Inspection · 2026-01-20
Date
2026-01-20
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
(540) 309-2494
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
10Standard 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. Results of the central registry search must be complete before staff can be alone with children.
Staff #1?s central registry check was requested almost one month after hire and the results were dated, January 23, 2026, three months after hire. Staff #1 was observed to be alone with children in a classroom on January 20, 2026.
Staff #2?s central registry results were dated seven months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. There was no documentation provided that center had followed up on the request for the central registry check.
Staff #3?s central registry results were dated January 26, 2026, eight months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. Staff #3 was observed to be alone with children in a classroom on January 20, 2026. There was no documentation provided that center had followed up on the request for the central registry check.
Staff #4?s central registry results were dated eight months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. There was no documentation provided that center had followed up on the request for the central registry check.
Staff #1?s central registry check was requested almost one month after hire and the results were dated, January 23, 2026, three months after hire. Staff #1 was observed to be alone with children in a classroom on January 20, 2026.
Staff #2?s central registry results were dated seven months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. There was no documentation provided that center had followed up on the request for the central registry check.
Staff #3?s central registry results were dated January 26, 2026, eight months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. Staff #3 was observed to be alone with children in a classroom on January 20, 2026. There was no documentation provided that center had followed up on the request for the central registry check.
Staff #4?s central registry results were dated eight months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. There was no documentation provided that center had followed up on the request for the central registry check.
Plan of Correction: The center immediately reviewed all staff files. All staff now have completed central registry results on file. Effective immediately, the center will request the central registry check prior to a staff member?s first day of employment, and staff
will not be left alone with children until results are received. A hiring checklist has been implemented to track request dates, follow-up dates, and receipt of results. The director will review all new hire files before staff begin working independently to ensure compliance.
will not be left alone with children until results are received. A hiring checklist has been implemented to track request dates, follow-up dates, and receipt of results. The director will review all new hire files before staff begin working independently to ensure compliance.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.
There was no physical examination in the record of Child #2, who had been enrolled for two months.
There was no physical examination in the record of Child #5, who had been enrolled for more than two months.
There was no physical examination in the record of Child #2, who had been enrolled for two months.
There was no physical examination in the record of Child #5, who had been enrolled for more than two months.
Plan of Correction: The center requested physical examinations from the parents of the identified children and will place documentation in the children?s records upon receipt. To prevent recurrence, physical examination documentation will be required within 30 days of enrollment. Child files will be reviewed monthly for compliance.
Standard 8VAC20-780-160-A
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.
Staff #2, employed for seven months, did not have documentation of a TB screening.
Staff #2, employed for seven months, did not have documentation of a TB screening.
Plan of Correction: The required TB screening for the identified staff member was obtained and placed in the staff file. To prevent recurrence, TB screening documentation will be required prior to any staff member coming into contact with children. A staff compliance checklist will be reviewed by administration at hire.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.
Staff #5?s TB screening was seven months late.
Staff #8?s TB was one year past due and had not been completed.
Staff #5?s TB screening was seven months late.
Staff #8?s TB was one year past due and had not been completed.
Plan of Correction: The overdue TB screenings were completed or scheduled, and
documentation will be placed in staff files upon receipt. To prevent recurrence, TB screening dates will be tracked, and reminders will be set to ensure completion before expiration.
documentation will be placed in staff files upon receipt. To prevent recurrence, TB screening dates will be tracked, and reminders will be set to ensure completion before expiration.
Standard 8VAC20-780-240-A
The Virginia Department of Education ? sponsored orientation training course shall be completed withing in 90 days of employment.
Staff #1?s training was completed two days late.
Staff #2?s training was completed four months late.
Staff #3?s training was completed five months late.
Staff #4?s training was completed five months late.
Staff #1?s training was completed two days late.
Staff #2?s training was completed four months late.
Staff #3?s training was completed five months late.
Staff #4?s training was completed five months late.
Plan of Correction: All staff have now completed the required VDOE orientation training. The center has implemented a training tracking system to ensure completion within 90 days of employment. The director will monitor due dates monthly and ensure staff complete training on time.
Standard 8VAC20-780-245-A
Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
The center did not provide evidence of annual training for Staff #5?s most recent training year (August 16, 2024 to August 15, 2025).
The center did not provide evidence of annual training for Staff #6?s most recent training year (January 16, 2025 to January 15, 2026).
The center did not provide evidence of annual training for Staff #5?s most recent training year (August 16, 2024 to August 15, 2025).
The center did not provide evidence of annual training for Staff #6?s most recent training year (January 16, 2025 to January 15, 2026).
Plan of Correction: The center obtained and documented the required annual training hours for the identified staff members. To prevent recurrence, staff training hours will be tracked annually, and documentation will be reviewed prior to the end of each training year.
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present.
Child #5 had a food allergy listed on the registration form. There was not a list in the Preschool 2 classroom and staff in the classroom and administration on site were not aware of the child?s allergy.
Staff #3, who was working in the Preschool 1 classroom, stated that they did not know if any children in their classroom had an allergies, sensitives, or dietary restriction. There was no list posted in the classroom .
Child #5 had a food allergy listed on the registration form. There was not a list in the Preschool 2 classroom and staff in the classroom and administration on site were not aware of the child?s allergy.
Staff #3, who was working in the Preschool 1 classroom, stated that they did not know if any children in their classroom had an allergies, sensitives, or dietary restriction. There was no list posted in the classroom .
Plan of Correction: An updated allergy and dietary restriction list has been created and posted in every classroom. Classroom staff have been informed and trained on reviewing the list daily. Administration will ensure allergy information from enrollment forms is immediately communicated to classroom staff. The director will verify postings during monthly classroom checks.
Standard 8VAC20-780-60-A
The center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.'
The record for Child #1, enrolled for eight months, was missing the following required component: documentation of viewing proof of child?s identity and age.
The record for Child #2, enrolled for two months, was missing the following required components: phone number of child?s physician and documentation of viewing proof of child?s identity and age.
The record for Child #4, enrolled for almost two months, was missing the following required components: work phone number and place of employment for one parent.
The record for Child #5, enrolled for more than two months, was missing the following required components: address of two designated people to call in an emergency if the parents cannot be reached, phone number of the child?s physician and work phone number and place of employment for one parent.
The record for Child #6 was missing the following required components: work phone number and place of employment for both parents, name and phone number of child?s physician, first date of attendance and documentation of viewing proof of child?s identity and age.
The record for Child #7 was missing the following required components: first date of attendance and documentation of viewing proof of child?s identity and age.
The record for Child #1, enrolled for eight months, was missing the following required component: documentation of viewing proof of child?s identity and age.
The record for Child #2, enrolled for two months, was missing the following required components: phone number of child?s physician and documentation of viewing proof of child?s identity and age.
The record for Child #4, enrolled for almost two months, was missing the following required components: work phone number and place of employment for one parent.
The record for Child #5, enrolled for more than two months, was missing the following required components: address of two designated people to call in an emergency if the parents cannot be reached, phone number of the child?s physician and work phone number and place of employment for one parent.
The record for Child #6 was missing the following required components: work phone number and place of employment for both parents, name and phone number of child?s physician, first date of attendance and documentation of viewing proof of child?s identity and age.
The record for Child #7 was missing the following required components: first date of attendance and documentation of viewing proof of child?s identity and age.
Plan of Correction: The center immediately reviewed all staff files. All staff now have
completed central registry results on file. Effective immediately, the center will request the central registry check prior to a staff member?s first day of employment, and staff will not be left alone with children until results are received. A hiring checklist has been implemented to track request dates, follow-up dates, and receipt of results. The director will review all new hire files before staff begin
working independently to ensure compliance.
completed central registry results on file. Effective immediately, the center will request the central registry check prior to a staff member?s first day of employment, and staff will not be left alone with children until results are received. A hiring checklist has been implemented to track request dates, follow-up dates, and receipt of results. The director will review all new hire files before staff begin
working independently to ensure compliance.
Standard 8VAC20-790-600-D-1
All staff shall have, within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR).
Staff #2?s certification was completed two months late.
Staff #3?s certification was completed three months late.
Staff #4?s certification was completed three months late.
Staff #6?s certification expired on June 2, 2025, and recertification was completed four months late.
Staff #2?s certification was completed two months late.
Staff #3?s certification was completed three months late.
Staff #4?s certification was completed three months late.
Staff #6?s certification expired on June 2, 2025, and recertification was completed four months late.
Plan of Correction: All staff listed have obtained current CPR certification, and documentation is on file. The center will track certification expiration dates and schedule renewals prior to expiration. Staff will not be permitted to work without current certification.
Standard 8VAC20-790-600-D-2
All staff shall have within, 90 days of the date of employment, current certification in first aid.
Staff #2?s certification was completed two months late.
Staff #3?s certification was completed three months late.
Staff #4?s certification was completed three months late.
Staff #6?s certification expired on June 2, 2025, and recertification was completed four months late
Staff #2?s certification was completed two months late.
Staff #3?s certification was completed three months late.
Staff #4?s certification was completed three months late.
Staff #6?s certification expired on June 2, 2025, and recertification was completed four months late
Plan of Correction: All staff identified now have current first aid certification on file. To prevent recurrence, first aid certification dates will be tracked and monitored alongside CPR certifications to ensure timely renewal.