Inspection · 2025-12-04
Date
2025-12-04
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
(540) 222-6352
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
Violations
5Standard 8VAC20-780-140-A
Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.
There was no physical on file for child B. The physical was overdue by 2 days.
There was no physical on file for child B. The physical was overdue by 2 days.
Plan of Correction: The cited issue was corrected on 12/5/25. At the time of the inspection, the child's
physical examination form had not yet been submitted and was two days past the required timeframe. The parent was contacted immediately and picked up the child that day. The child returned to the center on 12/5/25 with the completed physical examination form on file. The Center will continue to
monitor all enrollment documentation to ensure required health forms are received and maintained within required timeframes prior to continued attendance.
physical examination form had not yet been submitted and was two days past the required timeframe. The parent was contacted immediately and picked up the child that day. The child returned to the center on 12/5/25 with the completed physical examination form on file. The Center will continue to
monitor all enrollment documentation to ensure required health forms are received and maintained within required timeframes prior to continued attendance.
Standard 8VAC20-780-150-B
Each report shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.
The immunization record for child A and B were not signed by a physician/designee/health department. The signatures were overdue by 2 months for child A and by 1 month for child B.
The immunization record for child A and B were not signed by a physician/designee/health department. The signatures were overdue by 2 months for child A and by 1 month for child B.
Plan of Correction: The cited issue was corrected when updated immunization records with the required physIcIan ordesignee signature were obtained for both children. The immunization record for Child A was completed and signed on 12/4/25, and the immunization record for Child B was completed and signed on 12/9/25. The Center will continue to review all immunization documentation upon receipt to
ensure required signatures are present and documentation is complete prior to placement in the child's file.
Corrected Dates: Child A-12/4/25 Child B - 12/9/25
ensure required signatures are present and documentation is complete prior to placement in the child's file.
Corrected Dates: Child A-12/4/25 Child B - 12/9/25
Standard 8VAC20-780-190-B
Program directors without management experience shall have one college course in a business-related field, 10 hours of management training, or one child care management course that satisfactorily covers the management functions of planning, budgeting, staffing and monitoring. Management experience is defined as at least six months of on the job training in an administrative position that requires supervising, orienting, training and scheduling staff.
There was no information or documentation provided to show that the director ( Staff A) has management experience to include staff training and orienting.
There was no information or documentation provided to show that the director ( Staff A) has management experience to include staff training and orienting.
Plan of Correction: The cited concern has been addressed. The Acting Director meets the qualifications outlined in regulation for management experience. She holds an Associate of Science degree in Social Science with a specialization in Teacher Education, has served as the Assistant Director at this location for over
two and a half years, and has been functioning in the Acting Director role for the past four months. Additionally, she has more than four years of experience as a Site Director in a before- and after-school program, which included responsibility for staff supervision, orientation, training, and scheduling. Since rejoining the organization in 2023, the Acting Director has also completed over 182 hours of documented training related to leadership, management, and program
operations. At the time of the inspection, documentation verifying her experience in staff training and orientation was not readily available for review. All required documentation has since been compiled, placed in her licensing
file, and submitted to the inspector for verification. Documentation was also provided to the licensing inspector via email on 12/5/25.
two and a half years, and has been functioning in the Acting Director role for the past four months. Additionally, she has more than four years of experience as a Site Director in a before- and after-school program, which included responsibility for staff supervision, orientation, training, and scheduling. Since rejoining the organization in 2023, the Acting Director has also completed over 182 hours of documented training related to leadership, management, and program
operations. At the time of the inspection, documentation verifying her experience in staff training and orientation was not readily available for review. All required documentation has since been compiled, placed in her licensing
file, and submitted to the inspector for verification. Documentation was also provided to the licensing inspector via email on 12/5/25.
Standard 8VAC20-780-330-B
Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99.
The mulch surrounding the composite climbing structure and underneath and surrounding the swings on the Pre-K playground was compacted and had degraded to soil. Soil is not an acceptable resilient surface.
The mulch surrounding the composite climbing structure and underneath and surrounding the swings on the Pre-K playground was compacted and had degraded to soil. Soil is not an acceptable resilient surface.
Plan of Correction: New resilient mulch was installed on 12/9/25 in the areas surrounding the composite climbing structureand beneath the swings on the Pre-K playground. At the time of the licensing visit, some areas of the playground showed compacted mulch and exposed soil due to recent rainfall and regular use of the equipment by children. There are also resilient safety mats in place in high-traffic areas to
provide appropriate cushioning and impact absorption. The Center will continue to monitor high-traffic areas daily and redistribute mulch as needed.
provide appropriate cushioning and impact absorption. The Center will continue to monitor high-traffic areas daily and redistribute mulch as needed.
Standard 8VAC20-780-510-E
The center's procedures for administering medication shall include duration of the parents authorization for medication, provide that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over the counter medication may be allowed with written authorization from the child's physician and parent.
The long term authorization form signed by the physician for medications for child C was missing the center's name as to whom the physician was granting authorization for the administration of two medications.
The long term authorization form signed by the physician for medications for child C was missing the center's name as to whom the physician was granting authorization for the administration of two medications.
Plan of Correction: The cited issue was corrected when the parent updated the medication authorization form to include the school's name, as required. Although the physician and parent had completed the authorization, the school's name had been omitted. To prevent reoccurrence, the Center will ensure that all medication
authorizations are completed using the current VDOE-approved medication form and verified for completeness prior to accepting or administering any medication. Staff have been reminded to review all medication documentation upon receipt to confirm compliance with licensing requirements.
Corrected Date: 12/4/25
authorizations are completed using the current VDOE-approved medication form and verified for completeness prior to accepting or administering any medication. Staff have been reminded to review all medication documentation upon receipt to confirm compliance with licensing requirements.
Corrected Date: 12/4/25