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Michuchutren

Inspection · 2025-09-17

Date
2025-09-17
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

During the inspection, the inspector reviewed the areas listed above. 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 9/17/2025. The on-site inspection began at 10:55am and ended at 12:10pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 2 staff. The inspector reviewed 5 children?s records and 4 staff records on-site on 9/17/2025. This inspection included document review, tour of the facility, 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 business days from today, which will be the close of business on 9/24/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the volunteer's first day of employment.

The sworn statement for Volunteer #1, who is currently working, was dated 7 days after their first day of employment.
Plan of Correction: Volunteer #1's sworn statement was included in their file on 5/09/2025. Going forward, the center will ensure that a signed and dated sworn statement is obtained from every staff member and volunteer prior to their first day of service.
Standard 22.1-289.035-B-2
Centers must obtain a completed national criminal background check prior to the volunteer's first day of employment.

Volunteer #1, who had been employed for two weeks and five days, did not have a completed national criminal background check. The volunteer was counted in the staff
to-children ratios.
Plan of Correction: A new background check for Volunteer #1 was completed online through the DSS Central Registry.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the volunteer's first day of employment.

Volunterr#1, who had been employed for two weeks and five days, did not have a central registry search requested or the results. Staff stated it was sent.
Plan of Correction: The Central Registry search request for Volunteer #1 was mailed via USPS on September 3. Moving forward, the center will ensure that all Central Registry request are submitted online through the DSS system prior to the Volunteer's first day of service.
Standard 22.1-289.035-B-4
The center must request background checks from any state in which the individual has resided in the preceding five years prior to employment.

The center did not request a search of the child abuse and neglect registry or the sex offender registry check from one state for Volunteer #1, who has been employed for two weeks and five days and was working with children at the time of the inspection.
Plan of Correction: Checks for the Child Abuse and Neglect Registry and the Sex Offender Registry for Volunteer #1 were requested from the State of North Carolina. Going forward, the center will request and obtain all required state background checks in any state where the individual resided in the past five years prior to their first day of service. Documentation of these request and their results will be maintained in the volunteer's file to ensure full compliance with regulations and the results are attached.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

The screening or test for Volunteer #1 was completed approximately two weeks after hire/service.
Plan of Correction: The required evaluation/test for Volunteer #1 has now been completed, and the documentation is on file. Moving forward the center will ensure that all evaluations and tests are completed and passed before the volunteer begins.