Inspection · 2025-06-27
Licensing Inspector
Heather Harrell
(757) 334-4329
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
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 monitoring inspection was initiated and completed on 6/27/25. The on-site inspection began at 12:40pm and ended at 2:30pm. The inspector reviewed compliance in the areas listed above. There were 20 children present and 4 staff. The inspector reviewed 5 children's records and 3 staff records on-site. This inspection included document review, a tour of the facility, interviews, observations and measurements. 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.
Standard 22.1-289.035-A
Repeat Violation
The center is required to have employees undergo a background check every five years. The most recent central registry check for staff 1 was overdue by a year and 6 months and the most recent national criminal background check for staff 1 was overdue by a year and 4 months.
Plan of Correction: The center responded with the following: Center owner will request the updated central registry search and national background check search for staff 1 as soon as possible. Once received, the results will be placed in staff 1's record and forwarded to the licensing inspector.
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.
Plan of Correction: The center responded with the following: The center owner will submit a testing plan to VDH and will contact a certified laboratory to complete the testing. Once testing results are received, they will be forwarded to VDH.
Standard 8VAC20-780-140-A
Repeat Violation
Physical examinations completed by a physician shall be obtained before the child's attendance or within 30 days after the first day of attendance. There was no physical examination in the record for child 3, who has been enrolled for 2 months.
Plan of Correction: The center responded with the following: The parent of child 3 will be contacted to obtain documentation of the most recent physical examination.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. The most recent documented TB screening in the record for staff 1 was overdue by more than four years. Staff 2's updated TB screening is overdue by over one year.
Plan of Correction: The center responded with the following: Staff 1 had an updated TB screening completed in 2023; however, documentation of the screening could not be located. Staff 1 obtained a new TB screening and documentation will be placed in the record. Staff 2 will obtain an updated TB screening as soon as possible and documentation will be placed in the record.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 3 has been employed at the center for more than 90 days. Staff 3's record did not contain documentation of having completed the VDOE sponsored online orientation course.
Plan of Correction: The center responded with the following: Staff 3 had previously completed the VDOE sponsored orientation training; however, documentation of the completed training could not be located. Staff 3 will redo the training and documentation will be placed in the record.
Standard 8VAC20-780-450-A
Cots used by children during the designated rest period shall have linens consisting of a top and bottom cover. There were 8 cots being used by children during nap time that did not have a bottom cover.
Plan of Correction: The center responded with the following: The center does have extra linens in case a child does not have a top or bottom cover for thier cot and center management will ensure staff are reminded to use the extra cot linens when needed.
Standard 8VAC20-780-60-A
Repeat Violation
Centers must keep a separate record for each child enrolled that contains all of the required information. The record for child 1 (enrolled for five months) does not contain the work information for either parent and contains only one of the two emergency contacts. The record for child 2 (enrolled for two years) does not contain the name, address and phone number for one parent or the addresses for the two emergency contacts. The record for child 3 (enrolled for two months) does not contain the work phone number for one parent and contains only one of the two emergency contacts.
Plan of Correction: The center responded with the following: All missing information will be obtained from the parents and documented in each child's record. Center management will audit all child's records to ensure they contain all required information.
Standard 8VAC20-780-70
Repeat Violation
Documentation that at least two references as to character, reputation and competency are to be checked prior to employment. The record for staff 1, who has been working at the center for 6 years, contained only one of the two required reference checks.
Plan of Correction: The center responded with the following: Both reference checks for staff 1 were completed but the second check could not be located during the inspection. If the reference check can not be located, it will be redone and placed in staff 1's record.