Inspection · 2025-12-22
Date
2025-12-22
Complaint Related
No
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
(804) 588-2368
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
Violations
6Standard 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. S4 TB was dated 34 days of the date of employment.
Plan of Correction: Circumstances of the violation
S4?s TB test had been done 34 days before her first day of employment.
? Correction already made.
There is no corrective action that can be done at this time. However, I will closely check those dates in the future.
Describe the Corrections
In the future, I will ensure that the TB test are done no more than 30 days within the date of hire.
S4?s TB test had been done 34 days before her first day of employment.
? Correction already made.
There is no corrective action that can be done at this time. However, I will closely check those dates in the future.
Describe the Corrections
In the future, I will ensure that the TB test are done no more than 30 days within the date of hire.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S3, who is working with children, has not yet completed this course which is overdue by 9 months.
Plan of Correction: ? Summary of the requirement stated in licensing regulations:
Staff are to complete the VDOE sponsored
online orientation course within 90 days of hire.
S3, who is working with children, has not yet
completed this course which is overdue by 9
months.
Circumstances of the violation
1 Teacher had not completed her 10 hours of Virginia Pre-Service Training.
? Correction already made.
I have informed her that she will not be allowed to return until that has been completed.
Describe the Corrections
I have informed her that she will not be allowed to return until that has been completed
Additional corrections
None
Staff are to complete the VDOE sponsored
online orientation course within 90 days of hire.
S3, who is working with children, has not yet
completed this course which is overdue by 9
months.
Circumstances of the violation
1 Teacher had not completed her 10 hours of Virginia Pre-Service Training.
? Correction already made.
I have informed her that she will not be allowed to return until that has been completed.
Describe the Corrections
I have informed her that she will not be allowed to return until that has been completed
Additional corrections
None
Standard 8VAC20-780-240-B
Repeat Violation
Staff shall complete orientation training prior to working alone with children and no later than seven days to include policies and procedures listed in 8VAC-780-420-A. The record for S1, S2, S4, and S5 did not contain the orientation training form showing training required by 8VAC-780-420-A.
Staff shall complete orientation training prior to working alone with children and no later than seven days to include policies and procedures listed in 8VAC-780-420-A. The record for S1, S2, S4, and S5 did not contain the orientation training form showing training required by 8VAC-780-420-A.
Plan of Correction: ? Summary of the requirement stated in licensing regulations:
Staff shall complete orientation training prior to
working alone with children and no later than
seven days to include policies and procedures
listed in 8VAC-780-420-A. The record for S1,
S2, S4, and S5 did not contain the orientation
training form showing training required by
Circumstances of the violation
Although the COA Orientation Checklist was completed, it did not contain the verbiage required by licensing.
? Correction already made.
There is no correction to be made at this time. However, going forward I will use the Virginia form to document orientation with new employees.
Describe the Corrections
I will use the Virginia form to document orientation with new employees.
Staff shall complete orientation training prior to
working alone with children and no later than
seven days to include policies and procedures
listed in 8VAC-780-420-A. The record for S1,
S2, S4, and S5 did not contain the orientation
training form showing training required by
Circumstances of the violation
Although the COA Orientation Checklist was completed, it did not contain the verbiage required by licensing.
? Correction already made.
There is no correction to be made at this time. However, going forward I will use the Virginia form to document orientation with new employees.
Describe the Corrections
I will use the Virginia form to document orientation with new employees.
Standard 8VAC20-780-420-E-3
Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of C2 was due 12/11/2025.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Repeat Violation
The center shall maintain written records of children?s injuries that contain all of the
required information. An Observation Report dated 11/05/2025 documented a child ?kicked a friend down stairs causing bruise on forehead.? There was no injury report for the child that received the bruise on the forehead.
The center shall maintain written records of children?s injuries that contain all of the
required information. An Observation Report dated 11/05/2025 documented a child ?kicked a friend down stairs causing bruise on forehead.? There was no injury report for the child that received the bruise on the forehead.
Plan of Correction: ? Summary of the requirement stated in licensing regulations:
The center shall maintain written records of
children?s injuries that contain all of the
required information. An Observation Report
dated 11/05/2025 documented a child ?kicked
a friend down the stairs causing a bruise on
forehead.? There was no injury report for the
child who received the bruise on the forehead.
Circumstances of the violation
The observation form was completed correctly; however, there was no injury report to correspond to the injured child.
? Correction already made.
Although I have been personally reviewing observation and injury report forms before they are being filed, I have to now make sure to check for the corresponding injury report.
Describe the Corrections
I have to now make sure to check for the corresponding injury report.
The center shall maintain written records of
children?s injuries that contain all of the
required information. An Observation Report
dated 11/05/2025 documented a child ?kicked
a friend down the stairs causing a bruise on
forehead.? There was no injury report for the
child who received the bruise on the forehead.
Circumstances of the violation
The observation form was completed correctly; however, there was no injury report to correspond to the injured child.
? Correction already made.
Although I have been personally reviewing observation and injury report forms before they are being filed, I have to now make sure to check for the corresponding injury report.
Describe the Corrections
I have to now make sure to check for the corresponding injury report.
Standard 8VAC20-780-580-C
The center shall ensure that during transportation of children that all required information is in transportation vehicles. The transportation binder for bus #3 used to transport children did not have a current phone list. The list in the binder was dated 08/15/2024 and did not have current names and numbers for center staff.
Plan of Correction: ? Summary of the requirement stated in licensing regulations:
The center shall ensure that during
transportation of children that all required
information is in transportation vehicles. The
transportation binder for bus #3 used to
transport children did not have a current phone
list. The list in the binder was dated 08/15/2024
and did not have current names and numbers
for center staff.
Circumstances of the violation
The information in the binder was not up to date.
? Correction already made.
I have printed out the updated information and placed it in the binder.
Describe the Corrections
Updated information has been placed in the binder and will be reviewed regularly.
The center shall ensure that during
transportation of children that all required
information is in transportation vehicles. The
transportation binder for bus #3 used to
transport children did not have a current phone
list. The list in the binder was dated 08/15/2024
and did not have current names and numbers
for center staff.
Circumstances of the violation
The information in the binder was not up to date.
? Correction already made.
I have printed out the updated information and placed it in the binder.
Describe the Corrections
Updated information has been placed in the binder and will be reviewed regularly.