Inspection · 2025-07-24
Licensing Inspector
Nanette Roberts
(757) 404-2322
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
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 7/24/25 and completed on 7/25/25. The on-site inspection began at 1:45pm and ended at 5:15pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 87 children present and 11 staff. The inspector reviewed 8 children?s records and 9 staff records on-site on 7/24/25. Additional records were reviewed electronically on 7/25/25. 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/11/25. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #1 and staff #2 did not have central registry search results during the inspection.
Plan of Correction: The facility responded: We have requested access from our technology department to receive these results.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 5 weeks ago and Staff #2 updated screening was due 10 weeks ago. The updated screenings have not yet been completed.
Plan of Correction: The facility responded: Hiring manager will ensure that TB test are uploaded during the hiring process to ensure TB tests are done and will set an expiration date in our system to ensure staff are notified they're about to expire or notified prior to expiration.
Date to be corrected: At hire
Standard 8VAC20-780-240-A
Repeat Violation
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for staff # 6 did not contain documentation that the orientation coarse was completed. Completion of the orientation course was due four months ago.
Plan of Correction: The facility responded: Hiring manager will ensure that employees complete the VDOE within the first 90 days of hire and will set an expiration date in our system to ensure staff and employee are notified prior to expiration.
Date to be corrected: At hire
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe and condition. In the gym area there was broken edging material sticking out on the corner of the wall. There were two wooden benches in the outdoor area that were cracked and splintered.
Plan of Correction: The facility responded: Worked with Executive Director to ensure that building standards are kept up to date.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. A drill was not practiced in June.
Plan of Correction: The facility responded: The center will implement monthly evacuation drills by working with the Executive.
Standard 8VAC20-780-560-G
When food is brought from home the container shall be dated and clearly labeled to identify the owner. In the front pavilion area there was a black lunchbox and a water bottle with no name or date.
Plan of Correction: The facility responded: Ensure at check point two that every child is having their individual items tagged name and date.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall be kept for each staff person and shall include all of the required information. Staff #5 did not have verification of age requirement.
Plan of Correction: The facility responded: Ensure that all information sheets are filled out properly with required information once staff is fully hired on.
Date to be corrected: At hire