Inspection · 2025-06-05
Date
2025-06-05
Complaint Related
No
Licensing Inspector
Rebecca Forestier
(540) 309-2835
(540) 309-2835
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
8VAC20-770 BACKGROUND CHECKS
22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE
Inspector Notes
An unannounced, onsite renewal inspection was initiated on 06/05/2025 and completed on 06/06/2025. The on-site inspection began at 9:30 am and ended at 12:40 pm. The inspector reviewed compliance in the areas listed above. There were 56 children present and 11 staff. The inspector reviewed 5 children?s records, 5 staff records, and 3 applicant records.
The 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 06/13/2025. A POC submitted after this date will not appear on the public website.
Violations
9Standard 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.
The record for Staff 4, who has been employed for more than 6 months, did not have documentation of requesting a child abuse and neglect registry check in one state that the staff member has resided in within the preceding 5 years.
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
The record for Staff 4, who has been employed for more than 6 months, did not have documentation of requesting a child abuse and neglect registry check in one state that the staff member has resided in within the preceding 5 years.
Plan of Correction: Background check obtained on 06/10/2025 and signature on 06/11/2025.
Standard 8VAC20-780-130-E
REPEAT VIOLATION
SYSTEMIC VIOLATION
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
The immunization records for Child 2 (2 years), who has been attending for 20 months, were not updated once every six months while the child was under the age of 2 years.
The immunization records for Child 3 (3 years), who has been attending for 3 years, were not updated once every six months while the child was under the age of 2 years.
The immunization records for Child 4 (21 months), who has been attending for 8 months, were not updated once every six months.
SYSTEMIC VIOLATION
The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.
The immunization records for Child 2 (2 years), who has been attending for 20 months, were not updated once every six months while the child was under the age of 2 years.
The immunization records for Child 3 (3 years), who has been attending for 3 years, were not updated once every six months while the child was under the age of 2 years.
The immunization records for Child 4 (21 months), who has been attending for 8 months, were not updated once every six months.
Plan of Correction: Documentation will be requested every quarter (June, September, December and March) to ensure all children's records are updated in a timely manner. Request for current records was corrected on 06/11/2025
Standard 8VAC20-780-270-A
Area and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.
The portable sink of the changing table in Classroom 5 did not work and the door to the storage cabinet under the changing table was broken off and leaned against the wall.
The diapering surface of Classroom 8 had feces on it and was used during the inspection.
The portable sink of the changing table in Classroom 5 did not work and the door to the storage cabinet under the changing table was broken off and leaned against the wall.
The diapering surface of Classroom 8 had feces on it and was used during the inspection.
Plan of Correction: The portable sink cabinet that was broken will be replaced with a new station.
Standard 8VAC20-780-280-B
REPEAT VIOLATION
Hazardous substances, such as cleaning materials, shall be kept in a locked place using safe locking methods that prevent access by children.
There was a container of disinfectant spray on the counter in Classroom 1.
Hazardous substances, such as cleaning materials, shall be kept in a locked place using safe locking methods that prevent access by children.
There was a container of disinfectant spray on the counter in Classroom 1.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-A
REPEAT VIOLATION
Children?s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine; and staff shall wash their hands with soap and running water before and after a diaper change and before preparing or serving food and beverages.
Child 3 took off their own soiled diaper and then proceeded to carry the diaper by the soiled area to throw the diaper away. The child did not wash their hands after contact with urine.
Staff 3 did not wash their hands before serving the morning snack in Classroom 4.
Staff 2 stated that due to a broken sink, staff use hand sanitizer after diapering rather than using soap and water.
Staff 4 did not wash their hands after each diaper change.
Children?s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine; and staff shall wash their hands with soap and running water before and after a diaper change and before preparing or serving food and beverages.
Child 3 took off their own soiled diaper and then proceeded to carry the diaper by the soiled area to throw the diaper away. The child did not wash their hands after contact with urine.
Staff 3 did not wash their hands before serving the morning snack in Classroom 4.
Staff 2 stated that due to a broken sink, staff use hand sanitizer after diapering rather than using soap and water.
Staff 4 did not wash their hands after each diaper change.
Plan of Correction: Children will have changing stations in classrooms versus one room. Handwashing stations have been ordered-until that time additional training, effective routines and set up will be given to staff to ensure proper handwashing procedures take place at all times. Posters will be hung in classroom and at changing stations as reminders of steps being followed correctly at all times.
Standard 8VAC20-780-500-B
When diapering: the diapering area shall have a sink with running warm water; disposable diapers shall be disposed of in a disposal system that is foot operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches the exterior surface of the storage system; and the diapering surface shall be cleaned with soap and water and sanitized after each use.
There is not a sink with running warm water in the diapering area of Classroom 6.
The sink in the diapering area of Classroom 5 did not work, therefore the diapering area did not have a sink with running warm water.
Staff 1 stated they did not clean the diapering surface with soap and water after each use.
Staff 4 did not sanitize the diapering surface after each use. Multiple children were changed on the same diapering surface without the surface being cleaned and sanitized.
The lid on the diaper disposal system in Classroom 8 was broken and sitting askew on top of the disposal system, the lid could no longer be opened by the foot pedal.
There is not a sink with running warm water in the diapering area of Classroom 6.
The sink in the diapering area of Classroom 5 did not work, therefore the diapering area did not have a sink with running warm water.
Staff 1 stated they did not clean the diapering surface with soap and water after each use.
Staff 4 did not sanitize the diapering surface after each use. Multiple children were changed on the same diapering surface without the surface being cleaned and sanitized.
The lid on the diaper disposal system in Classroom 8 was broken and sitting askew on top of the disposal system, the lid could no longer be opened by the foot pedal.
Plan of Correction: In the event that a portable sink is not working- children will move to a proper handwashing area. The foot-operated can that was in the classroom has been replaced with a new trashcan. Children will not be allowed to operate the trash can independently. Children will be reminded to wash their hands after toileting, before and after snacks. Diaper changing signs will be placed in all diapering areas as a reminder of proper cleaning procedures.
Standard 8VAC20-780-560-J
Tables shall be sanitized before and after each use for feeding.
The tables in Classroom 4 were not sanitized before the morning snack and had been used by the children prior to the snack.
The tables in Classroom 4 were not sanitized before the morning snack and had been used by the children prior to the snack.
Plan of Correction: Signage for prompting teachers to follow proper steps of cleaning and sanitizing will be placed in the classrooms.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
SYSTEMIC VIOLATION
The center shall maintain a separate record for each child enrolled that contains all of the required information.
The records for Child 3 and 5 did not contain all of the required information.
SYSTEMIC VIOLATION
The center shall maintain a separate record for each child enrolled that contains all of the required information.
The records for Child 3 and 5 did not contain all of the required information.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-80-A
REPEAT VIOLATION
SYSTEMIC VIOLATION
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs.
There were 5 children present in Classroom 1 and 6 children were marked present.
There were 7 children present in Classroom 6 and 2 children were marked present.
SYSTEMIC VIOLATION
For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs.
There were 5 children present in Classroom 1 and 6 children were marked present.
There were 7 children present in Classroom 6 and 2 children were marked present.
Plan of Correction: Staff will have roll call sheets in classroom and with them at all times when children arrive in mixed classroom in the morning hours the opening staff will mark attendance on classroom roll call sheet. When the teacher arrives, the children, along with the teacher transition to the proper classroom along with class roll call