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Callahan Learning Center LLC

Inspection · 2025-04-08

Date
2025-04-08
Complaint Related
No
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.
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.

Inspector Notes

An unannounced, on-site renewal inspection was initiated and concluded on April 8 , 2025. The on-site inspection began at 9:42 a.m. and ended at 1:00 p.m. The inspector reviewed compliance in the areas listed above. There were 71 children present and 12 staff. The inspector reviewed 5 children?s records and 7 staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.

This inspection was corrected on April 14, 2025 to include a background check violation.

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 April 21, 2025. A POC submitted after this date will not appear on the public website.

Violations

10
Standard 22.1-289.011-F
Repeat Violation
The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 09/30/2024, were not posted in a conspicuous place on the premises.
Plan of Correction: Post license and other required documents in a conspicuous place on the premises
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent fingerprint results for agent #1 and #2 was overdue by two months.
Plan of Correction: Conducted fingerprints for agent #1 and #2
Will have background checks completed every five years
Standard 22.1-289.035-B-4
Repeat Violation
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5, employed for 12 days, did not have documentation of a sex offender registry check.
Plan of Correction: Completed sex offender registry check during inspection. Will obtain background checks before employee's start date.
Standard 8VAC20-780-260-B
Repeat Violation
After the first license, annual approval from the health department shall be
provided, or approvals of a plan of correction, for meeting requirements for water supply and sewage disposal system. The most recent sanitation inspection was conducted in 2020.
Plan of Correction: Scheduled sanitation inspection. Will conduct these inspections annually.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In the Pre-K classroom, room spray and Febreeze were on a shelf, out of reach of children.
Plan of Correction: Completed during inspection. Will remind and retrain staff on putting hazardous substances in a locked area.
Standard 8VAC20-780-340-D
Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1, who did not meet lead teacher qualifications, has been working as the lead teacher with a group of 3 year old's for four months.
Plan of Correction: Ensure that groups of children have at least one lead teacher present. Make sure lead teachers have proper qualifications.
Standard 8VAC20-780-500-A
Staff shall wash hands with soap and running water before and after a diaper change. Staff #4 did not wash hands before changing a child's diaper.
Plan of Correction: Remind and retrain staff on proper hand washing
Standard 8VAC20-780-500-B
The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #4 and #7 did not clean the diaper changing surface. Both staff did not sanitize the diaper changing surface. Both staff only sprayed the sanitizer on the surface and immediately wiped it away, but the directions on the sanitizer states to leave the sanitizer for 60 seconds before wiping away or air drying.
Plan of Correction: Remind and retrain staff on proper cleaning and sanitation procedures for diapering surfaces. Staff will complete Health and Safety update training annually. Conduct one on ones for staff regarding cleaning procedures.
Standard 8VAC20-780-550-P
Repeat Violation
The center shall maintain a written record of children's serious and minor injuries that include all the required information. The incident reports for children #6 and #8 was missing the time the parent was notified The incident reports for children #6, #7, and #8 was missing the future action to prevent reoccurrence.
Plan of Correction: Retrain staff on writing incident/accident reports. Make sure documentations has the time parents were notified, as well as, plans for future action prevention.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall contain the job title and documentation to demonstrate that the individual possessed the education, certification, and experience required by the job position. The records for staff #1 and #2, both identified as lead teachers, was missing program leader qualifications.
Plan of Correction: Have proper job titles listed in staff member files.