Inspection · 3026-03-30
Date
3026-03-30
Complaint Related
No
Licensing Inspector
Sarah Marbert
(703) 479-4678
(703) 479-4678
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
8VAC20-780 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
8VAC20-821 Background Checks
8VAC20-821 Violation Review
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
8VAC20-790 Administration
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
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.
Inspector Notes
An unannounced, on-site monitoring inspection was initiated on 03/30/3026, and completed on 04/01/2026, as a part of the licensure period. The on-site inspection began at 10:54 AM and ended at 1:50 PM. The inspector reviewed compliance in the areas listed above. There were 40 children present and 10 staff. The inspector reviewed 5 children?s records and 6 staff records on-site. This inspection included: document review, tour of the facility, interviews and observations. A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards. Information gathered during the inspection determined noncompliance 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 4/8/2026. A POC submitted after this date will not appear on the public website.
Violations
19Standard 22.1-289.011-F
Repeat Violation
Systemic Deficiency
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises
The most recent inspection (12/22/2025) documentation was not posted.
Systemic Deficiency
The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises
The most recent inspection (12/22/2025) documentation was not posted.
Plan of Correction: Director will now oversee and double check licensing standard, checking updating licensing posting will now be done once a month as well as updated immediately following a licensing check.
Standard 22.1-289.035-B-1
Repeat Violation
Systemic Deficiency
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
The sworn statements (SDS) for Staff D and E, who were currently working, were not completed prior to employment.
Systemic Deficiency
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
The sworn statements (SDS) for Staff D and E, who were currently working, were not completed prior to employment.
Plan of Correction: Staff will be required to have all paperwork back and in files before moving forward with the onboarding process. Staff D and E have completed sworn statements.
Standard 22.1-289.035-B-3
Repeat Violation
Systemic Deficiency
The center must request a search of the central registry prior to the employee's first day of employment.
Staff D, who had been employed for two months, did not have a central registry search requested.
Staff E, who had been employed for 7 weeks did not have a central registry search requested.
Systemic Deficiency
The center must request a search of the central registry prior to the employee's first day of employment.
Staff D, who had been employed for two months, did not have a central registry search requested.
Staff E, who had been employed for 7 weeks did not have a central registry search requested.
Plan of Correction: Will be sure to send adequate amount for fee and require that the central registry be received back to company before employment. Follow up email sent to inquire about the location of registry for current staff.
Standard 22.1-289.035-B-4
Repeat Violation
Systemic Deficiency
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff D, employed for 60 days, did not have documentation of requesting a central registry check, or a sex offender search for a residence out of state within the past 5 years, prior to employment.
The form requesting the central registry search was dated 3 weeks after the date of hire. No results are on file.
There was no sex offender search result on file.
Systemic Deficiency
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
Staff D, employed for 60 days, did not have documentation of requesting a central registry check, or a sex offender search for a residence out of state within the past 5 years, prior to employment.
The form requesting the central registry search was dated 3 weeks after the date of hire. No results are on file.
There was no sex offender search result on file.
Plan of Correction: Will complete all required background information prior to onboarding process. Employee D will be required to complete these items and mail background check.
Standard 8VAC20-780-160-A
Repeat Violation
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and that it was completed within the past thirty calendar days of the date of employment.
Staff D's TB result was not dated within the past 30 days prior to employment.
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and that it was completed within the past thirty calendar days of the date of employment.
Staff D's TB result was not dated within the past 30 days prior to employment.
Plan of Correction: Director will now be overseeing all new hire paperwork to ensure staff are up to date on documentation as well as updating these requirements according to need annual updated. Staff D picked up TB test results and completed paperwork same day.
Standard 8VAC20-780-240-B
Repeat Violation
Systemic Deficiency
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Staff B, D and E did not have documentation available to show completion of orientation within seven days of assuming job responsibilities.
Systemic Deficiency
Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Staff B, D and E did not have documentation available to show completion of orientation within seven days of assuming job responsibilities.
Plan of Correction: Director will oversee maintaining new hires and signing off on training procedures as we document them through the process. Staff B,D and E will be required to complete orientation documents and back track on this process to ensure staff are properly trained.
Standard 8VAC20-780-280-B
Repeat Violation
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Room#1's under sink cabinet that contained cleaning materials, was not locked.
Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
Room#1's under sink cabinet that contained cleaning materials, was not locked.
Plan of Correction: Teachers will have access to extra locks and will be taught how to replace them.
Management staff will perform routine checks weekly to ensure all locks are functioning to standards and are in place.
Management staff will perform routine checks weekly to ensure all locks are functioning to standards and are in place.
Standard 8VAC20-780-320-B
Each restroom area provided for children shall: have toilets that are flushable; and be equipped with toilet paper.
The bathroom in room #2 was not able to be flushed, had been used, and did not contain toilet paper.
The bathroom in room #2 was not able to be flushed, had been used, and did not contain toilet paper.
Plan of Correction: Staff have cleaned bathroom and toilet is set to be repaired. An alternate plan for the restroom usage has been put into place for children while restroom is undergoing repairs.
Standard 8VAC20-780-510-F
The medication authorization shall be available to staff during the entire time it is effective.
Children #6 and #7, who were present at the center, and had medications on site, did not have authorizations to administer medication available.
Children #6 and #7, who were present at the center, and had medications on site, did not have authorizations to administer medication available.
Plan of Correction: Parents will be required to turn in updated forms and medication both annually. Staff will check files and medication authorization will all be updated April 2026.
Standard 8VAC20-780-510-I
The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided:the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.
Children #7 and #8, who were present at he center, had medications on site that did not have a prescription label attached.
Children #7 and #8, who were present at he center, had medications on site that did not have a prescription label attached.
Plan of Correction: Parents will be required to turn in updated forms and medication both annually. Staff will check files and medication authorization will be updated in April.
Standard 8VAC20-780-520-A
Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product.
Child #8 had an over-the-counter medication on site that was beyond the expiration date of the product.
Child #8 had an over-the-counter medication on site that was beyond the expiration date of the product.
Plan of Correction: Parents will be required to turn in updated forms and medication both annually. Staff will check files and medication authorization will be updated April 2026. Teachers will implement checks of medications authorization as will as diaper creams and forms.
Standard 8VAC20-780-520-C
If diaper ointment or cream is used, the following requirements shall be met: written parent authorization noting any known adverse reactions shall be obtained.
A diaper cream ointment in room #3 had no written authorization from the parent.
A diaper cream ointment in room #3 had no written authorization from the parent.
Plan of Correction: Parents will be required to turn in updated forms and medication both annually. Staff will check files and medication authorization will be updated April 2026. Teachers will implement checks of medications authorization as will as diaper creams and forms.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill.
No emergency evacuation was conducted in February 2026.
No emergency evacuation was conducted in February 2026.
Plan of Correction: Logging information for emergency drill has been updated to adhere to licensing requirements. Management staff have been retrained on emergency procedures and walked through how to implement these drills. Documentation of this retraining will be in management files.
Standard 8VAC20-780-550-G
Documentation shall be maintained of emergency evacuation drills that includes the method used for notification of the drill; any special conditions simulated; weather conditions.
The documentation for the January 2026 emergency evacuation drill, did not include:the method used for notification of the drill; any special conditions simulated; weather conditions.
The documentation for the January 2026 emergency evacuation drill, did not include:the method used for notification of the drill; any special conditions simulated; weather conditions.
Plan of Correction: Logging information for emergency drill has been updated to adhere to licensing requirements. Management staff have been retrained on emergency procedures and walked through how to implement these drills. Documentation of this retraining will be in management files.
Standard 8VAC20-780-560-G
When food is brought from home, the following shall apply:The food container shall be sealed and clearly dated and labeled in a way that identifies the owner.
Child #1's bottles were not dated with today's date,
Child #1's bottles were not dated with today's date,
Plan of Correction: Reminders about labeling items have been sent to both families as well as staff. Teachers will continue to check each items before it is stored for the day. Tape and markers will be provided to ensure teachers can replace any missing labeling. Parents will be encouraged to prelabeled with these items and monitor that they are correctly dated to the corresponding day that the items are being sent.
Standard 8VAC20-780-560-M
No child shall be allowed to drink or eat while walking around.
A child was observed walking around with a sippy cup in room #3.
A child was observed walking around with a sippy cup in room #3.
Plan of Correction: Staff will be reminded of expectations. We will encourage the children to safely eat and drink at the table.
Standard 8VAC20-780-60-A
Repeat Violation
Systemic Deficiency
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: work phone number and place of employment of each parent who has custody.
Children #1,3,4 and 5's records did not include the work phone number for a parent.
Systemic Deficiency
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: work phone number and place of employment of each parent who has custody.
Children #1,3,4 and 5's records did not include the work phone number for a parent.
Plan of Correction: Director will now oversee all new employees as well as child enrollments. Center will now hold enrollment meetings to ensure parents are adequately filing paperwork and leaving no gaps. Current families have emergency information listed on parent app but were missing work information.
Standard 8VAC20-780-70
Repeat Violation
Staff records shall contain documentation of the date of employment.
Staff D and E, who have been actively working at the center, did not have the date of employment documented in their records.
Staff records shall contain documentation of the date of employment.
Staff D and E, who have been actively working at the center, did not have the date of employment documented in their records.
Plan of Correction: Director will oversee entire hiring process to prevent any missed gaps or dates in documentation. Staff D and E will review paperwork and complete missed portion.
Standard 8VAC20-790-600-F
Staff who work directly with children shall annually complete the department's health and safety update course.
Staff A's annual training course was not completed in 2025.
Staff D's annual training course was overdue by 2 two months.
Staff F's annual training course was not completed in 2025.
Staff A's annual training course was not completed in 2025.
Staff D's annual training course was overdue by 2 two months.
Staff F's annual training course was not completed in 2025.
Plan of Correction: Director will oversee hiring process and ensure health training is updated annually. Staff will keep copies of training and monitor when they need to be updated.