Inspection · 2025-02-24
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect
Inspector Notes
An unannounced, on-site monitoring inspection was completed on 02/24/2025 from 9:27 a.m. to 12:30 p.m. The inspector reviewed compliance in the areas listed above. There were 13 children present with 4 staff supervising. The inspector reviewed 5 children?s records and 3 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 (5) business days from today, which will be the close of business on 06/27/2025. A POC submitted after this date will not appear on the public website.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment. S2, who had been employed for 7 days, did not have a completed national criminal background check.
Plan of Correction: Not available online. Contact Inspector for more information.
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. S2, who had been employed for over 1 month, did not have a central registry search requested. S2 was working alone with children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. S2, employed for 7 days, did not have documentation of requesting a central registry check and sexual offender check for the one state.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-140-B
Physical examinations shall be within certain time periods prescribed. The physical examination for C2 was completed outside the required 3 months prior to attendance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an
official of the local health department. The immunization record for C5 was not signed.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-A
Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of
children in care. The records for S5 did not document the 16 hours of required training
for 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-245-I
The center is required to provide training on the center?s emergency preparedness plan
annually and each time the plan is updated. There was no documentation of the annual
review of the emergency preparedness plan.
Plan of Correction: Not available online. Contact Inspector for more information.
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. There was standing water in the bottom of the refrigerator in the infant room and unidentified brown liquid dripped on the door of the refrigerator. Peeling contact paper was observed on the infant room classroom door.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-40-J
The center is required to update annually the injury prevention procedures based on
documentation of injuries and a review of the activities and services. No documentation was
available to show compliance with this requirement.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-530-A
At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. S2 was observed alone with a group of children in the
classroom and is not certified in pediatric CPR or first aid.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
The center shall maintain written records of children?s injuries that contains all of the
required information. The injury report dated 08/19/2024 did not document the time of parental notification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-70
Each center shall maintain a record for each staff that contains all the required information.
The records for S1 and S2 did not document health information about any health
problems that may interfere with fulfilling the job responsibilities.
Plan of Correction: Not available online. Contact Inspector for more information.