Inspection · 2025-06-13
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 6/13/2025 and completed on 6/30/2025. The on-site inspection began on 6/13/2025 at 1:50 pm and ended at 3:55 pm. The inspector reviewed compliance in the areas listed above.
There were 33 children present and 5 staff. The inspector reviewed 5 children?s records and 5 staff records electronically on 6/18/2025, 6/23/2025 and 6/26/2025. This inspection included document review, tour of the facility, interviews, observations and 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 22.1-289.011-F
Documents required by the Superintendent to be posted, to include the results of the most recent inspection, must be posted in a conspicuous place on the licensed premises.
The most recent inspection results posted on the premises was dated 4/1/2024. A more recent inspection was conducted on 11/15/2024 and the results were not posted.
Plan of Correction: The inspection report had been taken down to make a copy for records and was not returned to the parent board at the entryway. The current inspection will be posted and each new inspection will be posted as it is received.
Standard 8VAC20-780-340-F
Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that individuals who are not staff members or persons allowed to pick up a child can not enter the restroom area and staff check on a child who has not returned from the restroom after 5 minutes. Child #1, four years old, was observed leaving her classroom and walking un down the hall to the restroom out of sight and sound of the staff who was supervising her. . Child #1 returned to her classroom in less than 4 minutes.
Plan of Correction: Staff will be reminded of supervision guidelines when children go to the restroom. When staff are alone on a classroom, they will bring the whole group down the hall for children to supervise children who need to use the restroom. When children are sleeping, staff will utilize their walkie talkies to ensure a staff member or members along the hallway watch the child walk the hallway and enter the restroom while staff located by restroom will maintain sound supervision of the child and communicate with other staff back down the hallway for the child's supervised return to the classroom.
Standard 8VAC20-780-350-C
When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Staff # 2 and staff #5 were observed supervising twelve children ranging in age from 7 months to 2 years of age during rest time. The required ratio for children ages birth to 16 months is one staff per four children.
Plan of Correction: Interviews and attempts to hire staff are ongoing. Enrollment has paused and administrative staff will continue to assist in classrooms as needed. Temporary adjustments throughout the center will be made on a daily basis, as needed when staff are absent.
Standard 8VAC20-780-560-F
When centers choose to provide meals or snacks, the center must follow the most recent age appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA. Children in the 4-5 year old classroom were observed being served cookies and water for snack. Children in the 3-4 year old classroom were observed being served cupcakes and water for snack.
Plan of Correction: These were special celebration snacks brought in by enrolled children's parents on the day of inspection. Effective immediately, the special snacks will be served in addition to the snack listed on the menu, meeting USDA requirements. Both snacks will be listed / added on the menu available to parents.
Standard 8VAC20-780-60-A
The center is required to maintain and keep at the center a separate record for each child enrolled which contains all required information, to include documentation that staff request, at least annually, parent confirmation that the required information in the child's record is up to date.
The written parent confirmation of current information in records was 2 weeks overdue for child #1, 4 years overdue for child #4 and 3 years overdue for child #5.
Plan of Correction: A system will be put into place to obtain a written verification of the annual review of children's information which is already being conducted, but has not been documented clearly in the records.
Standard 8VAC20-780-70
The center must maintain staff records for each staff person to include documentation to demonstrate that the individual possesses the education, certification, and experience required for the job position.
The records for staff #1, staff #2, staff #3 and staff #4 do not contain complete documentation to demonstrate qualification for their currently assigned position of program leader.
Plan of Correction: Staff #1, staff #2, staff #3 and staff #4 as well as any other staff who may serve in the role of program leader have been asked to obtain and provide to the program director a copy of their diploma, degree, transcript or any other required documentation to demonstrate qualification for their currently assigned position. Staff have been asked to turn in the required documentation within 2 weeks.
Standard 8VAC20-780-80-A
For each group of children, the center must maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Staff #6 was supervising 6 children, ages 4 1/2 to 5 years old and did not have a written attendance record of the children currently in her care.
Staff #4 was supervising 9 children, ages 2 to 3 years old and did not have a written attendance record of the children currently in her care.
Plan of Correction: Children were recorded on the attendance sheet when it was brought to staff's attention t the time of the inspection. Staff will be reminded of the requirement to check children as present as they arrive and mark them out as they leave one group of children or are picked up from care. One staff will be assigned to check and monitor all attendance sheets throughout the center at specified times each day.