Inspection · 2025-06-02
Licensing Inspector
Christine Mahan
(757) 404-0568
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors 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 renewal inspection was initiated on 6-02-2025 and completed on 6-09-2025. The onsite inspection began at 10:35am and ended at 2:15pm. The inspector reviewed compliance in the areas listed above. Records /documents continued to be reviewed until 6-9-2025. There were 45 children present and 9 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, interviews, observations, and measurements. 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 business days from today, which will be the close of business on 6/19/2025.
A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1, has been working for 1 day and did not have documentation of the required TB screening prior to working. Staff #5 had a TB screening that was conducted more than 30 days prior to working.
Plan of Correction: Follew up on staff checklist before and after start date
Standard 8VAC20-780-260-A
The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was dated 2-1-2024.
Plan of Correction: Inspection was scheduled for June 5 and completed
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director. O the day of the inspection, Staff #2 was the only staff designated to work in Room E and was observed alone supervising 8 children. Staff #2 was an assistant teacher and does not have documentation to meet the program director or lead qualifications.
Plan of Correction: Realign staff schedules to ensure program lead is present in every class
Standard 8VAC20-780-350-B-1
The required ratio for children ages birth up to 16 months is one staff per 4 children. There was only one staff in the classroom A supervising 5 children for approximately 35 minutes and all children were 15 months or younger.
Plan of Correction: Provide parents with transition and ratio form betore moving child to age appropriate class
Standard 8VAC20-780-40-J
Repeat Violation
The center is required to update at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. There was not an updated injury plan available for review.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
Children's hands shall be washed with soap and running water. Staff #6 changed two children?s diapers and did not wash their hands or the children?s hands with soap and water after the diaper change.
Plan of Correction: Provide additional staff training
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 #1 did not clean the diaper changing surface. "Cleaned" means treated in such a way to reduce the amount of filth through the use of water with soap or detergent or the use of an abrasive cleaner on inanimate surfaces. Staff #6 was observed changing diapers and did not clean the diaper pad in between changes.
Plan of Correction: Provide additional staff training
Standard 8VAC20-780-550-P
The center shall maintain a written record of children's serious and minor injuries in which entries are made on the day of occurrence. Five injury reports were reviewed, and they did not include the date and time when parents were notified, future action to prevent reoccurrence of the injury, second signature and type of injury.
Plan of Correction: Provide additional staff training
Standard 8VAC20-780-60-A
Repeat Violation
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.
1.Child #1?s record did not include the complete address for the second emergency contact.
2.Child #2?s record did not include the employment location and phone number for one parent listed and the employment number for the other parent listed and the complete address for the second emergency contact.
3. Child #3?s record did not include the employment phone number for one parent listed.
4. Child #5?s record did not include the employment phone numbers for both parents listed
Plan of Correction: Follow up betore and after child starts
Standard 8VAC20-780-80-A
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.
1.In Room C there were 8 on the attendance list and 10 in care
2 In Room E there were 9 on the attendance list and 8 in care
Plan of Correction: Provide additional staff training