Inspection · 2025-10-06
Licensing Inspector
Jennifer Moore
(540) 430-0384
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.
8VAC20-820 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 conducted on 10/06/2025. The on-site inspection began at 9:38 am and ended at 1:00 pm. The inspector reviewed compliance in the areas listed above. There were 109 children present and 33 staff. The inspector reviewed 10
children?s records and 10 staff records on-site.This inspection included document review, a 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 10/13/2025. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children.
In three classrooms, bottles of sanitizing solution were observed in unlocked cabinets, out of reach of children.
Plan of Correction: In one room, teachers cleaned tables and forgot to lock up the solution before heading outside- no children were present. Another classroom was being repainted and reorganized, with no children on that floor. In the third, an air freshener was stored in the bathroom, out of children?s reach.
All teachers have been reminded to keep all cleaning solutions and similar items locked up at all times when not in use.
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 lists in each classroom were not dated.
Plan of Correction: When we transitioned to printing allergy sheets from Playground, we were unaware that the system does not automatically include a date. We print updated allergy packets frequently- each time a new student enrolls or a child?s allergy information changes, we reprint and distribute the updated lists to all classrooms. The packets in each classroom at the time of inspection were current and accurate, but we understand that they did not meet the technical requirement of being dated. Corrected that day. We will ensure that all allergy lists printed from Playground are manually dated upon printing to comply with the regulation.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.
The medication authorization for child #1 expired over two months ago and the medication was kept on site.
Plan of Correction: A parent submitted a medication form that differed from our standard one. Many medication authorizations are valid for one year unless the medication expires sooner. This form listed the date 1/27/25 in several places, leading us to believe it was valid until 1/27/26. We overlooked the bottom of the 2 page of the form that stated, "this date cannot exceed 6 months from the date authorized on this order." And that the form was only valid until 7/27/25, not 1/27/26. The medication itself has not expired. We have reviewed our process to prevent similar oversights. Upon realizing our oversight the same day, we promptly asked the parent to obtain a new authorization form from their healthcare provider which they should be getting to us next week. The parents provided a new parent authorization form for themselves that same day.
Standard 8VAC20-780-70
Staff records must contain documentation of a tuberculosis screening that was completed prior to employment.
Staff #3, employed for over one month, completed a TB screening. The center did not have documentation of the screening in the staff member's record.
Plan of Correction: The staff member had completed a valid TB screening prior to employment, which our admin team verified before he began working at CDCW. The staff member experienced difficulty uploading the form, so while it was verified internally, the documentation wasn?t yet uploaded to the digital record. We provided documentation of the completed screening within two hours of the inspection when the staff member got to work.