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Virginia Commonwealth University Health System Authority - NS

Inspection · 2025-11-10

Date
2025-11-10
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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

4
Standard 8VAC20-780-40-E
The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

The center's procedures to prevent use of outdated medication include a monthly check of medications. Child #2 had an emergency medication that expired over two months ago. Administration acknowledged the monthly checks had not been completed recently.
Plan of Correction: Center immediately contacted the facility and confirmed that child #2 no longer has an allergy and medication was sent home that day.
Standard 8VAC20-780-520-A
Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

In the toddler classroom. one sunscreen was kept that expired approximately 10 months ago. In the twos classroom, five diaper creams were kept that expired between two and 17 months ago.
Plan of Correction: All expired creams were disposed of during the inspection. Moving froward OTC skin products will be reviewed when children transition between age groups.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Child #5, who has been enrolled for two months, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: Allergy action plan was sent to the family to have completed by their provider.
Standard 8VAC20-780-70
REPEAT VIOLATION

A record shall be kept for each staff person that contains the required information.

The records of Staff #1 and Staff #2 each did not contain an emergency contact address and
health information required to be kept on site.
Plan of Correction: New form to meet compliance created and completed by all staff.