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Visions Child Development Center - Williamsburg Road

Inspection · 2025-04-14

Date
2025-04-14
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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 April 14, 2025 from 2:30 PM to 5:05 PM and April 17, 2025 from 10:05 AM to 12:00 PM. The inspection was completed on May 6, 2025. The inspector reviewed compliance in the areas listed above. There were 40 children present and nine staff. The inspector reviewed five children?s records on-site and staff records electronically on May 6, 2025. 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 violation will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.

Violations

12
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #3 was overdue by 24 days.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
***Repeat Violation***
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #2, who had been employed for seven days, did not have a completed national criminal background check prior to their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
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 #2, who has been employed for over seven months, did not have a central registry search requested. Staff #1 was working alone with children.
Plan of Correction: Not available online. Contact Inspector for more information.
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.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-A
***Repeat Violation***
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.

1. Child #2 had documentation of an immunization record which was overdue by two years.
2. Child #5 had documentation of a religious exemption which was overdue by one day.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Child #1 who has attended the center for over 2 years, seven months did not have documentation of additional immunizations once every six months for children under two years of age.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Immunization records and physical examinations are required to be signed by a physician, his designee, or an official of the local health department.

The immunization record and physical examination for child # 4 was not signed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
***Repeat Violation***
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

The screening for Staff #2 was completed one month after hire and the screening for Staff #3 was completed four months after hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

The last documented fire inspection was conducted 4/15/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-260-B
After the first license, annual approval from the health department shall be provided.

The last documented health department inspection were conducted on 3/20/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-570-A
***Repeat Violation***
When a child is placed in a high chair, the protective belt shall be fastened securely.

In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person that contains all of the required information.

Staff #3 did not have documentation of two or more references as to character and reputation as well as competency prior to employment.
Plan of Correction: Not available online. Contact Inspector for more information.