Inspection · 2025-09-10
Date
2025-09-10
Complaint Related
No
Licensing Inspector
Tameika King
(804) 629-7486
(804) 629-7486
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
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 Background Checks
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 monitoring inspection was initiated and completed on September 9, 2025. The on-site inspection began at 9:30 a.m. and ended at 12:30 p.m. The inspector reviewed compliance in the areas listed above. There were 62 children present and 15 staff. The inspector reviewed 7 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility 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 September 23, 2025. A POC submitted after this date will not appear on the public website.
Violations
13Standard 22.1-289.035-B-3
REPEAT VIOLATION
The child day center must obtain a copy of the results of a search of the child abuse and neglect registry prior to employment.
The center did not obtain a copy of the results of a search of the child abuse and neglect registry for Staff #1, Staff #2 and Staff #6. Staff #1, Staff #2 and Staff #6 were working together in a classroom and were not supervised by an individual with all required background checks completed. Staff #2 has been employed for three months. Staff #6 has been employed for one month.
There was no documentation showing that the results of a search of the central registry was requested prior to Staff #1 and Staff #5 being employed. Staff #1 has been employed for ten months. Staff #5 has been employed for four months.
The child day center must obtain a copy of the results of a search of the child abuse and neglect registry prior to employment.
The center did not obtain a copy of the results of a search of the child abuse and neglect registry for Staff #1, Staff #2 and Staff #6. Staff #1, Staff #2 and Staff #6 were working together in a classroom and were not supervised by an individual with all required background checks completed. Staff #2 has been employed for three months. Staff #6 has been employed for one month.
There was no documentation showing that the results of a search of the central registry was requested prior to Staff #1 and Staff #5 being employed. Staff #1 has been employed for ten months. Staff #5 has been employed for four months.
Plan of Correction: Have teachers complete and resubmit any missing background checks in case they were lost in the past
Standard 22.1-289.035-B-4
REPEAT VIOLATION/ SYSTEMIC DEFICIENCY
The center must obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.
The center did not obtain a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which Staff #2 has resided in the preceding five years. Staff #2 was working in a classroom at the time of inspection and was not supervised by an individual with all required background checks completed. Staff #2 has been employed for three months.
The center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which Staff #6 has resided in the preceding five years. Staff #6 was working in a classroom at the time of inspection and was not supervised by an individual with all required background checks completed. Staff #6 has been employed for one month.
There was no documentation that a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which Staff #2, Staff #4 and Staff #5 has resided in the preceding five years was requested prior to employment. Staff #4 and Staff #5 have been employed for four months.
The center must obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.
The center did not obtain a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which Staff #2 has resided in the preceding five years. Staff #2 was working in a classroom at the time of inspection and was not supervised by an individual with all required background checks completed. Staff #2 has been employed for three months.
The center did not obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which Staff #6 has resided in the preceding five years. Staff #6 was working in a classroom at the time of inspection and was not supervised by an individual with all required background checks completed. Staff #6 has been employed for one month.
There was no documentation that a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry from any state in which Staff #2, Staff #4 and Staff #5 has resided in the preceding five years was requested prior to employment. Staff #4 and Staff #5 have been employed for four months.
Plan of Correction: Resubmitted any missing forms in case they were lost in the mail. Resubmitted background checks and moved staff to accommodate
Standard 8VAC20-780-130-A
REPEAT VIOLATION/ SYSTEMIC DEFICIENCY
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
The center did not obtain documentation of immunizations for Child #7 before the child could attend the center. Child #7 has been attending the center for five months.
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
The center did not obtain documentation of immunizations for Child #7 before the child could attend the center. Child #7 has been attending the center for five months.
Plan of Correction: Audit of student files to ensure records are updated
Standard 8VAC20-780-140-A
REPEAT VIOLATION/ SYSTEMIC DEFICIENCY
Each child shall have a physical examination within 30 days after the first day of attendance.
Child #1 does not have a physical examination on file. Child #1 has been enrolled for ten months.
Child #3 does not have a physical examination on file. Child #3 has been enrolled for over two years.
Child #7 does not have a physical examination on file. Child #7 has been enrolled for five months.
Each child shall have a physical examination within 30 days after the first day of attendance.
Child #1 does not have a physical examination on file. Child #1 has been enrolled for ten months.
Child #3 does not have a physical examination on file. Child #3 has been enrolled for over two years.
Child #7 does not have a physical examination on file. Child #7 has been enrolled for five months.
Plan of Correction: Audit of student files to ensure records are updated
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.
Staff #3 did not complete the Virginia Department of Education-sponsored orientation course. Staff #3 has been employed for five months.
Staff #5 did not complete the Virginia Department of Education-sponsored orientation course. Staff #5 has been employed for four months.
Staff #3 did not complete the Virginia Department of Education-sponsored orientation course. Staff #3 has been employed for five months.
Staff #5 did not complete the Virginia Department of Education-sponsored orientation course. Staff #5 has been employed for four months.
Plan of Correction: Audit staff files and have staff complete any missing training
Standard 8VAC20-780-240-B
Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities.
Staff #4 completed orientation training 17 days after employment.
Staff #5 completed orientation training 10 days after employment.
Staff #4 completed orientation training 17 days after employment.
Staff #5 completed orientation training 10 days after employment.
Plan of Correction: Audit staff files and ensure all training is documented
Standard 8VAC20-780-240-C
Orientation training shall include all of the following facility specific topics: job responsibilities and to whom they report, policies and procedures listed in 8VAC20-780-420 A and the standards that relate to the staff member's responsibilities, the center's playground safety procedures, confidential treatment of personal information about children in care and their families, the center's policies and procedures on the administration of medication, emergency preparedness and response planning for emergencies, prevention of sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, prevention of and response to emergencies due to food and other allergic reactions, and prevention and control of disease.
Staff #2 and Staff #6's orientation training did not include all required facility specific topics. Staff #2 has been employed for three months. Staff #6 has been employed for one month.
Staff #2 and Staff #6's orientation training did not include all required facility specific topics. Staff #2 has been employed for three months. Staff #6 has been employed for one month.
Plan of Correction: Auditing staff files and ensuring all trainings are documented
Standard 8VAC20-780-240-E
Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR).
Staff #2 did not complete orientation training in first aid and CPR. Staff #2 has been employed for three months.
Staff #3 did not complete orientation training in first aid and CPR. Staff #3 has been employed for five months.
Staff #2 did not complete orientation training in first aid and CPR. Staff #2 has been employed for three months.
Staff #3 did not complete orientation training in first aid and CPR. Staff #3 has been employed for five months.
Plan of Correction: Auditing staff files and have staff complete and document all training
Standard 8VAC20-780-270-A
REPEAT VIOLATION
Areas and equipment of the center, inside, shall be maintained in a safe condition.
There was chipped and peeling paint in multiple areas in two classrooms, within reach of children.
Areas and equipment of the center, inside, shall be maintained in a safe condition.
There was chipped and peeling paint in multiple areas in two classrooms, within reach of children.
Plan of Correction: Spoke to Spring Education about painting school. covering chipped areas until painted
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present.
At the time of inspection, Staff #1, Staff #2 and Staff #6 were working together in a classroom. Staff #1, Staff #2 and Staff #6 do not meet the qualifications of a program leader.
At the time of inspection, Staff #7 was working alone in a classroom. The assigned lead teacher for the classroom was assisting in a different classroom. Staff #7 does not meet qualifications of a program leader.
At the time of inspection, Staff #1, Staff #2 and Staff #6 were working together in a classroom. Staff #1, Staff #2 and Staff #6 do not meet the qualifications of a program leader.
At the time of inspection, Staff #7 was working alone in a classroom. The assigned lead teacher for the classroom was assisting in a different classroom. Staff #7 does not meet qualifications of a program leader.
Plan of Correction: Reorganized staffing to meet lead teacher needs throughout day. Will hire and train additional lead teachers
Standard 8VAC20-780-40-M
REPEAT VIOLATION
The written list of children's allergies and dietary restrictions shall be kept confidential.
Written lists of children's allergies and dietary restrictions in two classrooms were not kept confidential.
The written list of children's allergies and dietary restrictions shall be kept confidential.
Written lists of children's allergies and dietary restrictions in two classrooms were not kept confidential.
Plan of Correction: Spoke to teachers and moved paper inside cabinet
Standard 8VAC20-780-530-A
At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid.
Classroom #1, #2, and #3 did not have at least one staff present who has current certification in CPR and first aid. There were children present at the time of inspection.
Classroom #1, #2, and #3 did not have at least one staff present who has current certification in CPR and first aid. There were children present at the time of inspection.
Plan of Correction: Working to have an in person CPR class and online training
Standard 8VAC20-780-60-A
REPEAT VIOLATION/ SYSTEMIC DEFICIENCY
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age.
Child #1's record did not contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #1 has been enrolled for 10 months.
Child #3's record did not contain documentation of viewing proof of the child's identity and age.
Child #3 has been enrolled for over two years.
Child #7's record did not contain documentation of viewing proof of the child's identity and age.
Child #7 has been enrolled for five months.
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached and documentation of viewing proof of the child's identity and age.
Child #1's record did not contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #1 has been enrolled for 10 months.
Child #3's record did not contain documentation of viewing proof of the child's identity and age.
Child #3 has been enrolled for over two years.
Child #7's record did not contain documentation of viewing proof of the child's identity and age.
Child #7 has been enrolled for five months.
Plan of Correction: Audit of all student files and collecting of any missing items from parents