Inspection · 2026-03-10
Licensing Inspector
Christine Mahan
(757) 404-0568
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
8VAC20-821 Licensure Requirements
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
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 3-10-2026 and completed on 3-16-2026. The inspection began at 9:50am and ended at 1:25pm. The inspector reviewed compliance in the areas listed above. There were 58 children present and 10 staff. The inspector reviewed 6 children?s records and 6 staff records on-site and electronically on 3-16-2026. This inspection included document review, tour of the facility, interviews, observations and measurements.
Information gathered during the inspection determined noncompliance 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 business days from today, which will be the close of business on 3-23-2026. A POC submitted after this date will not appear on the public website.
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 #5 has been employed for more than 19 months and there is not documentation of the results of a central registry check.
Plan of Correction: After requesting clarification on conducting out of state background checks the hiring specialist will ensure all correspondence with out of state agencies is documented.
Standard 22.1-289.035-B-4
Repeat Violation
The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment. Staff #1, did not have documentation requesting a criminal records check from a different state prior. Staff #1 has been working for more than 3 weeks years.
Plan of Correction: After requesting clarification on conducting out of state background checks the hiring specialist will ensure all correspondence with out of state agencies is documented.
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 obtained 14 hours of annual training.
Plan of Correction: Trainings will be logged monthly.
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. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, should be maintained in a clean, safe and operable condition for the following areas on the outdoor space.
1.Tthere protruding nails on the wooden fence surrounding an HVAC system and on the wooden picnic table.
2.There were gaps between the plastic mats for the outdoor bicycle path and the largest gap was up to approximately 8 inches and it created a tripping hazard.
Plan of Correction: All picnic tables and fencing will be repair. Gaps on the riding track will be repaired
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In room #1 2 containers of bleach and water were sitting on bookshelf and in room #5 in an unlocked closet on shelf, there were 2 containers of bleach and water and a container of toilet cleaner.
Plan of Correction: Retrain staff on proper hazardous materials storage.
Standard 8VAC20-780-330-E
Sandboxes with bottoms which prevent drainage shall be covered when not in use. There were 2 sandboxes observed on the playground that did not have covers.
Plan of Correction: Covers will be put on sand boxes when not in use.
Standard 8VAC20-780-40-I
The center shall develop written procedures for injury prevention. There was not an injury plan available for review.
Plan of Correction: An injury prevention plan has been created.
Standard 8VAC20-780-510-E
The center's procedures for administering medication shall include methods to prevent use of outdated medication and the centers procedure did not include this information.
Plan of Correction: A revised medication policy has been created.
Standard 8VAC20-780-570-E
Prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were 3 bottles observed without dates on them for Child #1.
Plan of Correction: Retrain staff on labeling ns doing bottles.