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Virginia Commonwealth University Health System Authority -N Deck

Inspection · 2025-08-11

Date
2025-08-11
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
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

8VAC20-790 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
8VAC20-780 Administration.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
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

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 08/11/2025 and completed on 08/13/2025. The on-site inspection began at 9:51am and ended at 12:15pm. The inspector reviewed compliance in the areas listed above. There were 111 children present and 26 staff. The inspector reviewed 10 children?s records and 10 staff records electronically on 08/13/2025. 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 (5) business days from today, which will be the close of business on 09/02/2025. A POC submitted after this date will not appear on the public website.

Violations

2
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.

In classroom #2, a section of the wall near the sink was peeling paint where children were observed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

In classroom #11, cleaning materials were on the counter near the toilet, accessible to children. In classroom #12, a cabinet with bleach was unlocked.
Plan of Correction: Not available online. Contact Inspector for more information.