Inspection · 2025-12-10
Date
2025-12-10
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
Violations
9Standard 22.1-289.035-B-2
All applicants for employment shall submit to fingerprinting prior to employment.
Staff #1 was employed for 21 days before results of fingerprinting were received.
Staff #1 was employed for 21 days before results of fingerprinting were received.
Plan of Correction: Noted and will be followed.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment.
Staff #1 did not submit documentation of a TB screening at the time of employment. Staff #1 was employed for 28 days before the TB screening was completed.
Staff #1 did not submit documentation of a TB screening at the time of employment. Staff #1 was employed for 28 days before the TB screening was completed.
Plan of Correction: The requirement is noted and will be adhered to in the future.
Standard 8VAC20-780-240-C
Orientation training shall include the following facility specific topics: prevention of abusive head trauma, including procedures to cope with distraught children, prevention of and response to emergencies due to food and other allergic reactions and prevention and control of disease.
Staff #1's orientation training did not include prevention of abusive head trauma, including procedures to cope with distraught children, prevention of and response to emergencies due to food and other allergic reactions and prevention and control of disease. Staff #1 has been employed for three months.
Staff #1's orientation training did not include prevention of abusive head trauma, including procedures to cope with distraught children, prevention of and response to emergencies due to food and other allergic reactions and prevention and control of disease. Staff #1 has been employed for three months.
Plan of Correction: Orientation training will be updated to include all the subjects mentioned.
Standard 8VAC20-780-245-J-3
Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed an approved medication administration training (MAT) program.
Child #2 (age: 3 years) has been prescribed an emergency medication. At the time of the inspection, Child #2 was not in the care of a staff member or independent contractor who has satisfactorily completed an approved MAT program.
Child #2 (age: 3 years) has been prescribed an emergency medication. At the time of the inspection, Child #2 was not in the care of a staff member or independent contractor who has satisfactorily completed an approved MAT program.
Plan of Correction: New physician's instructions will be sought to avoid the need for a staff member to administer the medication.
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. This list shall be dated and kept confidential in each room or area where children are present.
The center did not have an allergy list posted in each room or area where children were present. There are two children who have food allergies.
The center did not have an allergy list posted in each room or area where children were present. There are two children who have food allergies.
Plan of Correction: A list of all the allergies will be prepared and posted.
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.
A medication belonging to Child #2 was observed on-site during the inspection. The authorization for the medication expired five months ago. The medication was not disposed of by the center.
A medication belonging to Child #2 was observed on-site during the inspection. The authorization for the medication expired five months ago. The medication was not disposed of by the center.
Plan of Correction: All authorizations and medication expiry dates will be monitored on a regular basis. Expired medications to be disposed.
Standard 8VAC20-780-550-G
Documentation shall be maintained of emergency evacuation drills.
At the time of inspection, there was no documentation of an emergency evacuation drill for November 2025.
At the time of inspection, there was no documentation of an emergency evacuation drill for November 2025.
Plan of Correction: Emergency drills log will be updated.
Standard 8VAC20-780-60-A-8
Each center shall maintain separate record for each child enrolled which shall contain a written care plan 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 #3 (age: 3 years) has a documented food allergy. The center does not have a written care plan for Child #3 on file.
Child #3 (age: 3 years) has a documented food allergy. The center does not have a written care plan for Child #3 on file.
Plan of Correction: Will develop a written care plan, based on physician's instructions.
Standard 8VAC20-780-70
The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment.
Staff #1's record was missing one out of two references. Staff #1 has been employed for three months.
Staff #1's record was missing one out of two references. Staff #1 has been employed for three months.
Plan of Correction: Missing letter of recommendation will be put in file.