Inspection · 2025-05-12
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
This inspection report was amended on May 14, 2025.
An unannounced, on-site renewal inspection was initiated on May 12, 2025, and completed on May 12, 2025, as a part of the licensure period. The on-site inspection began at 10:00 am and ended at 2:15 pm. The inspector reviewed compliance in the areas listed above. There were 96 children present and 15 staff. The inspector reviewed ten children?s records and ten 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 business days from today, which will be the close of business on May 19, 2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
Repeat
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff #4, employed for 14 months, did not have documentation of requesting a central registry check or a criminal history record check from a state they resided in the preceding five years.
Plan of Correction: Per the administrator: In addition to the National Fingerprint check, Virginia Central Registry, and National Sex Offender Search, the center will obtain out of state background checks for individuals that have resided outside of Virginia during the previous five years. The central registry and criminal history checks have now been submitted for the employee referenced.
Standard 8VAC20-780-350-B-1
The required ratio for children ages birth up to 16 months is one staff per four children. Staff #10 was observed supervising five children with the youngest child being 12 months old. A second staff arrived at approximately 11:05 am.
Plan of Correction: Per the Administrator: The center will always maintain ratio. Staff will use communications systems to notify management when approaching ratios limits.
Standard 8VAC20-780-350-B-3
The required ratio for children aged two years is one staff per eight children. Staff #11 was observed supervising nine children with the youngest child being two years old.
Plan of Correction: Per the Administrator: The center will always maintain ratio. Staff will use communications systems to notify management when approaching ratios limits.
Standard 8VAC20-780-40-M
The center shall maintain a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. 1. The list in each of the nine classrooms was not dated. 2. The record of child #6 documented a food sensitivity. The list did not contain documentation of the sensitivity for child #6.
Plan of Correction: Per the Administrator: The center will add a date line to the documented list of all known allergies, sensitivities, and dietary restrictions.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. 1. Medication for child #3, whose last day of enrollment was 18 days ago, was on site and had not been returned or disposed of as required. 2. The medication authorization for child #11 expired 11 months ago. The authorization had not been renewed, and the medication was not returned or disposed of as required.
Plan of Correction: Per the Administrator: The center will notify and make effort to return medication to parents after the child is un-enrolled from the center. The center will maintain a current authorization for medication. If unable to be picked up within 10 days, the center will dispose of medication properly. Both medications noted have been returned to the parents as of the day of the licensing visit.
Standard 8VAC20-780-550-K
The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. The van used to transport children from school did not contain documentation potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as pick up or drop off of children to or from schools.
Plan of Correction: Per the Administrator: The center has updated the document on the bus to include potential shelters, hospitals, and evacuation routes in case of emergency and will update annually.
Standard 8VAC20-780-60-A-8
The center shall obtain 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 #3, enrolled for eight months, has a diagnosed food allergy and did not have a written care plan in on file.
Plan of Correction: Per the Administrator: In addition to noting food allergies on a list posted in each classroom the center will maintain a written care plan for each child diagnosed with a food allergy including those students that do not have a medication for allergies and students that bring their food from home and do not eat the centers food.