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Tiffany's Learning Center LLC

Inspection · 2025-06-10

Date
2025-06-10
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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
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 renewal inspection was initiated on 06/10/2025 and completed on 06/10/2025, as a part of the licensure period. The on-site inspection began at 8:45am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 53
children present and 15 staff. The inspector reviewed five children's records and five staff records on-site. 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 business days from today, which will be the close of business on 07/08/25. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

The search of the central registry for Staff #5 was requested 21 days after their first day of employment.
Plan of Correction: Per the Center: "*"
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 #3, employed for more than ten months, did not have documentation of requesting a
sex offender registry check or a central registry check from one state.
Plan of Correction: Per the Center: "TLC will ensure that all staff members undergo the appropriate background checks for all states resided in."
Standard 8VAC20-780-140-A
(Repeat Violation) 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.

The physical examination in the record of Child #4 was completed more than three months after the first day of attendance.
Plan of Correction: Per the Center: "The child in question is a child who has attended only sparingly, the parents were notified upon enrollment that they need to have a physical examination on file within 30 days. Mom made an appointment with the child's physician and the appointment was after the 30 day attendance mark. TLC will ensure that all physical examinations will be turned in to the center before he or she begins care or before day 30. TLC has created a form to hand to parents reminding them of the date in which it needs to be turned in or they may not return until proper documentation is brought in."
Standard 8VAC20-780-140-B
If the child has had a physical examination prior to attendance, it shall be within 12 months prior to attendance for children two years of age through five years of age.

The physical examination in the record of Child #2 was completed more than 19 months prior to attendance. The child was 4 years old at the time of attendance.
Plan of Correction: Per the Center: "There was a child re-enrollment and a physical was not requested upon return. Going further if a child leaves and returns will request an updated physical examination."
Standard 8VAC20-780-240-A
(Repeat Violation) The Virginia Department of Education sponsored orientation course shall be completed within 90 calendar days of employment.

The record of Staff #1, who has been employed for more than three months, did not contain documentation that the staff has completed the DOE-sponsored orientation course to date.
Plan of Correction: Per the Center: "The staff member in question was working on all training required for the position. TLC has changed their policy so that any staff member must have the required training before they can begin employment."
Standard 8VAC20-780-270-A
The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

Peeling paint was observed in the hallway where children stand in line to use the bathroom.
Plan of Correction: Per the Center: "The area of the peeling paint is in a high traffic area and has been re-painted on a number of occasions, TLC had already arranged for the painter to come in and repair the area again. Will be adding a protective order to the area to prevent further chipping and peeling."
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.

The record of Child #5, who has been enrolled for 15 months, did not have annual confirmation that the required information in the child's record is up to date.
Plan of Correction: Per the Center: "The child in question is a child who is in attendance sparingly, TLC has created a letter for the parents to update their records annually, TLC has made the decision to update twice a year due to enrollment throughout the year."
Standard 8VAC20-780-70
The center did not maintain the required information for each staff person.

The record of Staff #1, who was identified as a program leader, did not contain documentation to demonstrate that the staff member possessed the education required by the job position.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for more than three months, did not have any completed reference verifications on file. Staff #2, who has been employed for more than a month, was missing one reference.
Plan of Correction: Per the Center: "The staff member in question for the lead teacher role has the required experience and was promoted to the lead teacher role. She was given the required training to be done within 30 days of promotion.

Staff member missing the 2 references was a high school student with no work history, we will ensure that all reference checks are done before employment no matter if they have work history or not.

Staff member missing the 1 reference. Could not reach the second reference after numerous attempts. Will ensure that all reference checks are done before employment and if we can not reach a reference we will ask for a different one."
View original record on Virginia Department of Social Services