Inspection · 2025-10-09
Licensing Inspector
Nanette Roberts
(757) 404-2322
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 (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
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 10/9/25. The on-site inspection began at 3:30pm and ended at 6:20pm. The inspector reviewed compliance in the areas listed above to include standards found out of compliance during the previous inspection. There were 36 children present and 2 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 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 10/29/25. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for seven weeks, did not have documentation of an immunization record on file.
Plan of Correction: The facility responded: The center has obtained the required immunization documentation for Child #1 and ensured it is now on file. Moving forward, all children?s enrollment packets will be reviewed for completeness before the child?s first day of attendance.
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 #1, child #2, and child #3. These children had been enrolled for seven weeks.
Plan of Correction: The facility responded: The center has obtained the required physical exams. Moving forward, all enrollment packets will be reviewed for completeness before the child's first day.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #2 was not signed.
Plan of Correction: The facility responded: The center reviewed all children?s immunization records and obtained properly signed and dated documentation.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Disinfectant spray, disinfectant wipes and a spray bottle that contained a yellow liquid were in an unlocked cabinet in the school age room.
Plan of Correction: The facility responded: Corrected staff has placed all hazardous material in locked place with a key lock.
Standard 8VAC20-780-280-G
If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. There was an unlabeled spray bottle that contained a yellow liquid in a cabinet with cleaning substances.
Plan of Correction: The facility responded: Corrected, staff labeled all spray bottles and placed them in the hazardous locker.
Standard 8VAC20-780-340-I
Staff shall oversee each child's departure from the center. Staff #1 told Child #1, a 6 year old, that his parent had arrived. Child #1 slowly gathered his things and walked out of the cafeteria and through a hallway alone. Staff #1 and Staff #2 did not watch the child depart and did not see if the child reached the parent.
Plan of Correction: The facility responded: Staff have been reminded of the requirement to visually confirm that each child is released directly to an authorized parent or guardian. Staff #1 and Staff #2 have been re-trained on proper dismissal procedures.