Inspection · 2025-02-25
Licensing Inspector
Christine Mahan
(757) 404-0568
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
22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
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 code compliance inspection was initiated on 2-25-2025 and completed on 2-27-2025. The on-site inspection began at 11:25am and ended at 2:45pm. The inspector reviewed compliance in the areas listed above. There were 55 children present with 9 staff. The
inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance(s) with applicable code sections, 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 3/10/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.031-A-4
Each person in a supervisory position must be certified by a practicing physician or physician
assistant to be free from any disability which would prevent him from caring for children
under his supervision. The screenings for staff #2 and #5 were completed 1 day after hire, the screening for staff #3 was completed 2 days after hire and the screening for staff #4 was
completed 6 weeks after hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-A-6
The center did not ensure the required aspects of the center's operations are described in a written statement and were provided to the parents or guardians of the children in the center and made available to the general public. As required the center did not have a written and available for the public to review the centers information for the following
Physical facilities
Food services
Health requirements for staff
Public liability insurance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-B-1
Children?s hands shall be washed after diapering. Staff #6 was observed conducting a diaper change in room #4 and the child's hands were not washed after diapering.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-B-4
The center shall ensure they are in compliance with the provisions regarding immunization of
children against certain diseases. The record for child #5 did not include immunization
documentation.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #3, and Staff #4 were dated 2 days after their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
The center is required to obtain a completed national criminal background check prior to the employee's first day of employment. The national criminal background check results for Staff #1 were dated 4 days after their first day of employment, Staff #2?s results were dated 9 days after their first day of employment and Staff #3?s results were dated over 6 weeks after their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Repeat Violation
The center did not ensure, to request results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years prior to the employment.
1.Staff #1, who has been working for more than 3 months did not have the results of a sex offender check and a child abuse and neglect search for one state where they had lived in the last five years.
2. Staff #5 who has been working for more than 5 months did not have the results of a sex offender check and a child abuse and neglect search for one state where they had lived in the last five years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.049-A
The center shall require from the person enrolling the child regarding previous child day care and schools attended by the child and the proof of the child's identity and age. The record for child #5 did not include proof of identity. The records for child #1, 2, 3, 4, & 5 did not include previous child care and schools attended.
Plan of Correction: Not available online. Contact Inspector for more information.
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: Not available online. Contact Inspector for more information.
Standard 22.1-289.058
The center did not ensure that programs that serve preschool-age children operating in a building built before 2015 shall be equipped with at least one carbon monoxide detector. The center did not have a carbon monoxide detector.
Plan of Correction: Not available online. Contact Inspector for more information.