Inspection · 2026-03-10
Licensing Inspector
Nanette Roberts
(757) 404-2322
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
22.1 Early Childhood Care and Education
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 monitoring inspection was initiated on 3/10/26 and completed on 3/13/26. The on-site inspection on 3/10/26 began at 2:30pm and ended at 5:10pm. The inspector reviewed compliance in the areas listed above. There were 58 children present and 4 staff. The inspector reviewed 6 children?s records onsite on 3/10/26 and 5 staff records at a central location on 3/13/26. Additional staff documents were viewed electronically on 3/16/26. This inspection included document review, tour of the facility, interviews, observations and measurements.
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 3/30/26. 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 shall be posted in a conspicuous place on the licensed premises. The inspection summary from the most recent inspection, dated 9/8/25 was not posted in a conspicuous place on the premises.
Plan of Correction: The facility responded: Correct inspection posted the day of the inspection.
Standard 22.1-289.035-B-4
Repeat Violation
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff #3, who has been employed for more than five months.
Plan of Correction: The facility responded: Leadership followed up with the state in question regarding the search that was sent back in November. Leadership also re-sent the information to the state as well.
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 4, who had been enrolled for six months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due one month ago. The updated screenings had not yet been completed.
Plan of Correction: The facility responded: Staff #1 has completed his TB questionnaire, and is finishing all outstanding training by Friday, March 27, 2026.
Standard 8VAC20-780-510-N
Centers shall keep a record of medication given children which shall include all of the required information. Documentation of medication given to Child 3 did not include the type of medication administered.
Plan of Correction: The facility responded: Parents of child 3 have been communicated with and will ensure documentation of the type of medication administered is updated and placed in the child's file.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child 2 was onsite, but the medication authorization had expired over 20 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: The facility responded: Parents of child 2 have been communicated with and current medication authorization will be provided.
Standard 8VAC20-780-550-P
Repeat Violation
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and contain all of the required information. The injury record for Child #1 did not contain all of the required information.
Plan of Correction: The facility responded: All injury reports will be thoroughly audited at the end of each day to ensure they are completed with all necessary documentation.
Standard 8VAC20-790-600-D-1
Repeat Violation
All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2 and Staff #3, employed for over 160 days, did not have documentation of current CPR certification.
Plan of Correction: The facility responded: Youth Director re-registered both staff to attend the next CPR/FA class on Saturday, April 25th, 2026 in order to maintain compliance.
Standard 8VAC20-790-600-D-2
Repeat Violation
All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #2 and Staff #3, employed for over 160 days, did not have documentation of current first aid certification.
Plan of Correction: The facility responded: Youth Director re-registered both staff to attend the next CPR/FA class on Saturday, April 25th, 2026 in order to maintain compliance.
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. The record for Staff #1 did not contain documentation that the 2025 annual health and safety update course was completed.
Plan of Correction: The facility responded: Staff #1 has completed his TB questionnaire, and is finishing all outstanding training by Friday, March 27, 2026.