Inspection · 2025-11-17
Licensing Inspector
Mark Davis
(804) 629-7103
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
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and 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 and completed on 11/17/2025. The on-site inspection began at 11:00am and ended at 12:00pm. The inspector reviewed compliance in the areas listed above. There were seven children present and two caregivers; the point total was eighteen. The inspector reviewed five children?s records and four caregiver/household members 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.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #2, who is currently working, did not list the other state the staff member had resided in from the past five years.
Plan of Correction: The provider will have the staff member correct their sworn disclosure to include the other state that they have resided in.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The provider did not request a search of the child abuse and neglect registry from one state for Staff #2, who has been employed for more than a month and was working with children at the time of the inspection. Staff #2, employed for more than one month, did not have documentation of verifying that the staff member was not on the out of state sex offender registry that is required prior to hire.
Plan of Correction: The provider will obtain a search of the central registry check and the sex offender check for the other state the staff member has resided in from the previous five years.
Standard 8VAC20-800-120-B
Assistants' and substitute providers' records shall contain two or more references as to character and reputation and competency. References must be checked before employment. There was only record of one reference being checked for Staff #2.
Plan of Correction: The provider will obtain a second reference for the staff member.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review. Records for children #1, #3, #4 and #5 were overdue by over a year to obtain acknowledgement for an annual review of the emergency contact information.
Plan of Correction: The provider will have the parents check that their emergency contact information is correct and sign acknowledgement.