Inspection · 2026-03-18
(540) 359-5244
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
8VAC20-821 Licensure Requirements
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
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 focused monitoring inspection was initiated and completed on 3/18/2026. The Department issued a Notice of Intent to Revoke the License on December 9, 2025, as a result of high-risk violations. The on-site inspection began at 10:45AM and ended at 2:05PM. The inspector reviewed compliance in the areas listed above. There were 27 children present and 8 staff. The inspector reviewed 8 children?s records and 5 staff records onsite. This inspection included document review, tour of the facility, interviews, and observations.
Information gathered during the inspection determined noncompliance 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 3/31/2026. A POC submitted after this date will not appear on the public website.
Violations
1On 1/28/2026, 2/13/2026, and 3/2/2026, the injury reports were missing the date and time Child #6, Child #9, and Child #10 parents were notified.
On 1/22/2026, the injury report was missing the time Child #11 parents were notified.
On 2/2/2026, the injury report was missing the time Child #12 parents were notified.
On 3/2/2026, the injury report was missing future actions to prevent the recurrence of the injury and documentation on how the parent was notified for Child #10.
The Director and/or Assistant Director will review each report on the same day it is completed to ensure all required fields are accurate and complete prior to filing.
Any incomplete reports will be returned to staff for immediate correction and follow-up.
A standardized checklist will be implemented to ensure all required components are consistently documented.
The Director and/or Assistant Director will conduct quarterly audits of all injury and incident reports to identify patterns or recurring issues and implement corrective actions as needed.
Findings from quarterly audits will be shared with all teaching staff to support ongoing improvement and reduce future incidents.
All staff have been retrained on proper documentation procedures and expectations for completing injury and incident reports in compliance with licensing standards.