Inspection · 2026-02-25
Date
2026-02-25
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
(571) 389-2459
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
Violations
9Standard 22.1-289.035-B-3
Systemic Deficiency
The center is required to obtain the results of a Central Registry request by the end of the 30th day of employment.
l. Staff #1, employed for over 8 months, did not have documentation of a Virginia Central Registry background check. Staff #1 was observed alone with children.
The center is required to obtain the results of a Central Registry request by the end of the 30th day of employment.
l. Staff #1, employed for over 8 months, did not have documentation of a Virginia Central Registry background check. Staff #1 was observed alone with children.
Plan of Correction: Correction: The Virginia central registry search for staff #1 has been submitted. Staff #1 will not be left alone with children until results are received and documented in the file. Staff #1 resubmitted a central registry search for Virginia, as the previous submission did not yield results [see attached].
staff #1 meets the ratio required. Prevention: A background check log has been added to the hiring process. No staff will work independently until all required background checks are received. We will review background files weekly until complete.
staff #1 meets the ratio required. Prevention: A background check log has been added to the hiring process. No staff will work independently until all required background checks are received. We will review background files weekly until complete.
Standard 22.1-289.035-B-4
Systemic Deficienty
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
1. Staff #1, employed for over 8 months did not have documentation of requesting a Central Registry . Staff #1 was observed alone with children in one classroom.
2. A Sworn Disclosure dated over 1 year ago discloses Staff #3 has out of state residency. No documentation of requesting a Central Registry, Criminal Record check or a Sex Offender search from one state.
3. Staff #4, employed for approximately 2 1/2 months did not have documentation of requesting a Central Registry search.
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
1. Staff #1, employed for over 8 months did not have documentation of requesting a Central Registry . Staff #1 was observed alone with children in one classroom.
2. A Sworn Disclosure dated over 1 year ago discloses Staff #3 has out of state residency. No documentation of requesting a Central Registry, Criminal Record check or a Sex Offender search from one state.
3. Staff #4, employed for approximately 2 1/2 months did not have documentation of requesting a Central Registry search.
Plan of Correction: Required out-of-state background checks for staff #1 , #3, and #4 have been requested. Documentation of all requests has been placed in staff files. Affected staff will not be left alone with children until results are received.
Staff #1 meets the ratio required. Staff #1 her swom statement done before started work and renew every 3 years.
Prevention: A residency verification form is now required at hire. We will confirm all in-state checks before staff begin work. A tracking log will be maintained for all background checks.
Staff #1 meets the ratio required. Staff #1 her swom statement done before started work and renew every 3 years.
Prevention: A residency verification form is now required at hire. We will confirm all in-state checks before staff begin work. A tracking log will be maintained for all background checks.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
Documentation of additional immunizations for Child #2 was obtained over a year ago.
Documentation of additional immunizations for Child #5 was obtained more than six months ago.
Documentation of additional immunizations for Child #2 was obtained over a year ago.
Documentation of additional immunizations for Child #5 was obtained more than six months ago.
Plan of Correction: Correction: We contact Child #2 parents and had an appointment 03/04/2026 for immunization.
Prevention: Child #2 stayed home until receiving the immunization documentation. Parents will receive reminder notices before the six-month deadline. Records will be reviewed monthly.
Prevention: Child #2 stayed home until receiving the immunization documentation. Parents will receive reminder notices before the six-month deadline. Records will be reviewed monthly.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening.The documentation shall have been completed within the last 30 calendar days of the date of employment
The TB screening for Staff #1 was completed over 4 months prior to their date of employment.
The TB screening for Staff #1 was completed over 4 months prior to their date of employment.
Plan of Correction: Correction: Staff #1 started work 03/12/2025 and her T.B Test received 02/06/2026. [see attached].
Prevention: All staff qualifications will be verified before assignment to work with children. A qualification checklist will be added to personnel files.
Prevention: All staff qualifications will be verified before assignment to work with children. A qualification checklist will be added to personnel files.
Standard 8VAC20-780-210-A
Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet one of the following: 1. Have one of the program director qualifications in 8VAC20-780-190;
2. Have an endorsement or bachelor's degree in a child-related field such as, but not limited to, elementary education, nursing, or recreation, from a college or university;
3. Have three months of programmatic experience and at least one of the following education backgrounds:
a. A one year early childhood certificate from a college or university that consists of at least 30 semester hours;
b. A child development credential by an organization listed in ? 22.1-289.048 of the Code of Virginia;
c. A teaching diploma from an internationally or nationally recognized Montessori organization; or
d. Have six months of supervised programmatic experience.
a. Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 12 hours of training shall be received related to the care of children, including but not limited to:
(1) Child development;
(2) Playground safety;
(3) Health and safety issues; and
(4) Preventing and reporting child abuse and neglect.
Staff #1 does not meet the required lead qualifications. Staff #1 was alone with children in a classroom.
2. Have an endorsement or bachelor's degree in a child-related field such as, but not limited to, elementary education, nursing, or recreation, from a college or university;
3. Have three months of programmatic experience and at least one of the following education backgrounds:
a. A one year early childhood certificate from a college or university that consists of at least 30 semester hours;
b. A child development credential by an organization listed in ? 22.1-289.048 of the Code of Virginia;
c. A teaching diploma from an internationally or nationally recognized Montessori organization; or
d. Have six months of supervised programmatic experience.
a. Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 12 hours of training shall be received related to the care of children, including but not limited to:
(1) Child development;
(2) Playground safety;
(3) Health and safety issues; and
(4) Preventing and reporting child abuse and neglect.
Staff #1 does not meet the required lead qualifications. Staff #1 was alone with children in a classroom.
Plan of Correction: Correction: Staff will not serve
Montessori until qualifications are met. Prevention: Staff qualifications will be verified before assignment to a Montessori role.
A qualification checklist will be added to personnel files.
Staff #1 will not be left alone with children until results are received and documented in the file.
Prevention: staff#l staff qualifications will be verified before assignment to a lead, A qualification checklist will be added to personnel files.
Montessori until qualifications are met. Prevention: Staff qualifications will be verified before assignment to a Montessori role.
A qualification checklist will be added to personnel files.
Staff #1 will not be left alone with children until results are received and documented in the file.
Prevention: staff#l staff qualifications will be verified before assignment to a lead, A qualification checklist will be added to personnel files.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
Staff #3 received 3 hours of the required 16 hours of annual training.
Staff #3 received 3 hours of the required 16 hours of annual training.
Plan of Correction: Correction: Staff #3 has been registered for required training hours. Completion certificates will be added to the file once finished. Prevention: Monthly training hours send to staff reminders and will be reviewed quarterly.
Standard 8VAC20-780-270-A
Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.
1. An area accessible to children in one classroom has peeling paint coming off one wall.
2. The fence gate located on the playground and accessible to children in care is missing hardware to enable to the gate to open properly.
3. Fencing located on the playground is not maintained and has sharp rusted points accessible to the older children in care.
1. An area accessible to children in one classroom has peeling paint coming off one wall.
2. The fence gate located on the playground and accessible to children in care is missing hardware to enable to the gate to open properly.
3. Fencing located on the playground is not maintained and has sharp rusted points accessible to the older children in care.
Plan of Correction: Correction: Peeling paint has been repaired and repainted. Playground gate hardware has been replaced. Rusted fencing has been repaired or replaced to remove sharp areas. Prevention; Playground checks will occur weekly.
A maintenance log will track repairs.
A maintenance log will track repairs.
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, sensitivities, and dietary restrictions.
Child #1 has a diagnosed food allergy. The allergy listing in one classroom was not current to include Child #1.
Child #1 has a diagnosed food allergy. The allergy listing in one classroom was not current to include Child #1.
Plan of Correction: Correction: The classroom allergy list was updated immediately to include child #1.
Prevention: Allergy lists will be updated the same day new medical information is received. We will review posted lists monthly.
Prevention: Allergy lists will be updated the same day new medical information is received. We will review posted lists monthly.
Standard 8VAC20-780-60-A-8
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 #1 has a diagnosed food allergy. Child #1's record did not contain an allergy action plan.
Child #1 has a diagnosed food allergy. Child #1's record did not contain an allergy action plan.
Plan of Correction: Correction: we contact child #1 parents and received a letter and placed in his file. A copy has been given to classroom staff.
Prevention: No child with a diagnosed allergy will begin care without a written action plan. Allergy files will be reviewed monthly.
Prevention: No child with a diagnosed allergy will begin care without a written action plan. Allergy files will be reviewed monthly.