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Inspection · 2025-04-16

Date
2025-04-16
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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.
8VAC20-820 HEARINGS PROCEDURES.
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 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 renewal inspection was initiated on 4/16/25 and completed on 4/16/25. The on-site inspection began at 11:35am and ended at 1:45pm. The inspector reviewed compliance in the areas listed above. There were twenty-five children present and four staff. The inspector reviewed five children?s records and two staff records on-site. This inspection included document review, tour of the facility, 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 business days from today, which will be the close of business on 4/29/2025. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

Staff #2, who has been employed since 2018, did not have documentation of an updated criminal history fingerprint check or Central Registry check. The most recent fingerprint check for Staff #3 was overdue by a year and five months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #1, who has been employed for over two months, did not have a completed national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Child #5, under the age of two, did not have an updated copy of immunizations every six months. The last immunization record is dated 5/28/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
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 #5, who had been enrolled for over six months.
Plan of Correction: Not available online. Contact Inspector for more information.
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.

Staff #1, employed for more than two months, did not have documentation of a completed tuberculosis test.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

Staff #1, who has been actively working at the center for more than two months, did not have any completed reference verifications on file.
Plan of Correction: Not available online. Contact Inspector for more information.