Inspection · 2025-10-07
Licensing Inspector
Sharon Allen
(540) 272-2941
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.
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 10/07/2025. The on-site inspection began at 12:00 p.m. and ended at 3:15 p.m. The inspector reviewed compliance in the areas listed above. There were 55 children present and 9 staff. The inspector reviewed eight children?s records and six staff records on-site.
This inspection included:
? document review
? tour of the facility
? interviews
? 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 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 10/23/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff B, employed for three months, did not have documentation of requesting a central registry check from the state Staff B has resided in the last five years.
Plan of Correction: The new administration will ensure that all employees who have resided outside of Virginia within the past five years request and obtain the required out-of-state background checks. The administration has implemented a formal protocol to verify that all past employees have completed applicable background checks before being permitted to work with children. This protocol includes a review of each employee's residence history and documentation of all completed background checks to ensure full compliance with the licensing standards.
Standard 8VAC20-780-40-M
The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.
Allergies, sensitivities, and dietary restrictions are noted for each child on an individual card located on a bulletin board in each classroom. These cards are not kept confidential, and there is no date listed on the bulletin board to indicate the date the board was updated.
Plan of Correction: The new center administration has implemented an updated allergy listing system to ensure all allergy and dietary information is maintained confidentially and includes the date of the most recent update. The individual allergy and dietary identification cards will remain in place but will now be displayed in a confidential manner that complies with licensing requirements. The updated system will be reviewed regularly to confirm that all information is accurate, current, and properly documented.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.
Medication for Child A was onsite, but the medication authorization had expired over 45 days ago. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: The new administration has implemented a protocol to ensure that all 10-day and annual medication authorization forms are reviewed regularly for accuracy and expiration. Staff will monitor expiration dates and notify parents in advance when an authorization is approaching its expiration date to ensure a new form is completed on time. This process ensures all medication documentation remains current and compliant with licensing requirements.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.
Staff A was alone with a group of eleven, four and five year old children during rest-time and was not certified in CPR or first aid.
Plan of Correction: The new administration will ensure that during rest time, at least one staff member certified in both CPR and First Aid is present with children. The administration has scheduled a CPR and First Aid training to ensure all teachers are certified and to prevent any lapse in certified teachers during rest time.
Standard 8VAC20-780-60-A-8
A written care plan is required for each child with a diagnosed food allergy, to include
instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Child A, who has been enrolled for three months, has a diagnosed food allergy and did not have a written care plan in their file. Child B, who has been enrolled for two years, has a diagnosed food allergy and did not have a written care plan in their file.
Plan of Correction: The new administration has implemented a formal protocol to ensure that all students with a diagnosed food allergy have a completed allergy care plan on file, including physician instructions. Additionally, the administration has initiated a review of all parent-completed allergy and dietary preference forms to confirm that they align with each child's diagnosed allergies and corresponding care plan. The review process provides a double verification of all diagnosed allergies to ensure accuracy, consistency, and compliance with licensing requirements.