Inspection · 2026-01-08
Date
2026-01-08
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
(540) 340-2672
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
Violations
11Standard 8VAC20-780-150-B
Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.
The immunizations that were on file for Child #3 were not signed by a physician.
The immunizations that were on file for Child #3 were not signed by a physician.
Plan of Correction: Parents were notified about immunization signature. Moving forward immunization records will be checked upon start date.
Standard 8VAC20-780-160-A
(Repeat Violation) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.
Staff #5 employed for 1 year 7 months did not have results of a TB screening in their record.
Staff #5 employed for 1 year 7 months did not have results of a TB screening in their record.
Plan of Correction: Staff was sent to get test. Staff files will be up to date upon starting. Management will continue to maintain file compliance.
Standard 8VAC20-780-240-B
(Repeat Violation) 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.
1. Staff #1 employed for over 2 months, did not have documentation of a completed orientation training.
2. Staff #3 employed for over 7 months, did not have documentation of a completed orientation training.
3. Staff #4 employed for over 1 year 10 months, did not have documentation of a completed orientation training.
4. Staff #5 employed for over 1 year 7 months, did not have completed documentation of orientation training.
1. Staff #1 employed for over 2 months, did not have documentation of a completed orientation training.
2. Staff #3 employed for over 7 months, did not have documentation of a completed orientation training.
3. Staff #4 employed for over 1 year 10 months, did not have documentation of a completed orientation training.
4. Staff #5 employed for over 1 year 7 months, did not have completed documentation of orientation training.
Plan of Correction: Orientation was given to staff for completion. All files were checked to ensure all staff has orientation. Orientation will be given during training and placed in file.
Standard 8VAC20-780-280-B
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.
1. In the Two?s Classroom, there was a spray bottle of disinfectant and sanitizer in a high unlocked shelf.
2. In the Toddlers Classroom, there was a spray bottle of disinfectant and sanitizer in a high unlocked shelf.
3. In the Infant 1 Classroom, there was a spray bottle of sanitizer in a high unlocked shelf.
1. In the Two?s Classroom, there was a spray bottle of disinfectant and sanitizer in a high unlocked shelf.
2. In the Toddlers Classroom, there was a spray bottle of disinfectant and sanitizer in a high unlocked shelf.
3. In the Infant 1 Classroom, there was a spray bottle of sanitizer in a high unlocked shelf.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-M
(Repeat Violation) The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions.
The allergy list in the school-age classroom was not current. Child #1, with a diagnosed food allergy was not listed on the current allergy list in the classroom.
The allergy list in the school-age classroom was not current. Child #1, with a diagnosed food allergy was not listed on the current allergy list in the classroom.
Plan of Correction: Allergy list was immediately updated to reflect the Toddler allergy. Moving forward right before the child starts the allergy list will be updated.
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.
1. Child 1 was overdue by 3 years 4 months for an annual parent confirmation that the required information in the child?s record was up to date.
2. Child 2 was overdue by 3 years 11 months for an annual parent confirmation that the required information in the child?s record was up to date.
1. Child 1 was overdue by 3 years 4 months for an annual parent confirmation that the required information in the child?s record was up to date.
2. Child 2 was overdue by 3 years 11 months for an annual parent confirmation that the required information in the child?s record was up to date.
Plan of Correction: Management has reached out to parents to check child?s file. Moving forward parents have been.
Standard 8VAC20-780-500-B
The diapering area shall have the following: Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A leakproof covered receptacle for soiled linens.
1. In the Toddler Classroom, the trashcan used for diapering was foot operated but still causes the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
2. In the Infant 1 classroom, the trashcan used for diapering was not foot-operated and would cause the staff to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
3. In the Two?s classroom, the foot operated trashcan used for diapering was not working properly and did not close, causing the trash to not be covered.
1. In the Toddler Classroom, the trashcan used for diapering was foot operated but still causes the staff member to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
2. In the Infant 1 classroom, the trashcan used for diapering was not foot-operated and would cause the staff to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.
3. In the Two?s classroom, the foot operated trashcan used for diapering was not working properly and did not close, causing the trash to not be covered.
Plan of Correction: Moving forward we will continue to inspect the diapering areas in the classrooms. We will not continue to buy the diaper pails and instead replace them with trash cans the teachers will be able to open with their foot.
Standard 8VAC20-780-510-B
The Center is required to ensure they have written authorization from the parent to administer prescription and nonprescription medications.
The written authorization forms on file for Child 3 and Child 5 did not give authorization for the center to administer medication.
The written authorization forms on file for Child 3 and Child 5 did not give authorization for the center to administer medication.
Plan of Correction: Parents were notified of the missing authorization. Parents have since updated the information. Moving forward we will inspect forms to ensure all lines are signed on authorization forms.
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.
1. The parent signature on the written authorization for a long-term prescription medication for Child #4 expired over 2 months ago. The medication remained on-site as of this date.
2. The medication for Child #6 expired 3 months ago, the medication was still on-site and not disposed of or given back to the parent.
1. The parent signature on the written authorization for a long-term prescription medication for Child #4 expired over 2 months ago. The medication remained on-site as of this date.
2. The medication for Child #6 expired 3 months ago, the medication was still on-site and not disposed of or given back to the parent.
Plan of Correction: Parents were notified about expired medication and have provided the correct documentation. Medication and forms will be checked at the beginning of every month to ensure no forms are expired.
Standard 8VAC20-780-550-E
Shelter in place procedures shall be practiced a minimum of twice per year.
There was only 1 Shelter-in-Place drill conducted for the year 2025.
There was only 1 Shelter-in-Place drill conducted for the year 2025.
Plan of Correction: Moving forward Shelter in place drills will be conducted twice a year and documented properly.
Standard 8VAC20-780-70
(Repeat Violation) For staff files, there shall be documentation that two or more references as to character and reputation as well as competency were checked before employment.
1. Staff #2 employed for over 1 year 9 months at the center had no reference checks on file.
2. Staff #4 employed for over 1 year 10 months at the center had no reference checks on file.
3. Staff #5 employed for over 1 year 7 months at the center had no reference checks on file.
1. Staff #2 employed for over 1 year 9 months at the center had no reference checks on file.
2. Staff #4 employed for over 1 year 10 months at the center had no reference checks on file.
3. Staff #5 employed for over 1 year 7 months at the center had no reference checks on file.
Plan of Correction: Management completed reference check. Employee file is now in compliance. Moving forward all required documents will be in the file before employee start date.