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Millwood School

Inspection · 2025-10-07

Date
2025-10-07
Complaint Related
No
Licensing Inspector
Molly Muscat
(804) 588-2367
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
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

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 initiated on 10/07/2025 and completed on 10/09/2025. The on-site inspection began at 11:40 am and ended at 1:48 pm. The inspector reviewed compliance in the areas listed above. There were 24 children present and 3 staff. The inspector reviewed 7 children?s records and 6 staff records on-site and electronically on 10/09/2025. This inspection included document review, tour of the facility, 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 business days from today, which will be the close of business on 10/24/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #4 was overdue by 7 months.
Plan of Correction: The central registry check came in the day after visit for staff #4.
Standard 22.1-289.035-B-2
The center must obtain a completed national criminal background check prior to the employee's first day of employment.

1. The national criminal background check for staff #2 was received 18 days after the first day of employment.
2. The national criminal background check for staff #6 was received 15 days after the first day of employment.
Plan of Correction: Future background checks will precede employment date.
Standard 8VAC20-780-40-M
The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present.

Child #6 has a documented food allergy that requires emergency medications. The emergency medication was on site. Child #6 was not listed on the allergy list.
Plan of Correction: Child #6 has been added to the allergy list. Medication with form signed by doctor is in locked clinic cabinet.
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.

Medication was on site for child #6. The written authorization for the medication was not signed by a Physician. The written authorization was signed by the parent and expired 3 months ago.
Plan of Correction: Authorization form is signed by physician.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #6 who has been actively working at the center for the past 2 months, did not have any completed reference verifications on file.
Plan of Correction: Staff #6 had verbal reference checks but no written. Written have been requested.
View original record on Virginia Department of Social Services