Inspection · 2025-04-15
Licensing Inspector
Cassie Anderson-Leichty
(757) 409-4668
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.
8VAC20-770 Background Checks
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 and completed on 4/15/2025. The on-site inspection began at 9:40 am and ended at 12:20 pm. The inspector reviewed compliance in the areas listed above. There were 24 children present and 4 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, 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 (5) business days from today, which will be the close of business on 4/28/2025. 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 #1, who had been employed for two weeks, did not have a central registry search requested.
Plan of Correction: Central registry was sent out 4/24/2025
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. Staff #1, employed for two weeks, did not have documentation of requesting a central registry check or sex offender check from one state.
Plan of Correction: Staff one stayed in another state visiting for two weeks. Didn't know I had to do a check.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Waiting for return email.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In the toddler classroom, the cleaning solution and sanitizing solution were in an unlocked cabinet, out of reach of children
Plan of Correction: The cabinet was locked right away
Standard 8VAC20-780-280-G
If hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. A spray bottle with a purple liquid was in the cabinet in the toddler classroom. Staff reported it was cleaning solution. The bottle was not labeled with its contents.
Plan of Correction: The container was labeled right away.
Standard 8VAC20-780-340-F
Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, a three year old child was observed sitting alone in the office unsupervised for approximately three minutes.
Plan of Correction: Staff will keep children in eye sight at all times.
Standard 8VAC20-780-350-B-3
The required ratio for children age two years is one staff per eight children. Staff #5 was observed supervising thirteen children (youngest child two years old) from approximately 9:40am-9:45am when Staff #4 returned to the facility after taking a child to school.
Plan of Correction: Staff was out of ratio because staff 4 had to take a child to school because bus didn't show up.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. There was no drill practiced in March 2025.
Plan of Correction: Was done but not logged
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for two months, was missing documentation of viewing proof of the child's identity and age. The record for Child #2, enrolled for eight months, was missing documentation of health information (physical).
Plan of Correction: Child 1 - was misplaced; Child 2 - was misplaced but now in file.