was sent for a new TB test. Monthly staff file audits will be conducted to ensure that there is no further lapse in this.
Standard 8VAC20-780-270-A
Repeat violation
Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The playground fence had a missing board on the street side of the fence. There was a board was broken. There were four boards that had pulled away from the fence and had nails protruding.
Plan of Correction: A work order had already been put in to fix the broken areas of the fence.
Staff will ensure that they complete a walkthrough daily to note any broken boards or other areas that need attention.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In the three year old classroom, cleaning and sanitizing solution were in an unlocked cabinet. In the hallway a cleaning supply closet was unlocked and contained cleaning solutions and drain cleaner. A utility closet in the hallway was unlocked and contained house paint and wasp insecticide spray.
Plan of Correction: Staff will conduct a walkthrough at opening to ensure that the cleaning company locks all closets prior to children entering the building.
Standard 8VAC20-780-280-E
Cleaning materials (e.g., detergents, sanitizers and polishes) and insecticides/pesticides shall be stored in areas physically separate from each other. In a kitchen cabinet wasp and hornet insecticide, dish detergent, Borax and disinfectant was stored together. In another cabinet an insecticide was stored with sanitizer and bleach.
Plan of Correction: After the inspection, the center leadership team removed the pesticides from the kitchen and stored in another area away from all other cleaners/disinfectants.
Standard 8VAC20-780-340-B
During the center's hours of operation, one adult on the premises shall be in charge of the administration of the center. Upon arrival the director and site lead were not present in the center. The staff on duty were not clear as to which staff member was in charge during the their absence.
Plan of Correction: The chain of command has been reviewed and there has been appointed a designated person in charge at all times that all staff are aware of.
Standard 8VAC20-780-560-G
Repeat violation
When food is brought from home, the food container shall be sealed and clearly dated. In a preschool classroom there were 6 lunchboxes that were not dated.
Plan of Correction: Staff will ensure all food has been labeled and dated at the time of the child's arrival. The leadership teal will also conduct a daily audit to reinforce this.