Inspection · 2025-02-24
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.
8VAC20-770 Background Checks
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 on 2/24/2025 and completed on 2/26/2025. The on-site inspection began at 3:00 pm and ended at 4:15 pm. The inspector reviewed compliance in the areas listed above. There were 54 children present and 4 staff. The inspector reviewed 5 children?s records on site and 4 staff records electronically on 2/26/2025. This inspection included document review, interviews, and 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 3/10/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4, was dated 11 days after their employment.
Plan of Correction: Background check has already been completed
Standard 8VAC20-780-150-B
Each immunization report shall include dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record's for child #1, 2, and 5 were not signed.
Plan of Correction: Program manger will work with families to update shot records
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 5 months ago.
Plan of Correction: Staff member has been sent to get an updated TB test
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. The list was not dated and was not current because it was missing the name of a child with a known allergy.
Plan of Correction: Program manager will print an updated allergy list when a student enrolls
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year. There was no documentation of shelter in place drills being conducted in 2024.
Plan of Correction: Program manger will ensure required drills are completed
Standard 8VAC20-780-60-A
Centers must keep a separate record for each child enrolled that contains all of the required information. Child 2's record was missing one custodial parent's work phone number and the phone number of the child's physician. Child 3's record was missing both custodial parent's work phone numbers.
Plan of Correction: Program manager will work with families to obtain missing information