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Excel Education Enrichment Services

Inspection · 2025-01-23

Date
2025-01-23
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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 1/23/2025 and completed on 1/23/2025. The on-site inspection began at 4:15pm and ended at 5:15pm. The inspector reviewed compliance in the areas listed above. There were twenty-seven children present and two staff. The inspector reviewed five children?s records on-site and two staff records electronically on 1/27/2025. 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 business days from today, which will be the close of business on 2/10/2025. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.011-F
The license shall be posted in a place conspicuous to the public.

The license was not posted on licensing board for parents and public to see.
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 Central Registry check for Staff #2 was overdue by more than seven months. Staff #1 and Staff #2 did not have documentation of a Sworn Statement in the staff files.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
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, who has been employed for over five years, was unable to be located in the staff's file.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

Staff #1 and Staff #2 did not obtain any of the 16 required hours in 2024.
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 center provided an out of date fire inspection from 7/31/2023. Director stated they did not receive an up to date copy from the school of the 2024 fire inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-350-B-5
The required ratio for children school age eligible to 9 years is one staff per eighteen children.

Staff #1 was observed supervising twenty-seven children (youngest child 5 years old) from approximately 4:15pm-4:22pm. Staff #2 was seen outside of the building upon licensing inspector arriving to the school. Staff #2 was able to let licensing inspector in the building and followed inspector back to the area where children were present.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-A
The center shall have a written emergency preparedness plan that encompasses emergency evacuation, relocation, shelter-in-place, and lockdown procedures.

The center was unable to provide a copy of the emergency preparedness plan that is to be viewed and updated annually.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-560-F
A menu listing foods to be served for meals and snacks during the current
one-week period shall be posted in a location conspicuous to parents.

No menu or snack list was posted in the center's area or made available to parents.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services