Inspection · 2025-03-26
Date
2025-03-26
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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.
Yes
Areas Reviewed
8VAC20-790 Introduction
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
Inspector Notes
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the code compliance inspection. Subsidy standards that are not covered in code were reviewed during this SHSI.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations were documented on the violation notice issued to the program.
Violations
16Standard 8VAC20-790-530-B
For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
At approximately 9:30 am, there were 15 children present in Classroom 1 but only 8 children were marked present on the attendance record.
At approximately 9:30 am, there were 15 children present in Classroom 1 but only 8 children were marked present on the attendance record.
Plan of Correction: Will review with all staff. Will create an attendance record for each group. Will also document on the van.
Standard 8VAC20-790-560-B
A tuberculosis (TB) screening is required every two years from the last screening.
The updated TB screening for Staff 2 was overdue by 6 months.
The updated TB screening for Staff 2 was overdue by 6 months.
Plan of Correction: Will get the update.
Standard 8VAC20-790-580-B
The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age.
Child 1, who has been attending for more than 20 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 4, who has been attending for more than 22 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 5, who has been attending for more than 4 years, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old.
Child 1, who has been attending for more than 20 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 4, who has been attending for more than 22 months, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old. Child 5, who has been attending for more than 4 years, did not have documentation of obtaining of additional immunizations every six months until the child turned 2 years old.
Plan of Correction: Will contact all parents and create a system to track.
Standard 8VAC20-790-600-C
Orientation training for staff shall be completed prior to the staff member working alone with children and within seven days of the date of employment.
There was no documentation that Staff 1, Staff 2, Staff 3, Staff 4 and Staff 5, all of which been employed for more than 7 days, have completed orientation training.
There was no documentation that Staff 1, Staff 2, Staff 3, Staff 4 and Staff 5, all of which been employed for more than 7 days, have completed orientation training.
Plan of Correction: Will meet with all staff. Will add all of the requirements to the staff handbook. Will create a document for staff to sign to confirm orientation and will place in staff record.
Standard 8VAC20-790-600-I
There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.
There was no one on duty on 03/26/2025 that has obtained instruction in performing a daily health observation of children.
There was no one on duty on 03/26/2025 that has obtained instruction in performing a daily health observation of children.
Plan of Correction: Will have the staff complete the online training course.
Standard 8VAC20-790-630-C-2
In areas used by children of preschool age or younger, electrical outlets shall have protective covers.
There were 2 uncovered electrical outlets in Classroom 1 and 5 uncovered electrical outlets in Classroom 2; all of the children in care were of preschool age or younger.
There were 2 uncovered electrical outlets in Classroom 1 and 5 uncovered electrical outlets in Classroom 2; all of the children in care were of preschool age or younger.
Plan of Correction: Will review with staff to be sure to keep all outlets covered.
Standard 8VAC20-790-640-A
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.
There were various unlocked cleaning products sitting around Classroom 1; the cleaning products were accessible to the 17 children, ages 3 months-2 years, in the room.
There were various unlocked cleaning products sitting around Classroom 2; the cleaning products were accessible to the 11 children, ages 2 years-5 years, in the room.
There were various unlocked cleaning products sitting around Classroom 3; the cleaning products were accessible to the school-aged children that used the room for before school care on 03/26/2025.
There were various unlocked cleaning products sitting around Classroom 1; the cleaning products were accessible to the 17 children, ages 3 months-2 years, in the room.
There were various unlocked cleaning products sitting around Classroom 2; the cleaning products were accessible to the 11 children, ages 2 years-5 years, in the room.
There were various unlocked cleaning products sitting around Classroom 3; the cleaning products were accessible to the school-aged children that used the room for before school care on 03/26/2025.
Plan of Correction: All cleaning materials will be kept locked.
Standard 8VAC20-790-670-D-1
Vendors, operated by a religious institution that are exempt from licensure and operate more than 6 hours per day, shall ensure that the required maximum group size are maintained.
There were a total of 17 children, ages 3 months-2 years, in Classroom 1; the maximum group size for children from birth to two years of age is 12 children.
There were a total of 17 children, ages 3 months-2 years, in Classroom 1; the maximum group size for children from birth to two years of age is 12 children.
Plan of Correction: The group will be split into two groups, birth-16 months and 16 months-2.5 years.
Standard 8VAC20-790-730-C
If personal articles are used, they shall be individually assigned.
There were multiple pacifiers laying around Classroom 1 that were not individually assigned.
There were multiple pacifiers laying around Classroom 1 that were not individually assigned.
Plan of Correction: Will ask parents to help label items. Will create a system to identify all items.
Standard 8VAC20-790-760-A-3
Staff shall wash their hands with soap and running water before and after changing a diaper and before preparing or serving foods or beverages.
Staff 6 did not wash their hands after each diaper change. Staff did not wash their hands before preparing bottles.
Staff 6 did not wash their hands after each diaper change. Staff did not wash their hands before preparing bottles.
Plan of Correction: Will review with staff and will retrain them.
Standard 8VAC20-790-770-D
Medication shall be kept in a locked place using a safe locking method that prevents access by children.
The unlocked first aid kits in Classroom 1, Classroom 2, and Classroom 3 contained individual packets of aspirin, non-aspirin, and antacids.
Medication 1 was in a basket on a shelf of Classroom 2.
The unlocked first aid kits in Classroom 1, Classroom 2, and Classroom 3 contained individual packets of aspirin, non-aspirin, and antacids.
Medication 1 was in a basket on a shelf of Classroom 2.
Plan of Correction: Will remove the medication from the premises. Will not accept any medications from parents.
Standard 8VAC20-790-800-A-1
Evacuation procedures shall be practiced at least monthly.
Evacuation procedures were not practiced in November 2024, December 2024, January 2025 or February 2025.
Evacuation procedures were not practiced in November 2024, December 2024, January 2025 or February 2025.
Plan of Correction: Will conduct the drills and will use the model form to document.
Standard 8VAC20-790-800-A-3
Evacuation procedures shall be practiced at least monthly and lockdown procedures shall be practiced at least annually.
The lockdown procedures were not practiced in 2024.
The lockdown procedures were not practiced in 2024.
Plan of Correction: Will conduct the drills and will use the model form to document.
Standard 8VAC20-790-810-B-2
When vendors provide meals or snacks, children three years of age or younger shall not be offered foods that are considered to be potential choking hazards.
The children in care on 03/26/2025, ages 5 years and younger, were served pork-n-beans and hotdog slices for lunch. The hotdogs had been sliced into small circles which are a potential choking hazard.
The children in care on 03/26/2025, ages 5 years and younger, were served pork-n-beans and hotdog slices for lunch. The hotdogs had been sliced into small circles which are a potential choking hazard.
Plan of Correction: Any foods considered a choking hazard will be cut into small pieces or not served.
Standard 8VAC20-790-820-E
Prepared infant formula shall be refrigerated, dated and labeled with the child?s name if more than one infant is in care.
There was an unrefrigerated, undated, unlabeled bottle on the table in Classroom 1. There were multiple infants in care on 03/26/2025.
There was an unrefrigerated, undated, unlabeled bottle on the table in Classroom 1. There were multiple infants in care on 03/26/2025.
Plan of Correction: Will instruct the staff to label and date all bottles and all bottles will be kept in the refrigerator when not being served.
Standard 8VAC20-790-830-D-5
The vendor shall ensure that during transportation of children staff has a list of the names of the children being transported.
Staff 7 verified that they did not have a list of the names of children when the children are being transported to and from school.
Staff 7 verified that they did not have a list of the names of children when the children are being transported to and from school.
Plan of Correction: Will have a list of students being transported on clip boards in the vans.