Inspection · 2025-09-23
Licensing Inspector
Arlene Agustin
(804) 629-7519
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 renewal inspection was initiated and completed on September 23, 2025. The on-site inspection began at 11am and ended at 1:15pm. The inspector reviewed compliance in the areas listed above. There were 64 children present and 14 staff. The inspector reviewed 7 children?s records and 5 staff records on-site. 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the
close of business on October 1, 2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
A copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Staff #1 present at the center working with children confirmed on their sworn statement, dated April 22, 2025, that they lived outside of Virginia in the past five years. No background search for that state was conducted.
Plan of Correction: The center responded with the following: An out of state background check was done on Staff #1 and the results will be placed in the staff members file.
Standard 22.1-289.058
Each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector. The childcare building did not have a carbon monoxide detector and children were in care.
Plan of Correction: The center responded with the following: A Carbon monoxide detector was placed in the center.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Two children under the age of 2 years old did not have additional immunizations once every six months.
Plan of Correction: The center responded with the following: Parents were asked to bring in an updated shot record. Files will be check once a month.
Standard 8VAC20-780-270-A
Repeat Violation
Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. An infant child was observed crawling on a rug with several stains and debris on it. Two toilets were observed to have long screws exposed to the side of the commode which poses as an injury hazard. In the preschool classroom, the bottom edges of the storage door are frayed and cracked which is in reach of children.
Plan of Correction: The center responded with the following:Infant room carpet was cleaned, covers were purchased and placed over screws to the two toilets that were exposed. Preschool classroom storage door was covered with poster board.
Standard 8VAC20-780-510-H
Medication shall be in the original container with the direction label attached. Child #1?s medication was not in its original container.
Plan of Correction: The center responded with the following: Child #1 medication was given back to the mom, Mom will bring it back in with the original box.
Standard 8VAC20-780-540-C
The required first aid kits shall include triangular bandages. There were no triangular bandages in the first aid kits.
Plan of Correction: The center responded with the following: A scarf was placed in the First Aid Kit.