Inspection · 2025-11-18
Date
2025-11-18
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
7Standard 22.1-289.011-F
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.
The most recent findings from10/30/2025, were not posted.
The most recent findings from10/30/2025, were not posted.
Plan of Correction: ?This has been corrected. All required licensing inspection reports and documentation are now posted and placed in a visible and accessible location for staff and parents.
?Program Director and/or Assistant Director will regularly check postings for completeness and current validity.
?Keep copies of all documentation available for review by licensing authorities.
?Program Director and/or Assistant Director will regularly check postings for completeness and current validity.
?Keep copies of all documentation available for review by licensing authorities.
Standard 8VAC20-780-240-C
Orientation training shall be appropriate to the age of the children in care and include recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse.
Staff #1 and Staff #2 do not have evidence of completing child abuse and neglect training. Staff #1 has been employed and actively working for eight days. Staff #2 has been employed and actively working for six days.
Staff #1 and Staff #2 do not have evidence of completing child abuse and neglect training. Staff #1 has been employed and actively working for eight days. Staff #2 has been employed and actively working for six days.
Plan of Correction: ?All new staff will complete CPS training within 7 days of employment.
?Require staff to sign acknowledgment of understanding reporting responsibilities.
?Staff#l and Staff#2 completed their CPS Training November 20 and November 19, 2025. Completed.
?Require staff to sign acknowledgment of understanding reporting responsibilities.
?Staff#l and Staff#2 completed their CPS Training November 20 and November 19, 2025. Completed.
Standard 8VAC20-780-270-A
REPEAT VIOLATION
Areas and equipment of the center, outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; visible cracks, and breakage of any equipment.
The wooden alligator on the playground is splintered and deteriorating.
The playhouse on the playground has several visible cracks and broken pieces.
The green seat cushions on the playground have several holes.
The seat of one of the tricycles on the playground is broken and has pieces missing.
Areas and equipment of the center, outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; visible cracks, and breakage of any equipment.
The wooden alligator on the playground is splintered and deteriorating.
The playhouse on the playground has several visible cracks and broken pieces.
The green seat cushions on the playground have several holes.
The seat of one of the tricycles on the playground is broken and has pieces missing.
Plan of Correction: ?Conduct a full inspection of playground equipment and repair or remove any damaged or unsafe items by December 10, 2025.
?Establish a weekly maintenance and cleaning schedule for all playground equipment.
?Document maintenance activities and inspections to demonstrate ongoing compliance.
?Establish a weekly maintenance and cleaning schedule for all playground equipment.
?Document maintenance activities and inspections to demonstrate ongoing compliance.
Standard 8VAC20-780-330-B
REPEAT VIOLATION
Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. Resilient surfacing shall comply with minimum safety standards.
The resilient surface (Mulch) surrounding climbing structures on the playground measured less than two inches.
Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. Resilient surfacing shall comply with minimum safety standards.
The resilient surface (Mulch) surrounding climbing structures on the playground measured less than two inches.
Plan of Correction: ?Staff will do daily raking of the mulch to ensure that all fall zones meet the required depth as stated in the licensing standards. Staff will monitor this as the children use the fall zone equipment. This will begin immediately.
?Additional mulch will be ordered to ensure adequate coverage of the falls zone areas by 12.10.2025
?Complete daily inspections to monitor wear and maintain fall zones at compliant levels.
?Additional mulch will be ordered to ensure adequate coverage of the falls zone areas by 12.10.2025
?Complete daily inspections to monitor wear and maintain fall zones at compliant levels.
Standard 8VAC20-780-330-E
REPEAT VIOLATION
Sandboxes with bottoms which prevent drainage shall be covered when not in use.
The tarps purchased to cover the two sandboxes were off during the inspection. Both sandboxes were filled with foliage due to being uncovered.
Sandboxes with bottoms which prevent drainage shall be covered when not in use.
The tarps purchased to cover the two sandboxes were off during the inspection. Both sandboxes were filled with foliage due to being uncovered.
Plan of Correction: ?Inspect all sandboxes to confirm drainage is functioning correctly. All sandboxes will be covered after each use throughout the day.
?Modify or install drainage systems as needed to prevent water accumulation.
?Conduct quarterly checks to ensure ongoing proper drainage and safety.
?Modify or install drainage systems as needed to prevent water accumulation.
?Conduct quarterly checks to ensure ongoing proper drainage and safety.
Standard 8VAC20-780-530-A
REPEAT VIOLATION
At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid.
Staff #1was left alone with children and does not have a current certification in CPR and first aid.
At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid.
Staff #1was left alone with children and does not have a current certification in CPR and first aid.
Plan of Correction: ?All classrooms will have at least 1 staff present in each classroom with a current CPR and First Aid Certification. Staff#1 will complete their CPR/first aid training by December 20, 2025
?All new staff will complete the CPR and First Aid Certification course within 30 days of hire and will not be alone in a classroom until completion of the course.
?Continue to maintain an updated certification log, easily accessible for review by licensing authorities.
?All new staff will complete the CPR and First Aid Certification course within 30 days of hire and will not be alone in a classroom until completion of the course.
?Continue to maintain an updated certification log, easily accessible for review by licensing authorities.
Standard 8VAC20-780-80-A
REPEAT VIOLATION
SYSTEMIC DEFICIENCY
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 #1's attendance record for November 17, 2025, did not document Child #5 arrival time as it occurred. On November 18, 2025, Child #6 departure time was not documented as it occurred.
Classroom #6's attendance record for November 17, 2025, did not document Child #7, Child #8, and Child #9's departure time as it occurred.
SYSTEMIC DEFICIENCY
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 #1's attendance record for November 17, 2025, did not document Child #5 arrival time as it occurred. On November 18, 2025, Child #6 departure time was not documented as it occurred.
Classroom #6's attendance record for November 17, 2025, did not document Child #7, Child #8, and Child #9's departure time as it occurred.
Plan of Correction: ?Revise daily attendance form to track all arrivals and departures as they occur throughout the day by 11/19/2025. Every child will have an in and out time or Absent. Completed.
?Re-train all staff on proper documentation procedures and the importance of recording each child's arrival and departure as they occur by 11/19/2025. Completed.
?Director and Assistant Director will review attendance logs at the end of each day to ensure accuracy starting immediately.
?Re-train all staff on proper documentation procedures and the importance of recording each child's arrival and departure as they occur by 11/19/2025. Completed.
?Director and Assistant Director will review attendance logs at the end of each day to ensure accuracy starting immediately.