Inspection · 2025-05-30
Licensing Inspector
Cindy Horne
(804) 297-4469
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
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 and completed on 5/30/2025. The on-site inspection began at 11:00 a.m. and ended at 12:50 p.m. The inspector reviewed compliance in the areas listed above. There were eight children present and four staff. The inspector reviewed six children?s records and five staff records on site. This inspection included document review (i.e. daily schedule, menu, license, previous inspection, attendance records, injury reports, emergency drill logs, medication administration logs, and authorization forms), 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 6/16/25. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
(Repeat Violation) The findings of the most recent inspection are required to be posted at the facility. The findings from the inspection on 7/23/2024 and 7/24/2024 were not posted at the facility as required.
Plan of Correction: Most recent inspection posted, will post this one upon submission
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. There was no employee record for Staff #6. No sworn statement for Staff #6 was provided.
Plan of Correction: Copies of bus driver files are being distributed by HR to keep on site for transportation
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. There was no employee record for Staff #6. A completed national criminal background check for Staff #6 was not provided.
Plan of Correction: Copies of bus driver files are being distributed by HR to keep on site for transportation
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. There was no employee record for Staff #6. Documentation that the central registry search request was submitted prior to the start date for Staff #6 was not provided.
Plan of Correction: Copies of bus driver files are being distributed by HR to keep on site for transportation
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #5, who had been attending for four days, did not have documentation of an immunization record on file.
Plan of Correction: Requested new immunization for child.
Standard 8VAC20-780-240-B
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. There was no documentation of orientation for Staff #4 who has been working for 15 days.
Plan of Correction: Orientation placed in staff file
Standard 8VAC20-780-510-I
The center may administer prescription medication that would normally be administered by a parent to a child provided that the center has obtained written authorization from the parent. The center administered medication to Child #6 on 5/28/25 and 5/29/25 without written authorization from the parent.
Plan of Correction: Requested parent signature on form. Will ensure all forms have required signatures before accepting for program.
Standard 8VAC20-780-70
(Repeat Violation) Staff records shall be kept for each staff person that contain identifying information, references, background checks, education and experience, health information and required training. There was no employee record for Staff #6 on site. Scanned records for Staff #6 were requested following the inspection. No records were provided for Staff #6.
Plan of Correction: Copies of bus driver files are being distributed by HR to keep on site for transportation