Inspection · 2025-10-23
Licensing Inspector
Lynn Powers
(804) 840-8260
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 renewal inspection was initiated and completed on 10/23/2025. The on-site inspection began at 9:30am and ended at 2:30pm. The inspector reviewed compliance in the areas listed above. There were 51 children present and 12 staff. The inspector reviewed five children?s records and 11 staff records on-site.
This inspection included document, tour of the facility, interviews, and observations.
Information gathered during the inspection determined non-compliances with applicable code sections, 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 11/17/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-1
The center is required to obtain a complete sworn statement prior to the employee's first day of employment. The record for Staff #1 did not contain a complete sworn statement. Staff #1 has been employed at the center for over seven months.
Plan of Correction: Staff #1 has obtained and signed sworn statement.
Standard 22.1-289.035-B-2
Centers must obtain a completed national criminal background check prior to the employee?s first day of employment. Staff #8 did not contain a completed national criminal background check. Staff #8 has been employed at the center for over five months.
Plan of Correction: Staff #8 has obtained CRC.
Standard 8VAC20-780-130-A
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 immunization record obtained for Child #4 was received two months after the child began attending the center.
Plan of Correction: Immunization records will be collected prior to start date.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. The physical record obtained for Child #4 was received two months after the child began attending the center.
Plan of Correction: Physical exam records will be collected prior to start date.
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection report provided to the inspector was dated 07/21/2024.
Plan of Correction: FIre marshall was called and appt. made. Inspection completed on 11/06/2025.
Standard 8VAC20-780-330-B
Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. The resilient surface underneath the swings on Playground #1 and at the end of the red slide on Playground #2 measured approximately three inches in depth. The depth of the resilient surface was required to be six inches.
Plan of Correction: Maintenance came out on 10/25/2025 and fluffed all fall zones with appropriate resilient surface.
Standard 8VAC20-780-440-B
Cribs, cots, rest mats, and beds shall be identified for use by a specific child.
Two of the four cribs in Classroom #1 did not have identifying labels on them for each specific child. Staff stated Child #5 and Child #6 sleep in those cribs.
Plan of Correction: All cribs, mats, cots have been labeled for each child.
Standard 8VAC20-780-500-A
Children and staff hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff in Classroom #2 changed two children's diapers. After each diaper change neither children or staff washed their hands.
Plan of Correction: Trained all staff on proper diapering procedures and posted signs.
Standard 8VAC20-780-570-E
Prepared infant formula shall be refrigerated, dated and labeled with the child's name.
The refrigerator in the Classroom #1 contained three bottle without dates. The bottles were prepared infant formula.
Plan of Correction: Notified all parents and staff to label all bottles with name and the date.