Inspection · 2025-06-17
Licensing Inspector
Kelly Adriazola
(804) 840-8245
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.
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection.
Inspector Notes
An unannounced, on-site renewal inspection was initiated and concluded on June 17, 2025. The on-site inspection began at 11:07 a.m. and ended at 12:35 p.m. The inspector reviewed compliance in the areas listed above. There were 15 children present and 7 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.
This inspection was amended on July 23, 2025 to include violations in background checks.
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 (5) business days from today, which will be the close of business on June 30, 2025. A POC submitted after this date will not appear on the public website.
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. Fingerprint results were obtained eight days after staff #1 was employed, seven days after staff #5 was employed, six days after staff #3 and staff #4 were employed, and one day after staff #2 was employed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-A
The center is required to have background checks updated every 5 years for all agents of the applicant/licensee.
1. Officer #1 did not have a sworn statement, and central registry updated after 5 years. The central registry has not been completed and is overdue by 13 months and the sworn statement was overdue by 13 months.
2. Officer #2 did not have a fingerprint, sworn statement or central registry updated after 5 years. The fingerprint and central registry have not been completed and are overdue by 13 months. The sworn statement was overdue by 13 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. The screenings for staff #5 was completed 12 days after hire, for staff #2 and #4 was completed eight days after hire, staff #1 was seven days after hire, and staff #3 was one day after hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. There was no evacuation drill practiced in July 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year. One shelter in place drill was practiced in 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child #2 was missing the first date of attendance. The records for children #2, #4, and #5 did not contain the address to two emergency contact people,
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records shall contain the job title and documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.
1. Staff #2, who has been actively working at the center for the past two weeks, had one reference verification on file and staff #3, who has been actively working at the center for the past two weeks did not have any completed reference verifications on file.
2. The records of staff #1, #2, #3, #4, and #5 did not contain the staff's job title.
Plan of Correction: Not available online. Contact Inspector for more information.