Inspection · 2025-03-27
Date
2025-03-27
Complaint Related
Yes
Licensing Inspector
Danielle Morrison
(804) 929-3771
(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.
Yes
Areas Reviewed
8VAC20-790 Subsidy Regulations
Inspector Notes
The inspection report was amended on 5/27/2025.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the code compliance inspection. Subsidy standards that are not covered in code were reviewed during this SHSI.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations were 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 5/27/2025. A POC submitted after this date will not appear on the public website.
Violations
7Standard 8VAC20-790-540-B
**Repeat Violation**
The child's record shall contain all of the required information.
The record for child #2, enrolled for over two months, was missing the following required components: the name, address, and telephone number for each custodial parent's place of employment or school attendance. The record for child #3, enrolled for over one year, was missing the following required components: the name, address, and telephone number for each custodial parent's place of employment or school attendance; the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency. The record for child #4, enrolled for over two months, was missing the following required components: the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency. The record for child #5, enrolled for over two months, was missing the following required components: the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency.
The child's record shall contain all of the required information.
The record for child #2, enrolled for over two months, was missing the following required components: the name, address, and telephone number for each custodial parent's place of employment or school attendance. The record for child #3, enrolled for over one year, was missing the following required components: the name, address, and telephone number for each custodial parent's place of employment or school attendance; the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency. The record for child #4, enrolled for over two months, was missing the following required components: the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency. The record for child #5, enrolled for over two months, was missing the following required components: the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency.
Plan of Correction: We are checking all records all enrolled child to make sure we have in each child's folder. All required documentation and will be checking to make sure all is received before starting child.
Standard 8VAC20-790-550-1
The provider shall maintain records that have the address, verification of age and date of employment for all staff.
The record for staff #6 did not include any documentation of address, verification of age and date of employment.
The record for staff #6 did not include any documentation of address, verification of age and date of employment.
Plan of Correction: We will not allow any staff in our kitchen but day care staff and shall maintain this document.
Standard 8VAC20-790-550-3
The provider shall maintain documentation of tuberculosis screening results for all staff.
The record for staff #6 did not contain documentation of tuberculosis screening results.
The record for staff #6 did not contain documentation of tuberculosis screening results.
Plan of Correction: We will continue to maintain this document in all daycare staff folder.
Standard 8VAC20-790-630-A
Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.
Two broken windows on the left side of the building connected to the toddler classroom were observed.
Two broken windows on the left side of the building connected to the toddler classroom were observed.
Plan of Correction: Glass for windows have been ordered.
Standard 8VAC20-790-710-2
The following actions or threats thereof are forbidden: Enclosure in a small, confined space or any space that the child cannot freely exit himself.
On March 18, 2025, two witnesses from a state agency witnessed Staff #6 direct a school aged child into an unsupervised classroom in which the child remained for approximately 20 minutes. The two witnesses observed the child attempting to break the glass window of the door to exit the room before the child was let out by Staff #6.
On March 18, 2025, two witnesses from a state agency witnessed Staff #6 direct a school aged child into an unsupervised classroom in which the child remained for approximately 20 minutes. The two witnesses observed the child attempting to break the glass window of the door to exit the room before the child was let out by Staff #6.
Plan of Correction: Staff has been retrained to keep children from windows. Checked our doors can it be locked to classrooms. Continually checking.
Standard 8VAC20-790-760-B-3-c
**Repeat Violation**
The diapering area shall have a nonabsorbent surface for diapering or changing children.
The changing pad in the toddler room was wrapped in a fleece blanket making the changing pad absorbent.
The diapering area shall have a nonabsorbent surface for diapering or changing children.
The changing pad in the toddler room was wrapped in a fleece blanket making the changing pad absorbent.
Plan of Correction: We have ordered a new non absorbent changing table. Blankets have been removed from old table.
Standard 8VAC20-790-810-D
Food shall be prepared, stored, transported, and served in a clean and sanitary manner.
During the inspection on March 27, 2025, there were 29 expired milk cartons observed in the center?s refrigerator: 7 whole milk cartons and 22 1% milk cartons. The whole milk was expired by 4 days and the 1% milk was expired by 2 days. Staff #3 confirmed that milk was served to children on the date of the inspection. During the inspection on March 31, 2025, there were 4 expired whole milk cartons observed in the center?s refrigerator. The whole milk was expired by 8 days.
During the inspection on March 27, 2025, there were 29 expired milk cartons observed in the center?s refrigerator: 7 whole milk cartons and 22 1% milk cartons. The whole milk was expired by 4 days and the 1% milk was expired by 2 days. Staff #3 confirmed that milk was served to children on the date of the inspection. During the inspection on March 31, 2025, there were 4 expired whole milk cartons observed in the center?s refrigerator. The whole milk was expired by 8 days.
Plan of Correction: Expired milk will not be kept with refrigerator waiting for vendor to pick up. Expiration dates are checked daily. Any expired milk discarded daily. Will be corrected and monitored.