Inspection · 2025-03-11
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
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
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 renewal inspection was initiated and completed on 3/11/2025. The on-site inspection began at 12:25 pm and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were 30 children present and 4 staff. The inspector reviewed 5 children?s records on site and 5 staff records, and 3 board members background checks at the corporate office on 3-11-2025. This inspection included document review, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 3/20/2025. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-550-I
The center did not post a document containing all required information to be kept in the vehicle when transporting children. The center did not ensure to have a document with required phone numbers to include 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center.
Plan of Correction: Transportation Coordinator created the Required Document: that includes all necessary information, including:
emergency phone numbers (911 or local dial number for police, fire, and emergency medical services) and the number of the regional poison control center
Standard 8VAC20-780-550-K
The center did not prepare a document containing all required information to be kept in the vehicle when transporting children. The center did not ensure to have a document for potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.
Plan of Correction: Transportation Coordinator Created the Required Document: that contain all necessary information, including potential shelters, hospitals, evacuation routes, frequently visited sites, routes frequently driven by center staff for field trips, pick-ups, and drop-offs, ensure the document includes contact information and addresses for each location.
Transportation Coordinator placed a copy of the document in each vehicle used for transporting children and ensured the document is easily accessible to staff members in case of an emergency.
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries. The record shall include all required information. The injury records that were reviewed were missing documentation on how parent was notified, any future action to prevent recurrence of the injury, and a second signature from a staff member or a parent.
Plan of Correction: Health Coordinator has updated Injury Record Form. She ensured that that all forms have following information on how the parent was notified, any future action to prevent recurrence of the injury, and second signature from a staff member or a parent. Health Coordinator will also conduct a session about an importance of filling out the Injury Report form.