Inspection · 2026-03-17
Licensing Inspector
Cindy Horne
(804) 297-4469
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
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
8VAC20-821 Licensure Requirements
8VAC20-821 Renewal
8VAC20-821 Application Fees
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
8VAC20-821 Sanctions
8VAC20-821 Appeals
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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 renewal inspection was initiated on 3/17/2026 and completed on 3/24/2026. The on-site inspection on 3/17/2026 began at 3:45 p.m. and ended at 6:00 p.m. The inspector reviewed compliance in the areas listed above. There were 12 children present and two staff. The inspector reviewed five children?s records and three staff records on-site.
This inspection included document review (i.e. Injury logs, emergency drill logs, medication authorization forms), tour of the facility, interviews, and observations.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards.
Information gathered during the inspection determined noncompliance 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 business days from today, which will be the close of business on 3/31/2026. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.011-F
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The last inspection dated 12/15/25 was not posted as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent sworn statement for Staff #1 was more than 8 years old. The most recent central registry check for Staff #3 was overdue by six days.
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 and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening. The most recent screening for Staff #1 was more than four years old. The updated screening for Staff #3 was overdue by three days. Staff #3 stated that the updated screening has not yet been completed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-200-A
The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Staff #1 and Staff #2 stated that the Program Director (Staff #3) is on site approximately once a week for less than an hour.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-C
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Emergency evacuation and shelter-in-place procedures or maps were not posted.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. There were no drills completed in January or February of 2026.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year. There was no documentation of shelter in place drills.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-F
Lockdown procedures shall be practiced at least annually. There was no documentation of lockdown drills.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-90-A
A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. There was no authorization for emergency medical care contained in the record of Child #1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-600-D-1
All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The certification in cardiopulmonary resuscitation (CPR) for Staff #1 expired more than 5 weeks ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-600-D-2
All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. The certification in first aid for Staff #1 expired more than 5 weeks ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-600-F
Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Completion of the course for Staff #1 was overdue by 5 days. The most recent course completion for Staff #3 was more than two years old.
Plan of Correction: Not available online. Contact Inspector for more information.