Virginia
Sign in
Back
Lilly Grace LLC

Inspection · 2025-07-22

Date
2025-07-22
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
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
63.2 Child Abuse & Neglect
22.1 Early Childhood Care and Education
20 Access to minor?s records

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 on July 22, 2025, and completed on July 28, 2025, as a part of the licensure period. The on-site inspection began at 10:25 am and ended at 12:00 pm. The inspector reviewed compliance in the areas listed above. There were 22 children present and six staff. The inspector reviewed five children?s records and four staff records on-site with additional documentation electronically on July 28, 2025. This inspection included document review, a 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.

Violations

5
Standard 22.1-289.035-B-1
The center shall obtain a completed sworn statement prior to the employee's first
day of employment. Staff #2, employed for one year, seven months, did not have a completed sworn statement.
Plan of Correction: Per administration: I will have a sworn completed when the staff returns.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, employed for two months, did not have documentation the central registry was requested prior to employment. The results of the central registry had not been received.
Plan of Correction: Per administration: We will request the background check. Going forward documentation will be kept to show the request prior to hire.
Standard 8VAC20-780-160-A
Repeat
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. 1. The record of staff #2, employed for one year, seven months, did not contain documentation of tuberculosis screening. 2. The record of staff #3, employed for ten months, did not contain documentation of a tuberculosis screening.
Plan of Correction: Per the administration: Staff will obtain tuberculosis screening.
Standard 8VAC20-780-160-C
Repeat
At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. The record of staff #4 contained documentation of a tuberculosis screening that expired 12 days ago. A follow-up tuberculosis screening had not been completed.
Plan of Correction: Per administration: The staff member has obtained a tuberculosis screening but forgot to bring it in.
Standard 8VAC20-780-245-A
Repeat
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The record of staff #2 contained two hours of annual training for the period of 12/21/2023 through 12/20/2024 when 16 hours was required.
Plan of Correction: Per the administration: Staff completed the missing annual training.
View original record on Virginia Department of Social Services