Inspection · 2025-02-10
Licensing Inspector
Tiffany Jones
(757) 403-3045
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
20 Access to minor's records
22.1 Early Childhood Care and Education
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 on 2/10/2025 and completed on 2/21/2025. The on-site inspection began at 11:30am and ended at 1:55 pm. The inspector reviewed compliance in the areas listed above. CDC: There were 36 children present and 9 staff. The inspector reviewed 5 children?s records and 8 staff records on-site on 2/10/2025. This inspection included document review, tour of the facility, interviews, observations, measurements.
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
Standard 22.1-289.035-B-3
(Repeat Violation) The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who had been employed for 7 days, did not have a central registry search requested. Staff #8, who had been employed for 14 days, did not have a central registry search requested. Staff #3 and staff #8 were assisting another staff in ratio with children during the inspection.
Plan of Correction: The licensee will make requests to have the central registry searches completed for staff #3 and staff #8 and send documentation that the requests have been sent, within 10 days.
Standard 22.1-289.057-A
The program is required to submit to Virginia Department of Health (VDH) and implement a plan to test their potable water for lead. The program did not have evidence of a testing plan submitted to VDH at the time of inspection. The testing results are over one month overdue.
Plan of Correction: The program Director stated that she was not aware of the lead testing requirement. Steps to locate an appropriate testing lab were being made during the inspection. The director will submit her plan to VDH within 2 weeks and will implement the plan to test potable water for lead within 3 weeks.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, who had been enrolled for twenty-three months.
Plan of Correction: A physical for newly enrolled children will be obtained prior to the first day of attendance or within 30 days after the first day of attendance. A copy of the most recent physical examination will be obtained and placed in the record of child #5 within 2 weeks.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.
Staff #2's TB screening was dated 31 days after beginning employment.
Staff #8's TB screening was dated 17 days after beginning employment.
Staff #3'sTB screening was dated ten months prior to date of employment and staff #3 has been employed for one week.
Plan of Correction: As new staff are hired, a negative tuberculosis (TB) screening will be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.
An updated TB screening for Staff #3'sTB screening will be obtained within 2 weeks.
Standard 8VAC20-780-240-A
(Repeat Violation) Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #7, who is working with children, has not yet completed this course which is overdue by 1 year and 7 months.
Plan of Correction: Staff #7 will complete the VDOE sponsored online orientation course within 3 weeks and a copy of her certificate of completion will be placed in her record upon completion.
Standard 8VAC20-780-270-A
(Repeat Violation) The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The toilet located in the classroom where 2 and 3 year old children are cared for had 2 anchoring bolts at the base of the toilet that were protruding up from the base approximately 1/2 inch and were rusted.
Plan of Correction: The program director will purchase covers for the anchors and install them within 2 weeks.