Inspection · 2025-08-08
(804) 625-2304
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks.
20 Access to minor?s 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 August 8, 2025 and completed on August 26, 2025. The on-site inspection began at 10:20 AM and ended at 12:15 PM. The inspector reviewed compliance in the areas listed above. There were 19 children present and five staff. The inspector reviewed five children?s records and five staff records electronically on August 12, 2025, August 25, 2025, and August 26, 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 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 September 12, 2025. A POC submitted after this date will not appear on the public website.
Violations
8The record for staff #4, who has been employed over 14 months, did not have documentation identifying staff #4 as the individual for whom the out of state child abuse and neglect search request was completed for.
The record for child #2, enrolled for over 13 months did not have documentation of an immunization record.
The record for child #2, enrolled for 13 months did not have documentation of a physical examination.
The immunization and physical examination reports for child#3, enrolled for over 14 months were not signed by a physician, his designee, or an official of the local health department.
The record for staff #3, who has been employed over 22 months, did not have documentation identifying staff #3 as the individual for whom the TB screening was completed for.
In room #2, one container of disinfectant was located on top of the changing table in reach of children.
Prescription medication for child H, was not in the original, labeled container.
1.The record for child #1, enrolled for over six months, was missing the following required components: one of the two designated emergency contacts.
2.The record for child #4, enrolled for over 10 months, did not have documentation of viewing proof of the child?s identity and age.