Inspection · 2025-05-19
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 monitoring inspection was initiated and completed on 5/19/2025. The on-site inspection began at 11:20 am and ended at 3:00 pm. The inspector reviewed compliance in the areas listed above. There were 55 children present and 10 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. 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 5/29/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for more than 7 days, did not have documentation of requesting a central registry check or criminal history check from a different state.
Plan of Correction: We documented that we requested the out of state checks and will continue to make documentation of all requests before hiring.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 TB was dated 17 months prior to date of employment and has been employed for over 6 months.
Plan of Correction: All future employees will need to submit a negative tb screening before being hired.
Standard 8VAC20-780-510-L
Medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of Children's Benadryl was stored on an open shelf in the office. The door was open allowing access to children.
Plan of Correction: The medication has been removed and locked up.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #6, was onsite, but the medication authorization had expired over a year ago. Medication for Child #7, was onsite, but the medication authorization had expired over 2 months ago. Medication for Child #8, was onsite, but the medication authorization had expired over 9 months ago. The authorizations had not been renewed and the medications were not returned or disposed of as required.
Plan of Correction: The medications will be returned and we will go through all medication on a routine check up to make sure it doesn't happen again.