Inspection · 2026-02-02
Date
2026-02-02
Complaint Related
No
Licensing Inspector
Angela Dudek
(804) 629-8167
(804) 629-8167
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.
Yes
Violations
10Standard 22.1-289.035-A
The Center is required to obtain a criminal history background check and a central registry background check report every five years from the date of the last check.
The record for Staff #3 contained documentation that a criminal history background check report had been completed 3 months after it was due and documentation that a central registry background check report had been completed 2 1/2 months after it was due.
The record for Staff #3 contained documentation that a criminal history background check report had been completed 3 months after it was due and documentation that a central registry background check report had been completed 2 1/2 months after it was due.
Plan of Correction: management had developed are more efficient way of keeping track of all required items that must be renewed in a staff file. CD and AD both have copied of this record keeping tool.
Standard 22.1-289.035-B-1
(Repeat Violation) The Center is required to obtain documentation of a completed Sworn Disclosure Statement prior to date of hire.
The record for Staff #4 contained a sworn disclosure statement completed 2 weeks after hire.
The record for Staff #4 contained a sworn disclosure statement completed 2 weeks after hire.
Plan of Correction: staff#4 had renewed sworn disclosure in file dated 10/2025. Staff were hired and did training at another location where Sworn disclosure was signed on the first day 10/2. The one in file at current site was signed on staff's first day of employment at this current site.
Standard 22.1-289.057-C
The Center is required to ensure that they have completed the required potable water remediation for lead if results show above 15ppb.
The Center did not complete the required lead remediation or submit a plan for remediation as instructed by the department of drinking water 5 months ago.
The Center did not complete the required lead remediation or submit a plan for remediation as instructed by the department of drinking water 5 months ago.
Plan of Correction: The classroom that needs to be retested has not been in use for a year. Children do not have access to the water in said classroom
Standard 8VAC20-780-160-C
The Center is required to obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing.
A TB test for Staff #4 was completed 11 weeks after it was due.
A TB test for Staff #4 was completed 11 weeks after it was due.
Plan of Correction: management has developed are more efficient way of keeping track of all required items that must be renewed in a staff file. CD and AD both have copied of this record keeping tool.
Standard 8VAC20-780-245-L
The Center is required to ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children.
During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years. The Daily Heatlh Observation training for Staff #3 was overdue by over 2 years, and no other proof of training for other staff was able to be located in other staff files.
During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years. The Daily Heatlh Observation training for Staff #3 was overdue by over 2 years, and no other proof of training for other staff was able to be located in other staff files.
Plan of Correction: Staff were required to complete missing training by end of day of inspection 2/2/2026
Standard 8VAC20-780-340-D
(Repeat Violation) The Center is required to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present.
Staff #1 who is the program leader in the Twos classroom and Staff #2 who is the program leader in the Infant classroom do not have documentation on file that they meet the qualifications for program leader.
Staff #1 who is the program leader in the Twos classroom and Staff #2 who is the program leader in the Infant classroom do not have documentation on file that they meet the qualifications for program leader.
Plan of Correction: Staff #1 has been reassigned all courses needed to complete the 24 hours required to be lead qualified. Staff #3 does have the required hours and meets the specified training hours.
Standard 8VAC20-780-40-M
(Repeat Violation) The Center is required to maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that is accessible to all staff in each group or area where children are present.
1)The list of allergies, sensitivities, and dietary restrictions did not contain all of Child #1?s food allergies.
2)At the time of inspection of Child #1?s file, the mistake on the list was discovered by the licensing inspector and brought to the attention of the staff, but the child had already been served and eaten the item they were allergic to for lunch that day.
1)The list of allergies, sensitivities, and dietary restrictions did not contain all of Child #1?s food allergies.
2)At the time of inspection of Child #1?s file, the mistake on the list was discovered by the licensing inspector and brought to the attention of the staff, but the child had already been served and eaten the item they were allergic to for lunch that day.
Plan of Correction: Mom picked up the proper forms to take to her primary care doctor for clarification of any allergies. Updated the allergy list same day 2/2/2026
Standard 8VAC20-780-510-E
(Repeat Violation) The Center is required to have written medication authorization from the child?s physician and parent for a long term medication.
1)For a medication for Child #2, there was no parent permission or physician permission on file.
2)For a medication for Child #3, parent and physician authorization expired 11 months ago and had not been renewed.
3)For a 2nd medication for Child #3, there was no parent permission and the physician permission had expired 10 months ago and had not been renewed.
4)For a 3rd medication for Child #3, there was no parent permission or physician permission on file.
1)For a medication for Child #2, there was no parent permission or physician permission on file.
2)For a medication for Child #3, parent and physician authorization expired 11 months ago and had not been renewed.
3)For a 2nd medication for Child #3, there was no parent permission and the physician permission had expired 10 months ago and had not been renewed.
4)For a 3rd medication for Child #3, there was no parent permission or physician permission on file.
Plan of Correction: For child #3, management reached out immediately via email and attached the necessary form Medication Authorization Long Term Form requesting it be completed by doctor and herself. Child had been out of attendance from 1 /23-2/9/26 due to inclement weather. All forms were returned by parents on 2/5/2026
The EpiPen stays in his classroom in a medication safety sac and the children's Zyrtec is in medication box in office.
Child #2 this child had been out of center from 12/19 and returned on 2/2/26 which was day of center visit by inspector. During morning routine teacher had pulled out medicine from diaper bag and sent up front for management. The medication was sent home at pick-up time as child did not require medication on site. It just happened to have been in diaper bag from their vacation.
The EpiPen stays in his classroom in a medication safety sac and the children's Zyrtec is in medication box in office.
Child #2 this child had been out of center from 12/19 and returned on 2/2/26 which was day of center visit by inspector. During morning routine teacher had pulled out medicine from diaper bag and sent up front for management. The medication was sent home at pick-up time as child did not require medication on site. It just happened to have been in diaper bag from their vacation.
Standard 8VAC20-780-510-L
The Center is required to ensure that medication be kept in a locked place using a safe locking method that prevents access by children.
A medication was stored in the open director?s office on a shelf where it was not in a locked container.
A medication was stored in the open director?s office on a shelf where it was not in a locked container.
Plan of Correction: During morning routine teacher had pulled out medicine from diaper bag and sent up front for management. The medication was sent home at pick-up time as child did not require medication on site. It just happened to have been in diaper bag from their vacation.
Reminded staff that in case they pull medication from children's bags to make sure to hand to management and not just have it put in office. This will ensure management puts it directly in medication box until it can be returned to the parents at pick up.
Reminded staff that in case they pull medication from children's bags to make sure to hand to management and not just have it put in office. This will ensure management puts it directly in medication box until it can be returned to the parents at pick up.
Standard 8VAC20-790-600-F
The Center is required to ensure that all staff who work directly with children shall have completed annually the health and safety update course.
There was no documentation on file that the health and safety update course had been completed within the last year for Staff #2 and Staff #3. The last documentation on file for Staff #3 was over 2 years ago and there was no documentation for Staff # 2 that they had completed any health and safety update trainings.
There was no documentation on file that the health and safety update course had been completed within the last year for Staff #2 and Staff #3. The last documentation on file for Staff #3 was over 2 years ago and there was no documentation for Staff # 2 that they had completed any health and safety update trainings.
Plan of Correction: Staff were required to complete missing training by end of day of inspection 2/2/2026. Staff #3 completed her DHO as well as the other staff on report