Inspection · 2026-03-31
Licensing Inspector
Christine Mahan
(757) 404-0568
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
8VAC20-821 Licensure Requirements
8VAC20-821 Background Checks
8VAC20-821 Standards of Conduct
8VAC20-821 Violation Review
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
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 3-31-2026 and completed on 4-2-2026. The on-site inspection began at 9:45am and ended at 3:55pm. The inspector reviewed compliance in the areas listed above. There were 121 children present and 17 staff. The inspector reviewed 10 children?s records and 10 staff records on-site. This inspection included document review, tour of the facility, interviews, observations and measurements.
A subsidy health and safety inspection (SHSI) was conducted in conjunction with the licensing inspection. Subsidy standards that are not covered in licensing standards were reviewed during this SHSI, and this single inspection report reflects findings related to licensing standards and subsidy standards.
Information gathered during the inspection determined noncompliance 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 4-9-2026. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #3's sworn statement was dated more than 6 weeks after hire.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Providers must obtain a complete national criminal background check prior to the employee's first day of employment.
1.Staff #2?s criminal record check was conducted 10 days after the first day of employment.
2.Staff #3?s criminal record check was conducted 1 month after the first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment. Staff #1 has been working for more than 5 months and there are no results of background checks (child protective service and sex offender check) from a state where they previously lived
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment and have been completed within the last 30 days of the date of employment. Staff # 1?s TB screening was dated more than 30 days prior to hire, by approximately 6 weeks
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-280-B
Hazardous substances must be in a locked place that prevents access by children. In room #4 and #5 containers of spray sanitizer and bleach and water mixture were observed in an unlocked cabinet .
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-J
Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. The most recent plan was dated 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
The diapering area shall have soap, disposable towels, and single use gloves such as surgical or examination gloves. Room #1, Room #4 and Room #5 did not have hand soap.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-G
Medication shall be labeled with the child's name. Two medications observed were not labeled with a child?s name.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiration or that a new authorization should be completed. Child #2 has a medication authorization for 1 medication, and the authorization was overdue for by over 10 months. The authorizations had not been renewed, and the medication had not been returned or disposed of as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Staff records shall include documentation that two or more references as to character and reputation as well as competency were checked before employment.
1.The references for Staff #1 and Staff #2 were conducted after employment began.
2.Staff #3 is missing one of the two required refences and it is overdue by 8 months.
Plan of Correction: Not available online. Contact Inspector for more information.