Inspection · 2025-02-18
Licensing Inspector
Amy Tomblin
(804) 629-3923
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 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
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 renewal inspection was initiated on February 18, 2025 and completed on February 25, 2025. The on-site inspection began at 3:20 p.m. and ended at 5:15 p.m. The inspector reviewed compliance in the areas listed above. There were 26 children present and three staff. The inspector reviewed five children?s records and five staff records on-site on February 18, 2025 and electronically on (date). This inspection included observation, tour of the facility, interviews, and record review. 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 business days from today, which will be the close of business on March 3, 2025. A POC submitted after this date will not appear on the public website.
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 documented in the allergy plan. Staff #4 stated child #5 has a food sensitivity. Child #5's sensitivity was not listed.
Plan of Correction: We had received no formal documentation of child #5's sensitivity. The parent of child #5 mentioned it to one staff member in regards to Valentine's Day treats. We have since followed up with the parent and will include the parent's request to limit this food when possible for child #5 on our list.
Standard 8VAC20-780-420-E-3
Parents shall be provided at least semiannually in writing information on their child's development, behavior, adjustment, and needs and provided at least semiannual scheduled opportunities for parents to provide feedback on their children and the center's program.
Staff #6 advised the center has not been following this standard.
Plan of Correction: We will implement a fall and spring progress report for all children and accompany that with an invitation to come in for a conference if the parent would like.
Standard 8VAC20-780-530-A-2
At least one staff is required to be in each class with a current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #5 has been employed for six months and does not have first aid certification.
Plan of Correction: Staff #5 does have the certification, but we do not have a copy of it. We have requested a new copy be issued.
Standard 8VAC20-780-550-D
The center shall implement a monthly practice evacuation drill. Evacuation drills were not documented for September 2024 and December 2024. Staff #6 was unable to verify evacuation drills were completed for those months.
Plan of Correction: We will implement checks in the middle of each month to make sure our chart is being updated.
Standard 8VAC20-780-550-G
REPEAT VIOLATION Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.
There was no documentation of a lockdown drill being conducted in 2024. Staff #6 stated one was completed in December 2024 but was not documented.
Plan of Correction: We will implement checks in the middle of each month to make sure our chart is being updated.