Inspection · 2026-03-11
(757) 404-2575
Areas Reviewed
Areas of Standards 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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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 03/11/2026, as a part of the licensure period. The on-site inspection began at 9:00 AM and ended at 12:30 PM. The inspector reviewed compliance in the areas listed above. There were 51 children present and 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.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards.
Information gathered during the inspection determined noncompliance 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 March 18, 2026.. A POC submitted after this date will not appear on the public website.
Violations
8The record provided for child 3 did not include an immunization record. The child has attended for 7 months.
Administration contacted the family of the identified child and received required immunization documentation. The child's immunization record was placed in the child's file to ensure compliance with the requirements. To prevent recurrence, the center will verify that all required documentation is received prior to the child's first day of attendance. Administration will review each new enrollment file using a checklist to ensure all required documentation is complete before attendance begins.
Child 3 attended seven months prior to turning two years old without an immunization update.
The updated immunization record will be obtained and placed in the child's file to ensure compliance with the requirements for children under two years old. To prevent recurrence, administration will implement a compliance calendar to monitor when immunization updates are required for children under two, every six months.
The most recent documentation of a health department environmental sanitation inspection was dated 2024.
Documentation of the most recent inspection will be obtained and maintained on file at the center once the inspection has been completed. to prevent recurrence, the director will implement an annual compliance calendar to track required inspections and approvals, including tha annual health department environmental sanitation inspection.
Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use.
There is a seesaw over hard packed earth and with sidewalks within the required six foot unobstructed fall zone. There is a six inch deep hole in the ground within the fall zone of the seesaw.
The center will implement a routine playground safety check that includes verification that garden and playground surfacing is maintained around playground equipment. staff will be instructed not to allow use of equipment if adequate surfacing is not present and to notify the director immediately if surfacing need replenishment or redistribution. The center will remove the seesaw and seek a variance for the 6=foot allowance before reinstalling it.
The facility's procedures for administering medication were not followed as required.
There was an emergency prescription medication stored for administration to child 8 that was not in the original, labeled container and the parent authorization for the administration of the medication has expired.
There was emergency prescription medication stored for child 9 for whom the parent authorization did not include the length of time for the authorization.
There was emergency prescription medication stored for administration to child 10 that was not in the original, labeled container.
There was emergency medication stored for child 11 that was in a prescription box with the parent's name, not the child's name. The was an asthmas action plan but no inhaler for child 11.
Any medication that was not in it's original labeled container or did not have complete and current parent authorization was immediately removed from the medication storage area and returned to parents. Families were notified that emergency medications must be provided in the original labeled container with the child's name and must include current, fully completed authorization form. The center will require updated medication authorization forms from the families of the children prior to accepting or administering any medication in the center. For the child with asthmas action plan but no inhaler on site, the family will be required to provide the inhaler before the medication plan can be implemented at the center.
Moving forward, the director will review all medications and authorization forms upon receipt to ensure they are in the original labeled container, include the child's name, and have a complete and current parent authorization that specifies the length of time the authorization is valid. Staff will be reminded of the center's medication administration procedures and documentation requirements.
The director will conduct periodic checks of medication storage to ensure ongoing compliance with the center's medication policies and the standards for licensed child day centers.
There are no documented shelter-in-place drills between January 2025 and today's inspection.
The director will schedule and conduct a shelter-in-place drill with staff and children to ensure compliance with the center's emergency procedures. To prevent recurrence, the center will implement a documented emergency drill schedule that includes practicing shelter-in-place procedures a minimum of two
times per year.
The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required documentation.
An injury report for child 6 on 11/24/2025 and an injury report for child 7 dated 12/10/2025 do not include the times the parents were notified of the injuries, any future action to be taken to prevent future injuries, staff present and two signatures,
Staff were reminded that injury reports must be completed on the day of the incident and must include all required information, including the time the parent was notified, staff present, future action to prevent recurrence, and the required signatures.
To prevent recurrence, the center will implement a standardized review process for injury reports. Staff will complete injury reports immediately on the VDoE model form following and incident, and administration will review all reports to ensure that all required fields are completed before the report is finalized and provided to families,
In addition, staff will review the center's injury documentation procedures at the next staff meeting.
The record provided for child 3 did not include parent business telephone numbers.
The record provided for child 4 did not include the father's business telephone number.
Administration will ensure files are complete and will contact families if any required information is missing so that records can be updated promptly. Moving forward, the center will implement a file review process to ensure that all required enrollment is collected and documented at the time of enrollment. Administration will verify that each child's record is complete using an enrollment checklist before the file is finalized.