Inspection · 2025-01-29
Licensing Inspector
Susan Ellington-Sconiers
(804) 588-2368
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education
Inspector Notes
An unannounced, on-site monitoring inspection was completed on 01/29/2025, as a part of probation. The on-site inspection began at 10:48 a.m. and ended at 6:00 p.m. The inspector reviewed compliance in the areas listed above. There were 100 children present and 18 staff. The inspector reviewed 10 children?s records and 15 staff records. 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 06/17/2025. A POC submitted after this date will not appear on the public website.
Standard 8VAC20-780-130-E
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. C1, under the age of two did not have documentation of additional immunizations within the required timeframe. The documentation was more than 1 month late. C5, under the age of two, did not have documentation of additional immunizations due in 10/2024. C7, under the age of two, did not have documentation of additional immunizations due in 03/2024 until 09/2024. C8, under the age of two, did not have documentation of additional immunizations due in 11/2024.
Plan of Correction: Send out emails to families for updated medical records.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S4 completed the course four months late. S10 completed the course three months late.
Plan of Correction: Complete the new orientation forms.
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 C1 had not been updated and is overdue by 21 days. The information in the record of C7 has not been updated and is overdue by 16 months.
Plan of Correction: Created emergency contact form to be done every year.
Standard 8VAC20-780-550-P
The center shall maintain written records of children?s injuries that contains all of the
required information. Seventeen injury reports for January 2025 did not document the date and time of the parental notification.
Plan of Correction: Created a new form for Virginia.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for C1, enrolled for more than 1 year, was missing parental employment information.
Plan of Correction: Child file audit for missing information.