Inspection · 2025-07-09
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 monitoring inspection was initiated on 7-9-2025 and completed on 7-22-2025. The on-site inspection began at 1:45pm and ended at 3:10pm. The inspector reviewed compliance in the areas listed above. There were 69 children present and 13 staff. The inspector reviewed 7 children?s records and 7 staff records electronically from 7-14-2025 until 7-21,2025. This inspection included document review, tour of the facility, 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7-29-2025. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1, who had been enrolled for 11 months and Child #7 who had been enrolled for 14 months.
Plan of Correction: Program manager will work with parents to obtain physicals
Standard 8VAC20-780-150-B
Repeat Violation
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization records for Child #2, Child #4 and Child #7 were not signed. Child #2 has been enrolled for 11 months, Child #4 has been enrolled for 3 weeks, and Child #7 has been enrolled for 14 months.
Plan of Correction: Program manager will work with families to have shot records signed.
Standard 8VAC20-780-420-E-3
Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #6 had not been updated in over 18 months which is overdue by 6 months and information for Child #7 had not been updated in over 14 months which is overdue by 2 months.
Plan of Correction: Program manager will work with parents to update files and have them signed off on.
Standard 8VAC20-780-510-I
Prescription medication may be administered if the parent has completed a written authorization. Three medications were administered to Child #8 without parent authorization. Medication A and medication B were administered 3 separate days in July and medication C was administered 2 separate days in July, the parent authorization on file had expired June 30, 2025.
Plan of Correction: Program manager will do a weekly check of waivers to make sure they are updated
Standard 8VAC20-780-510-P
When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Child #6 had 2 medications (medication D and E) with an expired authorization by12 months, and the medication had not been sent home or disposed as required.
Plan of Correction: Program manager will do a weekly check of medication to ensure it matches
the waiver and also ensure it is sent home it is past the two week mark.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. There was not documentation of drills conducted in April, May and June 2025.
Plan of Correction: Program manager will ensure are drills are conducted
Standard 8VAC20-780-60-A
Repeat Violation
The record for Child #1, enrolled for 11 months, was missing the second emergency contact name, their address and phone number.
Plan of Correction: Program manager will work with family to obtain second contact
Standard 8VAC20-780-70
Documentation shall be kept at the center for each staff member regarding a name, address, and telephone number of a person to be notified in an emergency and any health problems that may interfere with fulfilling the job responsibilities. Staff #1, Staff #3, Staff #4, Staff #5, Staff #6 and Staff #7 did not have emergency contact information or health related information at the center.
Plan of Correction: Senior program manager will ensure all health forms are kept on site.