Inspection · 2025-05-07
Licensing Inspector
Anita Drewry
(757) 404-5261
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.
8VAC20-770 Background Checks
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 and completed on 5/7/2025. The on-site inspection began at 10:20 am and ended at 1:25 pm. The inspector reviewed compliance in the areas listed above. There were 16 children present and 4 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, 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 5/22/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: A plan will be submitted within 30 to 60 days.
Standard 8VAC20-770-70-A
Staff records shall be kept for each staff person and shall contain all required information. The record for Staff #3, employed for over a week, was missing a telephone number of a person to be notified in an emergency and documentation, prior to hiring, of at least 2 references to character, reputation, and competency.
Plan of Correction: Staff emergency contact info was obtained and added to file. References were added to file.
Standard 8VAC20-780-140-A
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 was no physical examination in the record of Child #2, who had been enrolled for seven months.
Plan of Correction: Physical form was added to child's file.
Standard 8VAC20-780-150-B
Immunization records and physical examinations are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child #3 was not signed.
Plan of Correction: The physical form that also contains shot records is stamped and has been added to the file.
Standard 8VAC20-780-330-C
On play areas, ground supports shall be covered with materials that protect children from injury. The ground supports under the school bus and 4 seater spring rocker were exposed and not covered by mulch.
Plan of Correction: Ground supports are covered with mulch.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for more than a year, was missing information for two emergency contacts. The record for Child #2, enrolled for seven months, was missing information for one emergency contact, and documentation of viewing proof of the child's identity and age. The record for Child #3, enrolled for five months, was missing work phone number and place of employment for one parent, and required written agreements between the parent and the center.
Plan of Correction: Emergency contact info was updated in file for child #1. Emergency contact info will be added for child #2 and proof of age/identity placed in file. Parent employment info was added for child #3.