Inspection · 2025-10-30
Date
2025-10-30
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
(540) 359-5244
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
Violations
6Standard 8VAC20-780-340-D
REPEAT VIOLATION
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
On October 30, 2025, Staff #4, Staff #7, and Staff #8 worked together in Classroom #4 with no other staff. Staff #6 and Staff #9 worked together in Classroom #5 with no other staff. Staff #5 worked in Classroom #2. Staff #4, Staff #5, Staff #6, Staff #7, Staff #8, and Staff #9 do not have on record documentation showing that they meet the qualifications of a program leader. The Center Director acknowledged Staff #4, Staff #5 and Staff #6 whom they identified as program leaders did not have evidence of the required qualifications on file.
According to attendance records from October 23, 2025, through October 29, 2025, Staff #2 and Staff #9 worked together in Classroom #3. Staff #2 and Staff #9 do not have on record documentation showing that they meet the qualifications of a program leader. The Center Director confirmed Staff #2 and Staff #9 did not have the qualifications of a program leader.
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.
On October 30, 2025, Staff #4, Staff #7, and Staff #8 worked together in Classroom #4 with no other staff. Staff #6 and Staff #9 worked together in Classroom #5 with no other staff. Staff #5 worked in Classroom #2. Staff #4, Staff #5, Staff #6, Staff #7, Staff #8, and Staff #9 do not have on record documentation showing that they meet the qualifications of a program leader. The Center Director acknowledged Staff #4, Staff #5 and Staff #6 whom they identified as program leaders did not have evidence of the required qualifications on file.
According to attendance records from October 23, 2025, through October 29, 2025, Staff #2 and Staff #9 worked together in Classroom #3. Staff #2 and Staff #9 do not have on record documentation showing that they meet the qualifications of a program leader. The Center Director confirmed Staff #2 and Staff #9 did not have the qualifications of a program leader.
Plan of Correction: ?Cornerstones' Laurel Learning Center has been actively recruiting and interviewing for qualified lead teachers since August. One qualified lead teacher began employment on November 10, 2025. An Assistant Director was hired and began on November 12, 2025. Recruitment efforts will continue until all lead teacher vacancies are filled.
?Target date to fill our lead teacher position is December 14, 2025.
?Note: Laurel Learning Center lost three lead teachers (retirements and termination) and Program Manager in August 2025; recruitment and onboarding created challenges.
?Target date to fill our lead teacher position is December 14, 2025.
?Note: Laurel Learning Center lost three lead teachers (retirements and termination) and Program Manager in August 2025; recruitment and onboarding created challenges.
Standard 8VAC20-780-500-A
REPEAT VIOLATION
Staff shall wash hands with soap and running water before and after a diaper change.
Staff #7 did not wash hands after changing a child's diaper in Classroom #4.
Staff shall wash hands with soap and running water before and after a diaper change.
Staff #7 did not wash hands after changing a child's diaper in Classroom #4.
Plan of Correction: ?The Director reviewed proper handwashing procedures with staff.
?The staff member received a written warning and internal corrective action plan. Compliance will be monitored by the Director and/or Assistant Director.
?The staff member received a written warning and internal corrective action plan. Compliance will be monitored by the Director and/or Assistant Director.
Standard 8VAC20-780-500-B
REPEAT VIOLATION
The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.
Staff #7 left the changing area without cleaning and sanitizing the diapering surface in Classroom #4 after changing a child's diaper.
The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.
Staff #7 left the changing area without cleaning and sanitizing the diapering surface in Classroom #4 after changing a child's diaper.
Plan of Correction: ?All diapering surfaces will be cleaned and sanitized after every use.
?Compliance will be monitored by the Director and Assistant Director.
?Compliance will be monitored by the Director and Assistant Director.
Standard 8VAC20-780-520-C
REPEAT VIOLATION
If diaper ointment or cream is used, the following requirements shall be met: labeled with the child's name.
Child #9's diaper cream was observed unlabeled in the changing area in Classroom #1.
If diaper ointment or cream is used, the following requirements shall be met: labeled with the child's name.
Child #9's diaper cream was observed unlabeled in the changing area in Classroom #1.
Plan of Correction: ?According to the teacher, the name had been written on the tube, but rubbed off with daily handling. To prevent recurrence, the child's name will now be taped securely on each container to ensure legibility. The teacher received a written warning, and an internal corrective action plan was issued for the classroom.
Standard 8VAC20-780-70
REPEAT VIOLATION
The following staff records shall be kept for each staff person: Documentation that two or more references as to character and reputation as well as competency were checked before employment shall be kept for each staff person. Name, address, and telephone number of a person to be notified in an emergency.
Staff #2 who has been actively working at the center for the past 11 months did not have documentation of completed reference verification on file.
Staff #4 who has been actively working at the center for the past 21 years did not have documentation of completed reference verification on file.
Staff #1 and Staff #6 did not have documentation of an emergency contact on file.
The following staff records shall be kept for each staff person: Documentation that two or more references as to character and reputation as well as competency were checked before employment shall be kept for each staff person. Name, address, and telephone number of a person to be notified in an emergency.
Staff #2 who has been actively working at the center for the past 11 months did not have documentation of completed reference verification on file.
Staff #4 who has been actively working at the center for the past 21 years did not have documentation of completed reference verification on file.
Staff #1 and Staff #6 did not have documentation of an emergency contact on file.
Plan of Correction: ?Staff #2: References were completed and placed in the file (see attached).
?Staff #4: References were completed but were found "stuck" between two personnel folders (see attached).
?Staff #6: Emergency contacts were completed and placed in the file on November 10, 2025.
?Staff #1: Emergency contacts will be updated upon employee's return to work. Note: Staff #1 requested to go on unpaid leave status in November due to personal issues.
?Onboarding procedures for new employees have been revised to ensure compliance.
?Staff #4: References were completed but were found "stuck" between two personnel folders (see attached).
?Staff #6: Emergency contacts were completed and placed in the file on November 10, 2025.
?Staff #1: Emergency contacts will be updated upon employee's return to work. Note: Staff #1 requested to go on unpaid leave status in November due to personal issues.
?Onboarding procedures for new employees have been revised to ensure compliance.
Standard 8VAC20-780-80-A
REPEAT VIOLATION
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Classroom #2's attendance record for October 27, 2025, and October 28, 2025, did not document the departure for Child #6 as it occurred.
Classroom #3's attendance record for October 29, 2025, did not document the departure for Child #8 as it occurred.
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Classroom #2's attendance record for October 27, 2025, and October 28, 2025, did not document the departure for Child #6 as it occurred.
Classroom #3's attendance record for October 29, 2025, did not document the departure for Child #8 as it occurred.
Plan of Correction: ?A revised procedure was developed on November 10, 2025. The new process requires staff to return enrollment passports at the end of each day and check in with the Director and/or Assistant Director at 6:30 p.m. to review and verify completion. Staff may not leave until passports are confirmed as complete.
?Ongoing training sessions have been conducted and will continue regularly.
?Cornerstones' internal corrective plan to improve performance, along with verbal warnings, has been implemented.
?Ongoing training sessions have been conducted and will continue regularly.
?Cornerstones' internal corrective plan to improve performance, along with verbal warnings, has been implemented.