Inspection · 2025-06-18
Licensing Inspector
Danielle Morrison
(804) 929-3771
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.
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 06/18/2025. The on-site inspection began at 11:15am and ended at 3:00pm. The inspector reviewed compliance in the areas listed above. There were 74 children present and 13 staff. The inspector reviewed seven children?s records on-site and eight staff records electronically on-site.
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.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for three weeks, did not have documentation of requesting a criminal history record, sex offender registry, and child abuse and neglect search from one state. Staff #3, employed for three months, did not have documentation of requesting a sex offender registry, and child abuse and neglect search from one state. Staff #4, employed for four months, did not have documentation of requesting a sex offender registry, and child abuse and neglect search from one state.
Plan of Correction: We will request the required documents for the Staff. Going forward, administration will review staff documents prior to hiring, to ensure required background checks are requested.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. Staff #8 updated screening was due three weeks ago. Staff #8 has been employed for two years.
Plan of Correction: Staff was reminded about needing an updated TB screening. The staff scheduled an appointment during the inspection.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #7, enrolled for four months did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction: The child's family was notified during the inspection of the missing information. It will be added to the child's record.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2, who has been enrolled for five months, has a documented food allergy diagnosis and did not have a written care plan in their file.
Plan of Correction: The child's family was notified during the inspection of the missing information. It will be added to the child's record.