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Melrose Adventist Child Development Center

Inspection · 2025-09-24

Date
2025-09-24
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
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.
8VAC20-770 Background Checks
20 Access to minor?s record
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 09/24/2025 and completed on 10/24/2025. The on-site inspection began at 2:15 p.m. and ended at 5:30 p.m. The inspector reviewed compliance in the areas listed above. There were 55 children present and 7 staff. The inspector reviewed 11 children?s records on-site and 6 staff records electronically on 10/02/2025. This inspection included document review, tour of the facility, interviews, observations, and measurements.

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 10/31/2025. A POC submitted after this date will not appear on the public website.

Violations

13
Standard 22.1-289.035-A
SYSTEMIC VIOLATION
The center is required to have employees undergo a background check every five years.

The most recent criminal history check for Staff 1 was overdue by four weeks.
Plan of Correction: Provider will keep up with all due dates when it comes to paperwork.
Standard 22.1-289.035-B-2
SYSTEMIC VIOLATION
The center must obtain a completed national criminal background check prior to the employee's first day of employment.

There was no criminal background check for Staff 4, who has been employed for four weeks.
Plan of Correction: Before they start provider will make sure all background checks are in.
Standard 22.1-289.035-B-4
SYSTEMIC VIOLATION
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The center did not request a criminal history check or search of the child abuse and neglect registry from one state for Staff 4, who has been employed for four weeks.
Plan of Correction: Before they start provider will make sure all background checks are in.
Standard 8VAC20-780-130-A
SYSTEMIC VIOLATION
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

There was no immunization in the record of Child 2 (enrolled three weeks), Child 4 (enrolled one month), Child 7 (enrolled one year), and Child 8 (enrolled one year and six months).
Plan of Correction: Before each child starts provider will make sure all required documents are turned in.
Standard 8VAC20-780-140-A
SYSTEMIC VIOLATION
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

There were no physical examinations for Child 4 (enrolled for over one month) or Child 11 (enrolled for over 3 years).
Plan of Correction: Provider will make sure all physical examinations are turned in before they start.
Standard 8VAC20-780-160-A
SYSTEMIC VIOLATION
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.

Staff 3 had a TB result dated two months prior to the date of employment.
Plan of Correction: Provider will keep all dates of TB test up to date.
Standard 8VAC20-780-160-C
SYSTEMIC VIOLATION
A tuberculosis (TB) screening is required every two years from the last screening.

Staff 2 updated screening was due 1 day ago and Staff 6 updated screening was due 3 months ago. The updated screenings have not yet been completed.
Plan of Correction: Provider will keep all dates of TB test up to date.
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 fire inspection is overdue by 1 year 10 months.
Plan of Correction: Provider will keep all inspections up to date.
Standard 8VAC20-780-280-B
REPEAT VIOLATION
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

In Room 3, a container of bleach and cleaning chemicals were located in an unlocked cabinet under the sink.
Plan of Correction: Had a training with teachers about the importance of putting away the chemicals.
Standard 8VAC20-780-350-C
When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

On 09/24/2025, for over 15 mins, Staff 1 was supervising 13 children (preschool aged-school aged). The required staff ratio for this group of children was 1:10. Two staff would be required.
Plan of Correction: Provider will make sure all ratios are followed and all teachers are in place.
Standard 8VAC20-780-420-E-3
Up-to-date information is required to be requested from the parent for each child's record at least annually.

The information in the records for Child 3 was overdue by two months, Child 6 was overdue by over one year, Child 7 was overdue by one month, Child 8 was overdue by six months, Child 9 was overdue by one month, Child 10 was overdue by one month, and Child 11 was overdue by two years.
Plan of Correction: Provider will make sure that all paperwork is renewed every year.
Standard 8VAC20-780-500-A
REPEAT VIOLATION
Children?s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

Children returned to activities after eating snack without washing hands or using a disposable wipe.
Plan of Correction: All teachers had a training about the importance of handwashing.
Standard 8VAC20-780-60-A
SYSTEMIC VIOLATION
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The records for Child 6, Child 9, and Child 10 were each missing several of the required components.
Plan of Correction: Provider will make sure all required documents are turned in and filed.