Inspection · 2025-10-21
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was completed on 10/21/2025. The on-site inspection began at 11:55 a.m. and ended at 3:20 p.m. The inspector reviewed compliance in the areas listed above. There were 20 children present and 4 staff. The inspector reviewed 5 children?s records and 6 staff records on-site. This inspection included document review, tour of the facility, 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 01/08/2026. 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. S1, employed for 19 days, did not have documentation of requesting a sexual offender check from one state. S4, employed for more than 3 weeks, did not have documentation of requesting a central registry check from one state.
Plan of Correction: S1's WVA background check was sent 10/2 and returned 10/21 with no findings. In keeping with licensing regulations, this employee was not alone with children during this timeframe. S4's background check was performed 4/15 (she
transferred from another department) an additional check was performed 10/13 asTexas does not share files with Virginia
Standard 8VAC20-780-140-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. S4 had no TB documentation and had been employed for 28 days. S5 TB was dated 2 months prior to date of employment.
Plan of Correction: An electronic verification of negative TB for S4 was recieved 9/11 prior to beginning work on 9/23. Signed verification received 9124. S5 has negative TB test dated 4.15.25; due to school, began work 6/19
Standard 8VAC20-780-140-B
If a child has had a physical examination prior to attendance, it shall be within the time period prescribed by the standards. Based on the age and enrollment date of C2 the physical exam was not within the required 3-month time frame.
Plan of Correction: Child was enrolled previously. The physical was within the year. Guidance was requested 10.22.25 to ensure program compliance.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. The record for S1 employed for 19 days did not contain documentation of orientation training.
Plan of Correction: As disclosed during the inspection, S1began work on 10/13 and completed orientation on 10121.
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside,
are maintained in a clean, safe and operable condition. The refrigerator in the infant room
had a spilled white substance in the compartment holding children?s food. The microwave in the infant room used to heat children?s food had peeling metal around the door of the microwave. The microwave in the 2-year-old room had food substance caked on the inside of the microwave.
Plan of Correction: Employee completed incorrect form during onboarding. Correction was made 10.21.25 and sent to inspector. Administrator has been made aware of correction in onboarding paperwork.
Standard 8VAC20-780-560-G
When food is brought from home the food container must be clearly dated and labeled in
a way that identifies the owner. A plastic container of food brought from home was not labeled with a name or date in the infant room refrigerator.
Plan of Correction: Food was labeled immediately. Staff will perform daily checks to ensure compliance.
Standard 8VAC20-780-70
Each center shall maintain a staff record that contains all of the required information. The
record for S1 did not document information about any health problems that may interfere
with fulfilling the job responsibilities.
Plan of Correction: Employee completed incorrect form during onboarding. Correction was made 10.21.25 and sent to inspector. Administrator has been made aware of correction in onboarding paperwork.