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 4:30 pm and ended at 5:30 pm. The inspector reviewed compliance in the areas listed above. There were 57 children present and 4 staff. The inspector reviewed 6 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-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 #1, employed for more than 11 months, did not have documentation of requesting a central registry check and no documentation of requesting a criminal history check from a state outside of VA and no documentation of requesting a criminal records check from a different state.
Plan of Correction: Senior program manger is working with staff member on completing the background checks
Standard 8VAC20-780-130-A
The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #3, who had been attending for four months, did not have documentation of an immunization record on file.
Plan of Correction: Program manger will work with family to get the shot record
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 #3, who had been enrolled for four months.
Plan of Correction: Program manager will work with family to obtain the physical
Standard 8VAC20-780-60-A
Centers must keep a separate record for each child enrolled that contains all of the required information. Child 1's record was missing an address for one emergency contact, and an annual update check. Child 2's record was missing a phone number for one emergency contact. Child 3's record was missing employment information for both parents, a physicians phone number, and phone numbers for both emergency contacts. Child 6's record was missing a second emergency contact.
Plan of Correction: Program manger will work with families to obtain missing information